NURS FPX 4905 Assessment 2
[Student Name]
Capella University
Professor’s Name
August 2025
NURS FPX 4905 Assessment 2 The Role of Nurse Informaticists in Healthcare
Enhancement of the quality of care in healthcare providers is key to the safety of the patient, lessening complications and improvement of results. Quality improvement initiatives offer systematic solutions to specific issues that continue to plague clinical settings through evidence-based intervention and the power of interdisciplinary cooperation. Based on the problem identified by the clinical assessment, the paper presents an elaborated change plan aimed at reducing catheter-associated urinary tract infections (CAUTIs) in the acute care unit of a community hospital, aligning with the principles of good clinical practice. The occurrence of CAUTIs is a more common and more preventable source of nosocomial infections that has a major impact on patient morbidity, length of stay and financial burden on healthcare.
In NURS FPX 4905 Assessment 2, the intended plan is to introduce a standardized CAUTI prevention bundle on the basis of the current evidence and modeled on the Plan-Do-Study-Act (PDSA) model. It will provide the basis of the intervention, implementation plans, involvement of the stakeholders, assessment practices as well as ethical perspectives.
Description of the Problem and Goal Setting
CAUTIs are regarded as one of the most widespread healthcare-related infections; according to the statistics by the Centers of Disease Control and Prevention (CDC), they constitute nearly 30 percent of all infections acquired in medical facilities classified as acute. Rubi (2022) clarified that urinary tract infections are common preventable infections that are mainly caused by widespread usage of catheters and the inappropriate use of sterile techniques hence stringent measures need to be taken to prevent them. They are primarily associated with long-term insertion of indwelling urinary catheters, improper insertion techniques, and poor catheter care, which highlights the need for planning for change in clinical practice to improve
outcomes and reduce risks. Internal infection control reports at the acute care unit have shown that the CAUTI rates have been on the increase gradually over the past 6 months particularly among elderly and patients with a long stay at the hospital. The tendency reflects not only the lack of prevention activities but also the need of the well-designed and evidence-based intervention.
The overall purpose of the project is to ensure the reduction of CAUTI levels by at least 30 percent within six months due to the CAUTI prevention bundle, which is highlighted in NURS FPX 4905 Assessment 2. This bundle will be supported by the staff education, assessment of the necessity of catheters every day, and enhanced documentation of practice. This undertaking will entrench a sustainable culture of safety and accountability in catheter care by addressing both behavioral and procedural aspects, thereby reinforcing adherence to good clinical practices .
Evidence-Based Strategies
There is a large body of evidence to justify various CAUTI preventions strategies. “The literature is group-wise in its emphasis on reducing undesired insertions, promoting sterile insertion practices, and ensuring proper withdrawal practices, all of which align with established clinical practice guidelines. Monegro (2023) refers to various pathologies of hospital-acquired infections, explaining that CAUTI is one of the most prevalent and expensive phenomena to be addressed by implementing the standards of infection control to the maximum in order to minimize the number of patients suffering because of it. Urinary retention evaluation with the use of bladder scanners before catheterization has been seen to help avoid it. Otherwise, electronic health record (EHR) prompts can augment the rate of documentation and remind
clinicians to evaluate catheter renewal need. Such evidence base implies a multimodal approach of technological support and regulation of processes, as well as intensive staff training.
Proposed Intervention Plan
Given the evidence, the intervention strategy will be based on the CAUTI prevention bundle with providing aseptic insertion of catheters, documentation of the necessity of catheters, the removal of catheters in appropriate time, and staff training as emphasized in NURS FPX 4905 Assessment 2. Patel et al. (2023) recently gave the updated, evidence-based CAUTI prevention strategies in acute care hospitals based on catheter avoidance, aseptic insertion, maintenance bundles, and removal protocols. The use of bladder scanner tests is an essential part of this plan of action as it will minimize unnecessary catheter insertions. Implementing change in healthcare involves educating employees about best practices in catheter care and using visual aids in patient care areas to remind staff about existing protocols. Where a combination of mandatory catheter indication and reassessment fields will be added to the EHR templates.
