NOW FOR AN ORIGINAL PAPER ASSIGNMENT:Assignment: Adult Patients in CCU

Because the study was only collected on adult patients in CCU, results do not apply to the entire population, such as to pediatric patients, becoming a disadvantage, while the inclusion and exclusion criteria were fundamental to determine the number of patients needed for an adequate quality sample size.

Barnhorst, Martinez, and Gershengorn (2015) study aim to guide in identifying appropriate measures for quality improvement strategies for health care providers to follow in which nurses play a fundamental role in identifying these initiatives. A quasi-experiment design was used to produce improved outcomes from interventions that generate findings showing how well an intervention works in usual practice. Such design assisted researches to build enough knowledge before proceeding to clinical trials (advantage). A limitation includes the need for a large infrastructure capable of supporting all units of analysis otherwise a limited number of outcomes can be associated with low-quality care (Mormer and Stevans, 2019). Sampling consists of data entry by technicians and nurses prior and after electronic health record implementation in which a probability sampling method found that using paper charting lead to a 17% error. An advantage of electronic health record can become accessible from anywhere and data can be captured in real-time at bedside (Barnhorst et al., 2015).The last CAUTI literature review from Sitki, Kirkbride, and Forbes (2015) evaluate the nurse-driven protocol at a magnet teaching hospital through nurse’s perception, utilizing a descriptive design by the use of a self-developed survey containing open-ended questions. Because open-ended questions do not generate right or wrong answers, participants feel more comfortable answering, at the same time findings may be difficult to compare or analyze and depending on the number of questions, can be time-consuming, decreasing willingness to participate. A sample of 750 nurses completed the survey using a Chi-square statistics, to test if a relationship of two variables exists, in which inclusion criteria included RNs over 18 years of age, English-speaking, employed on the hospital’s nursing care units who may have used the nurse-driven protocol. No exclusion criteria were identified. A waver of consent was used and participant’s anonymity and confidentiality were protected.