paragraph responding to the discussion bellow

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Please write a paragraph responding to the discussion bellow. Add citations and references in alphabetical order.

EBP is the conscientious, categorical, and
astute approach towards a patient’s holistic health using the current
and most appropriate clinical literature available, tailored to fit the patient’s
specific health requirements and conditions. (Samonte & Vallente, 2016).

An example of nursing practice where evidence
based practice has improved patient outcomes is Foley care and its removal to
prevent Catheter Associated Urinary Tract infection (CAUTIs). CAUTIs are
documented in the EBP research to “Contribute to as many as 25.6% of hospital
acquired infections (HAIs). These infections are linked to increased rates of
morbidity and mortality, longer lengths of stay in the hospital and increase
hospitalization costs. The evidence identified that the risk for infection is
“estimated at 3-7%” for each day the catheter remains in the patient. The
research led to proactive practices discontinuing the catheter as early as
possible. According to the study done by Nicolle, L. et al., it suggests that,
systematic review in hospitalized patients reported that the use of an
intervention including a reminder to staff that a catheter was in place and/or
a stop order to prompt removal of unnecessary catheters reduced the CAUTI rate
by 53% (Nicolle, L. et al., 2014).

Another example of nursing practice where
evidenced based nursing practice has improved patient outcome is of standards
of care and flushing protocols for central venous access devices (CVADs). According
to the research article by Freire et al., establishing a multidisciplinary team
to specifically focus on care of CVAD, together with systematic reporting of
infections, appears to reduce the rates of infection related to the use of
these devices. The objective of the study was to describe the epidemiology of
infections related to the use of implantable central venous access devices
(CVADs) in cancer patients and to evaluate measures aimed at reducing the rates
of such infections. The findings of the same study suggested that the rate of
CVAD-related infection dropped from 2.2 to 0.24 per 1,000
catheter-days with the standards of care and flushing protocols.

The above mentioned examples of evidenced
based research and changes in practice brought changes significantly in outcome
indicating that nurses can modify the outdated practices that are no longer
relevant or in the best interest of the patient’s well-being based on the
evidence based research. In my practice presently, flushing of central lines at
least once a shift and proper documentation has had a profound impact on
reducing central line infections.


Samonte, P. V., & Vallente, R. P. (2016).
Evidence-based practice (EBP). Salem Press Encyclopedia.

Lo, E., Nicolle, L., Coffin, S., Gould,
C., Maragakis, L., Meddings, J., Yokoe, D. (2014). Strategies to Prevent
Catheter-Associated Urinary Tract Infections in Acute Care Hospitals: 2014
Update. Infection Control and Hospital Epidemiology, 35(5),
464-479. doi:10.1086/675718

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