Name
Capella University
NURS-FPX 4030 Making Evidence-Based Decisions
Prof. Name
Date
Healthcare treatments and procedures significantly influence patients’ quality of life and safety. Every healthcare professional is critically responsible for assessing the credibility and authenticity of evidence-based practices in their clinical work. This analysis focuses on the issue of Urinary Tract Infections (UTIs), highlighting the importance of nurses seeking credible evidence for clinical application. Through in-depth analysis, substantial evidence of effective nursing practices for UTIs can lead to better patient health outcomes and an enhanced quality of life.
Urinary Tract Infections (UTIs) are among humans’ most prevalent bacterial infections, signifying a serious problem for public health. These infections significantly impact healthcare systems and patients’ quality of life. The societal costs, including healthcare expenses, are estimated to be around US$3.5 billion annually in the United States (Pinto et al., 2021). UTIs are prevalent in both hospital and community settings, often leading to complications such as kidney infections and sepsis, particularly among Populations at risk, including the elderly, expectant mothers, and people with compromised immune systems. This calls for a pressing need to address UTIs in a timely manner using authentic treatments and guidelines supported by evidence.
Applying an evidence-based approach to managing and treating UTIs is crucial for several reasons. Firstly, evidence-based guidelines help reduce antibiotic resistance by ensuring the appropriate use of antibiotics, which is vital in preserving their efficacy (Stracy et al., 2022). Secondly, utilizing current and effective treatments based on evidence improves patient outcomes, leading to faster recoveries, fewer complications, and a lower recurrence rate of infections, thereby directly enhancing patients’ quality of life (Wagenlehner et al., 2020). Additionally, evidence-based practices contribute to cost-effectiveness in healthcare by reducing unnecessary diagnostic tests and treatments, leading to better resource allocation (Navarro et al., 2020). Moreover, these practices enhance patient safety by minimizing the risk of adverse effects and healthcare-associated infections.
Research identifies several criteria for evaluating the credibility of resources, one of which is the CRAAP criteria: Currency, Relevance, Authority, Accuracy, and Purpose (Muis et al., 2022). This set of criteria assesses the timeliness of the article by considering its publication date and examines the relevance of the resource’s content to the issue being studied. It also evaluates the authors’ expertise and connection to the pertinent fields of study. Finally, it verifies the accuracy of the information and ensures that the resource’s purpose aligns with the goals of the ongoing research (Muis et al., 2022).
These criteria are applied in the following bibliography:
Navarro, D. F., Sullivan, F., Lorenzo, A. A., & Santiago, V. H. (2020). Point-of-care tests for urinary tract infections: Protocol for a systematic review and meta-analysis of diagnostic test accuracy. BMJ Open, 10(6), e033424. https://doi.org/10.1136/bmjopen-2019-033424
This resource was published in the year 2020, indicating its currency. Regarding the relevance criterion, the article addresses the topic of urinary tract infections, which is the focus of this assessment. The article specifically examines the accuracy of point-of-care tests for diagnosing UTIs, making it highly pertinent to the issue at hand. The authors are experts in their respective fields and have substantial backgrounds in medicine and research. The study’s findings are accurate and are derived from a systematic review and meta-analysis, ensuring robust statistical analysis. Lastly, this resource aims to enhance diagnostic accuracy for UTIs, which aligns with improving patient outcomes through better diagnosis and treatment protocols.
The evidence-based resources cited in this paper can be analyzed to ensure their credibility and relevance. All these resources fit the CRAAP criteria. The article by Pinto et al. (2021) fulfills the CRAAP criteria as it was published within the last three years, indicating its currency. This resource is relevant to urinary tract infections (UTIs) as it discusses the prevalence and impact of biofilms on the bloodstream and UTIs. The authors are experts in their fields, and the results are based on a systematic review and meta-analysis, ensuring accuracy. Lastly, the article aims to provide insights into the impact of biofilms on infections, which is crucial for understanding and managing UTIs. Similarly, the resource by Stracy et al. (2022) is up-to-date, meeting the currency criterion.
