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Decreasing Catheter-Associated Urinary Tract Infections

Decreasing Catheter-Associated Urinary Tract Infections









Sandra Osei

Walden University

NURS 6052N: Essent of Evidence-Based Practice

Dr. Emily Keyes

April 16, 2023














Critical Appraisal Tool Worksheet Template




Evaluation Table


Use this document to complete the evaluation table requirement of the Module 4 Assessment, Evidence-Based Project, Part 3A: Critical Appraisal of Research



citation or article Article #1 Article #2 Article #3 Article #4
Atkins, L., Sallis, A., Chadborn, T. et al. (2020). Reducing catheter-associated urinary tract infections: a systematic review of barriers and facilitators and strategic behavioral analysis of interventions. Implementation Sci 15, 44.





Durant, D.J. (2017). Nurse-driven protocols and the prevention of catheter-associated urinary tract infections: A systematic review. American Journal of Infection Control, 45(12), pp. 1331-1341.


Fasugba, O. Koerner,  J., Mitchell, B., & Gardner,  A. (2017).   Systematic Review and meta-analysis of the effectiveness of antiseptic agents for meatal cleaning in the prevention of catheter-associated urinary tract infections.  Journal of Hospital Infection95(3), pp. 233-242 Papanikolopoulou, A. et al. (2022). Catheter-associated urinary tract infections, bacteremia, and infection control interventions in a hospital: A six-year time-series study. Journal of Clinical Medicine11(18), 5418.
Evidence Level *

(I, II, or III)


Level I-systematic review Level I Level I: systematic review with meta-analysis Level II
Conceptual Framework 


Describe the theoretical basis for the study (If there is not one mentioned in the article, say that here).**



Improvements in infection control have results in fewer infections in recent years. Interventions to reduce CAUTI related to staff behaviors have been researched but the target barriers and facilitators of these behaviors is unclear.



There has been decreases in several of the major types of HAIs, including CAUTI, surgical site infections, Clostridium difficile infections, but little effort has been made to systematically assess the effectiveness of nurse-driven protocols related to CAUTI prevention. None Some research studies focused on evaluating educational and interventional bundles to decrease HAIs, little research have investigated the relationship between the incidence rate of CAUTIs and specific infection control interventions.


Describe the design and how the study was carried out (In detail, including inclusion/exclusion criteria).

The authors used mixed methods to conduct the research over three phases related to the aims of the article. Authors used MEDLINE, EMBASE, and PsychINFO electronic databases to identify research articles in November 2017, limiting searches to 1995 onwards. Systematic review of studies published in the United States since 2006 were used. Qualitative and quantitative research that related to nurse-driven protocols to decrease CAUTI rates was used Electronic databases were reviewed to identify randomized controlled trials. Pooled odds ratios (ORs) and 95% confidence intervals (CiIs) were calculated and compared across intervention and control groups using DerSimoniah-Laird random-effects model. Systematic review to determine the prevalence of rate. There were no age or gender restrictions, but the authors focused on the older population.


The number and characteristics of

patients, attrition rate, etc.

The article systematically reviewed 25 studies.




Twenty-nine studies were identified eligible for inclusion A total of 2665 potential articles were identified, 14 studies were eligible for inclusion The research study was conducted prospectively from January 2013 to December 2018 in a 300-bed private tertiary-care hospital in Athens.
Major Variables Studied


List and define dependent and independent variables



Nurse driven protocol to assess for appropriate catheter use and timely removal


Identify primary statistics used to answer clinical questions (You need to list the actual tests done).

Data Analysis Statistical or

Qualitative findings


(You need to enter the actual numbers determined by the statistical tests or qualitative data).

Findings and Recommendations


General findings and recommendations of the research

Appraisal and Study Quality



Describe the general worth of this research to practice.


What are the strengths and limitations of study?


What are the risks associated with implementation of the suggested practices or processes detailed in the research?


What is the feasibility of use in your practice?



Key findings










General Notes/Comments