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Monday, January 28, 2019

Treasure Hunt, Pico Question

Title Treasure follow Assignment ? Pico Question The PICO question used in this assignment is In adult patients with short depot void problems, what is the effect of urethral catheter intention compargond with standard latex catheters on the deem of urinary tract transmission system? Define taxonomical Review A systematic refresh is a scientific approach that combines results from a group of original research studies and looks at the studies as a whole (Nieswiadomy, 2012).Systematic recaps are pertinent for evidence-based practice (EBP) because it brings together research on the effectiveness of treatments or interventions and helps clinicians decide which treatments or approaches are supported by evidence (Nieswiadomy, 2012). Titles Found-First Search The following are five dollar bill titles found Cranberries for preventing urinary tract infections. Methenamine hippurate for preventing urinary tract infections. Cranberries for treating urinary tract infections. Prophylac tic antibiotics to reduce the risk of urinary tract infections after(prenominal) urodynamic studies. Routine neonatal circumcisions for the prevention of urinary tract infections in infancy. Systematic Review Found-Second Search The systematic review that was found on the second base search that specific eithery answers the PICO question is Types of urethral catheters for management of short- stipulation voiding problems in hospitalized adults by Katie Schumm and Thomas Lam. Summary of the Systematic ReviewDescribe how the systematic review applies to the PICO Question (1) The systematic review answers the PICO question in that it addresses risk and rate of urinary tract infections associated with types of indwelling catheters in adult hospitalized patients with short bound voiding problems. Types of Studies Reviewed (2) Cochrane Incontinence Group Specialized Register of trials (May 24, 2010) was searched in supplement to bibliographies of relevant articles.Catheter manufacture representatives were also contacted for trials (Schumm &038 Lamm, 2008). How the Review was conducted (3) Selection Criteria Selection criteria were compromised of all randomized and quasi-randomized trials that compared types of indwelling urinary catheters for short-term use in hospitalized adults (Schumm &038 Lamm, 2008). information collection Data collected was reviewed and then independently verified by a second reviewer (Schumm &038 Lamm, 2008).Clarifications were sought and disagreements were resolved as exposit in the Cochrane Handbook (Schumm &038 Lamm, 2008). Subjects Twenty three trials were conducted. Those meeting criteria were 5,246 hospitalized adults in correspond groups trials and 27,878 adults in one large cluster-randomized cross-over trial (Schumm &038 Lamm, 2008). Important Terms delineate and Significance (4,5) Urinary catheters were defined as small tubes inserted through the urethra (outlet for urine) (Schumm &038 Lamm, 2008).The review further states t hat urinary catheters are used short term post-surgery or to monitor urine output in hospitalized patients (Schumm &038 Lamm, 2008). It is historic to define this term because it is a main component of the subject of study. Also, defining a term in a systematic review provides clarity and a clear definition of the subject for those not familiar with medical terminology. Studies Reviewed (6) Full approaching to this review is restricted without a membership.The abstract and information cited by is approachable for free. From what can be gathered, thirteen different studies were reviewed for this systematic review. Primary pass and Significance (7,8) What this review concluded is that antiseptic or antibiotic surface urinary catheters might reduce the presence bacteriuria of hospitalized adults, and that siliconized catheters might cause the least(prenominal) side effects in men (Schumm &038 Lamm, 2008). However the review stated the evidence was weak.It suggested that more rig orous trials are needed to make a valid conclusion as to if antibiotic or antiseptic surface urinary catheters reduce the rate of urinary tract infections (Schumm &038 Lamm, 2008). This conclusion is important to nursing care because it addresses some possible interventions/treatments to reduce the most earthy hospital acquired infection which ultimately leads to providing excellent patient care to enkindle and abstain optimal health.If further research does conclude that antibiotic or antiseptic coated urinary catheters are effective at trim down the rate of urinary tract infections, health care has yet pass on another step in resolving the huge of issue nosocomial-acquired infections. References Nieswiadomy, R. M. (2012). understructure of Nursing Resarch (6th ed. ). Boston Pearson. Schumm K. , Lam, B. L. (2008). Types of urethral catheters for management of short-term voiding problems in hospitalized adults. Cochrane Database of Systematic Reviews 2008 (2). DOI 10. 1002/146 51858. CD004013. pub3 ?

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