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Theoretical Framework- Catheter Associated Urinary Tract Infection
Overview and Guiding PropositionsUrinary catheterization is the concept that surrounds the issue of catheter associated urinary tract infections (CAUTIs) (Yates, 2016). According to Holroyd (2016), catheterization is one of the primary interventions utilized when individuals are diagnosed with urinary retention (p. 255).
If urinary retention is left untreated, then it may trigger bacterial growth in the urinary system, with primary ramifications including pain, fever, and dysuria among others. Infections in the urinary tract become inevitable. The CAUTIs are among the most common healthcare-acquired infections (Banks, Abdella, & Willmann, 2016).
Patients who have been utilizing indwelling catheters are the most vulnerable to CAUTIs (Johnson, Gilman, Lintner, & Buckner, 2016). Asymptomatic bacteriuria is responsible for most nosocomial CAUTIs (Trautner, 2010).
Trautner (2010) further asserts that there is an emerging trend in the health care environment whereby patients are increasingly receiving inappropriate CAUTI treatments (p. 78). The development of appropriate evidence-based strategies can help prevent the occurrence of CAUTIs.
Application of Theory
The paper will dwell on a broad array of models and theories to extensively discuss the best interventions for the prevention of CAUTIs. The most relevant methods in the prevention of catheter-associated UTIs are the evidence-based models.
According to Magers (2013), embracement of a culture of inquiry in the hospital environment is the fundamental step in the achievement of the fruits of evidence-based practice (p. 35). Assessment of all underlying concepts before making any decision is critical to the attainment of the desired results.
Data about the social, economic, and psychological state of the patient is imperative for an understanding of the best practices to be undertaken for the enhancement of one’s health. According to Fisher (2015), Peplau’s Interpersonal Theory perfectly fits into the development of a spirit of inquiry, particularly because of the kind of relationships created during the interactions between the patient and the nurse (pp. 20-21).
Neuman’s system model also helps the focus on client’s response to the actual evidence-based issues to be emphasized, rather than guess work and unfounded theoretical processes (Welden, 2013). The provision of care should be founded on the basic principles of ensuring that all levels of wellness are enhanced, that is, the primary, secondary, and tertiary.
Overall, Purvis et al. (2014) believe in a multipronged theoretical approach when referring to evaluating the most effective strategies for preventing CAUTIs (pp. 144-145).
