New instructions:
I have been assigned to a medicine surgical unit to help with decreasing the number of Catheter associated urinary tract infections (CAUTI). I have had very good feedback on the unit- staff work well together, all the stakeholders, MD, RNs, Ancillary staff they work very well together and has been very welcoming. Even when there were challenges which were related to nurses feeling as if they were the only ones responsible they quickly got back on track and with the goal of reducing these infections which they did. What we did find however is that everyone need continuous guidance and momentum around this topic so this week is my 2nd to last week and it is evident that the nurse manager and nursing staff will have to continue to be the key stakeholder and project manager.
Please be mindful of grammar
4-6 references
Please use this past paper below as a guide/background information to doing this
LESSONS LEARNED FROM PROJECT IMPLEMENTATION AND EVALUATION
To decrease catheter-associated urinary tract infections (CAUTIs), it is crucial first to identify potential barriers and then develop strategies to overcome them before implementing any modifications to a medical-surgical unit (Levin & Levin, 2019). This approach ensures that the project will be valuable and last long.
Identified Barriers to Implementation
1. Staff Resistance and Motivation: Employees may be resistant to change because they are comfortable with the current system or because they may need help understanding the alternatives that have been suggested (Atkins et al., 2020). Disincentives to remove Foley catheters and complete device rounds may cause delays, particularly during staffing shortages (Atkins et al., 2020).
2. Training and Education Gaps: Problems with staff understanding or training might delay adoption, especially concerning external catheter usage and the procedure for notifying the medical director before inserting a Foley catheter (Atkins et al., 2020).
3. Interdisciplinary Collaboration: A close working relationship among management, medical professionals, and nurses is essential (Puro et al., 2022). When people have busy schedules and different goals, coordinating their efforts might take more work.
4. Resource Limitations: Conducting daily device rounds and correctly applying the new procedure may be difficult due to a lack of resources (time, people, and materials).
5. Monitoring and Feedback: Building a trustworthy and effective method to track progress and provide feedback in a healthcare environment that is constantly evolving may be challenging (Puro et al., 2022).
Strategies to Overcome Barriers
1. Enhancing Staff Engagement and Motivation: Motivating stakeholders, such as providers and nurses, may be achieved via frequent meetings, collaboration with nursing leadership and educators, and other means (Foster & Mazur, 2023). Recognizing and rewarding staff members who adhere to the new guidelines might enhance their enthusiasm and compliance (Foster & Mazur, 2023).
2. Comprehensive Training Programs: Sessions that cover all the bases may help fill in knowledge gaps, such as the new technique for inserting Foley catheters and how to use external catheters (Álvarez-Maldonado et al., 2018). This has to be an ongoing process so that new hires can be accommodated and existing employees may update their abilities (Álvarez-Maldonado et al., 2018).
3. Fostering Interdisciplinary Collaboration: Collaboration is significantly enhanced in a setting that encourages the free flow of information and regular gatherings of experts from different fields (Krauss et al., 2022). Having clearly articulated and shared objectives between team members is one approach.
4. Resource Management: Efficient allocation of resources is critical to overcoming limitations; this may require a change in personnel strategy or the introduction of new technological tools (Krauss et al., 2022). Scheduling adjustments may be necessary to guarantee sufficient personnel for device rounds.
5. Effective Monitoring and Feedback Mechanisms: According to Levin & Levin (2019), a dependable system for tracking results and progress—possibly using digital tools or a Gantt chart—can help monitor implementation (Levin & Levin, 2019). Addressing complaints promptly may also be made simpler with regular feedback sessions.
By tackling these obstacles head-on, the program can continue reducing CAUTIs. According to Puro et al. (2022) and Foster & Mazur (2023), success in this attempt requires strong leadership and continuous review (Foster & Mazur, 2023). In order to achieve the overarching goals of enhancing healthcare quality and patient safety, the aim is to establish a cooperative atmosphere that will help decrease catheter-associated urinary tract infections (CAUTIs).
References
Álvarez-Maldonado, P., Reding-Bernal, A., Hernández-Solís, A., & Cicero-Sabido, R. (2018). Impact of strategic planning, organizational culture imprint, and care bundles to reduce adverse events in the ICU. International Journal for Quality in Health Care, 31(6), 480– 484. https://doi.org/10.1093/intqhc/mzy198
Atkins, L., Sallis, A., Chadborn, T., Shaw, K., Schneider, A., Hopkins, S., … & Lorencatto, F. (2020). Reducing catheter-associated urinary tract infections: a systematic review of barriers and facilitators and strategic behavioral analysis of interventions. Implementation Science, 15, 1–22.
Foster, M., & Mazur, L. (2023). Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. BMJ Open Quality, 12(4), e002284.
Krauss, D. M., Molefe, A., Hung, L., Hayes, K., Gorman, C., Latterner, M., … & Miller, M. (2022). Emergent themes from a quality improvement program for CLABSI/CAUTI prevention in ICUs amid the COVID-19 pandemic. BMJ Open Quality, 11(4), e001926.
Levin, S. P., & Levin, M. (2019). Managing Ideas, People, and Projects: Organizational Tools and Strategies for Researchers. IScience, 20, 278–291. https://doi.org/10.1016/j.isci.2019.09.017
Puro, V., Coppola, N., Frasca, A., Gentile, I., Luzzaro, F., Peghetti, A., & Sganga, G. (2022). Pillars for prevention and control of healthcare-associated infections: an Italian expert opinion statement. Antimicrobial Resistance & Infection Control, 11(1). https://doi.org/10.1186/s13756-022-01125-8