The article is relevant to UTIs as it addresses minimizing the emergence of antibiotic resistance in bacterial infections, a significant concern in UTI treatment. The authors are from relevant fields, including medicine and microbiology, and the results are accurate and derived from thorough research. This article emphasizes strategies to reduce antibiotic resistance, vital for effective UTI management. The resource by Wagenlehner et al. (2020) also fulfills the CRAAP criteria and has been published within the last few years. It is relevant as it discusses complicated UTIs’ epidemiology, definition, and treatment.
The authors are experts in urology, and the findings are accurate, based on extensive research. The article aims to provide comprehensive information on managing complicated UTIs, highlighting the importance of appropriate treatment protocols. Among these, the most useful resource is by Stracy et al. (2022), as it addresses the critical issue of antibiotic resistance, which is a significant challenge in treating bacterial UTIs. This resource provides valuable strategies for minimizing resistance and ensuring the effectiveness of antibiotic treatments in managing UTIs.
To enhance patient outcomes, the Johns Hopkins Evidence-Based Practice (EBP) paradigm offers a structured technique for fusing patient choices, clinical expertise, and the best accessible data. This model can significantly enhance the management and treatment of Urinary Tract Infections (UTIs), a common and impactful healthcare issue. By incorporating the latest evidence, healthcare professionals can optimize UTI management, improve patient outcomes, enhance safety, and resource optimization. The model involves formulating precise clinical questions, gathering and evaluating evidence, and translating findings into practice.
For instance, healthcare professionals can pose questions such as identifying the most effective antibiotic regimen for reducing UTI recurrence rates in specific patient populations. Subsequently, high-quality evidence can be identified and analyzed through comprehensive literature reviews and adherence to evaluation criteria like the CRAAP criteria. This evidence can then inform the development or updating of clinical guidelines, training protocols for healthcare staff, and monitoring mechanisms to assess the impact of implemented changes on patient outcomes.
In conclusion, integrating evidence-based practices into UTI management is crucial for improving patient outcomes and healthcare quality. By rigorously assessing the credibility and relevance of research using criteria like the CRAAP criteria, healthcare professionals ensure the use of high-quality information. The structured approach of the Johns Hopkins Evidence-Based Practice model facilitates the translation of evidence into clinical decisions, leading to better treatment protocols and resource utilization. Overall, evidence-based approaches play a pivotal role in enhancing patient care and safety in managing UTIs.
Navarro, D. F., Sullivan, F., Lorenzo, A. A., & Santiago, V. H. (2020). Point-of-care tests for urinary tract infections: Protocol for a systematic review and meta-analysis of diagnostic test accuracy. BMJ Open, 10(6), e033424. https://doi.org/10.1136/bmjopen-2019-033424
Pinto, H., Simões, M., & Borges, A. (2021). Prevalence and impact of biofilms on bloodstream and urinary tract infections: A systematic review and meta-analysis. Antibiotics, 10(7), 825. https://doi.org/10.3390/antibiotics10070825
Stracy, M., Snitser, O., Yelin, I., Amer, Y., Parizade, M., Katz, R., Rimler, G., Wolf, T., Herzel, E., Koren, G., Kuint, J., Foxman, B., Chodick, G., Shalev, V., & Kishony, R. (2022). Minimizing treatment-induced emergence of antibiotic resistance in bacterial infections. Science, 375(6583), 889–894. https://doi.org/10.1126/science.abg9868
Wagenlehner, F. M. E., Bjerklund Johansen, T. E., Cai, T., Koves, B., Kranz, J., Pilatz, A., & Tandogdu, Z. (2020). Epidemiology, definition and treatment of complicated urinary tract infections. Nature Reviews Urology, 17(10). https://doi.org/10.1038/s41585-020-0362-4
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