In NURS FPX 4905 Assessment 2, this plan will be implemented through PDSA model. The activities that will occur during the planning stage are preparation of teaching material, development of checklists and staff training. In the step of Do, two-week pilot will be deployed in a unit. The phase of gathering the mentioned information about the infection rates and staff compliance will be called the “Study” phase. Referring to the consequences and feedback, the stage of action will consist in optimizing the intervention and introducing it to be implemented on hospital-wide scale. This cyclic model ensures that the plan is loose and flexible to actual clinical operationalized steps. The active participation of the stakeholder is essential in the success of this intervention. The participants interested are topmost among them nursing personnel, physicians, infection precautions experts, quality improvement professionals and
nurse educators. All these groups possess some functions within implementation and maintenance of the initiative. Nursing staff are at the point of the spear of providing catheter care and require on-going assistance and education. The doctors have a major role in authorizing insertion of catheters and so in the re-planning of decisions. Monitoring of trends will be delegated to the prevention team and the overall implementation plan will be tracked by leaders of quality improvement.
A channel of communication will be established by creating an open channel that encompasses transparency and further serves to motivate everyone. Twice-guided huddles and weekly staff meetings will be used to present updates, address grievances, and report progress, ensuring alignment with good clinical practices. Routine monthly dashboard with CAUTI rates, measures of compliance will be issued and posted in staff lounges. Werneburg (2022) considered the current problems of CAUTIs management and the ways of their solving, which included the innovative aspects of catheter design and the further development of antimicrobial resistance. This is a free environment and cooperative method of communication in which everyone taking part in the group is encouraged to be the owner and take responsibility.
The foundation of such a quality improvement initiative should be education, which is highlighted in NURS FPX 4905 Assessment 2. A thorough training program will be offered to all the staff involved, and this should include a theoretical and practical part. The training will involve the importance of CAUTI prevention, the use of aseptic technique, and catheter care as well as the documentation catheter indications. Such training will also be included on how to use the bladder scanners because the nurses can be certain when to conclude that a patient has urinary retention without necessarily rushing to catheterize.
Synchronic and asynchronous learning will be ensured with the help of additional live workshops and online modules. There will be refresher courses which shall be conducted every month during the during staff meetings and during on-boarding exercises to new employees. Role playing scenarios will also be used in the training as well as demonstration of returns to teach lessons. Visual reminders and job aids will also be displayed in areas of patient care to support and remind the practice and reduce any variation.
Evaluation and Measurement of Outcomes
The critical factor in evaluating the success of the intervention will provide a basis of future refinements. The plan of evaluation involves process and outcome measures, which are essential for implementing change in healthcare effectively. The impact of the intervention is of great significance to review the effectiveness and make further improvements. The assessment plan has both the process measures and outcome measures. The major outcome indicator would be the reduction in the CAUTI rates per 1,000 catheter-days. The infection prevention team will collect this information on a monthly basis and benchmark with ongoing six-months baselines.
The rate of the timely removal of catheters, documentation compliance, and bladder scanner utilization rate are the Process measures. The attitude and knowledge with which the staff handle catheter care will be determined through a pre-intervention and post-intervention questionnaire. Further, spot audits will be conducted aimed at evaluating the adherence to the elements of the CAUTI bundle.
The assessment step would also require a patient specifying the satisfaction with urinary care, as patient-reported outcomes become a significant part of a healthcare quality indicator. All the information shall be shared with the stakeholders to celebrate what has been done right and to make what needs to be made better. Schatz Bergren (2022) supported the use of a team huddle as
an adopted communication method in the healthcare setting and ensured staff awareness, coordination, and patient safety outcomes.
Ethical, Legal, and Regulatory Considerations
The project relates closely to the ethical principles of nonmaleficence and beneficence, as its aim is to prevent potential harm and improve patient outcomes in alignment with clinical practice guidelines. The intervention poses no additional risks to the patients since the care practices involved are standard.
However, de-identification of any received information will be applied in order to guarantee patients and HIPAA privacy. Employees will be informed about the nature of the project work and offered to participate in surveys and training tests. Lin et al. (2022) demonstrate that the huddles conducted by multidisciplinary teams in hospitals enhance team relationships, timely problem detection, and clinical care quality leading to the improvement of patient outcomes and workflow. The regulatory standards that the project addresses include the requirements defined by the Joint Commission and CDC requirements in infection prevention. Most health care facilities implement the AUTI prevention bundle that is nationally recommended. These best practices assist the facility to advance its internal performance issues; it also indicates that the facility is committed to the external standard of quality.
Addressing Barriers and Ensuring Sustainability
The introduction of change into the clinical practice is generally not received without challenges and other unforeseen obstacles. The potential barriers associated with this initiative would be the reluctance of the workforce to undergo changes that are being implemented, the lack of time in the busy units, non-systematic documentation. The project team will concentrate
on advocating early engagement, peer-to-peer support, and collaboration with unit leaders to resolve practical challenges, thereby promoting the principles of good clinical practice.
To make CAUTI prevention bundle sustainable in the long term, it is proposed to introduce it into the institutional policy and evaluate the performance of the staff regarding it. Unit champions will be appointed to make sure that others observe and are guided to work according to compliance. Periodic (weekly) performance review will keep the team accountable and results result-oriented.
Moreover, compulsory continuing education will be maintained by flagging annual refurbishment courses as the reminder of the need to practice.
Conclusion
In NURS FPX 4905 Assessment 2, it is emphasized that reducing CAUTI rates in acute care settings should be viewed as an ethical extraordinary responsibility and a clinical obligation. This quality improvement initiative presents an opportunity to utilize an evidence-based bundle of prevention strategies to promote safer patient care on a sustainable basis having up to date practices among the professionals and stakeholders in the organization and monitoring the progress. The systematic application of the PDSA formula makes it possible to continuously improve it and achieve permanent success. Industrial visit. The objective of achieving a 30 percent reduction in CAUTI rates is realistic and imperative for enhancing nursing practice. Together, this effort will foster a culture of safety, accountability, and excellence in urinary catheter management, reinforcing adherence to good clinical practice.
References
Lin, S. P., Chang, C. W., Wu, C. Y., Chin, C. S., Lin, C. H., Shiu, S. I., Chen, Y. W., Yen, T. H., Chen, H. C., Lai, Y. H., Hou, S. C., Wu, M. J., & Chen, H. H. (2022). The effectiveness of multidisciplinary team huddles in a healthcare hospital-based setting. Journal of Multidisciplinary Healthcare, 15, 2241–2247. https://doi.org/10.2147/JMDH.S384554
Monegro, A. F., Muppidi, V., & Regunath, H. (2023). Hospital-acquired infections. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK441857/
Patel, P. K., Advani, S. D., Kofman, A. D., Lo, E., Maragakis, L. L., Pegues, D. A., Pettis, A. M., Saint, S., Trautner, B., Yokoe, D. S., & Meddings, J. (2023). Strategies to prevent catheter-associated urinary tract infections in acute-care hospitals: 2022 update. Infection Control and Hospital Epidemiology, 44(8), 1209–1231. https://doi.org/10.1017/ice.2023.137
Rubi, H., Mudey, G., & Kunjalwar, R. (2022). Catheter-associated urinary tract infection (CAUTI). Cureus, 14(10), e30385. https://doi.org/10.7759/cureus.30385
Schatz, M., & Bergren, M. D. (2022). The huddle: A daily dose of communication. NASN School Nurse, 37(2), 76–78. https://doi.org/10.1177/1942602X211056371
Werneburg, G. T. (2022). Catheter-associated urinary tract infections: Current challenges and prospects. Research and Reports in Urology, 14, 109–133. https://doi.org/10.2147/RRU.S273663
