Kacie dicussion post have to reply: Tell her how good her post is . and won’t forget to bold the tile of the discussion post.
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The article I have chosen for this assignment is a systematic review that compares the effects of early and late removal of indwelling urinary catheters after surgery. This problem that was identified by this author is the question around the correct timing to remove indwelling urinary catheters to help with urinary retention as well as the prevention of infections? Through this study, one will examine the effects of indwelling catheters and the removal times. The objective presented by the authors was stated by Xia et al., (2021), “To investigate the optimal timing of catheter removal following surgery” (p. 1361). This study was completed through an electronic database that utilized randomized controlled trials comparing different timings and outcomes of indwelling catheters (Xia et al., 2021). Different outcomes from this study arose which include urinary tract infections and re-catheterizations as well as the length of hospital stay and outcomes reported by patients (Xia et al., 2021).
The article helps me to understand why the research question is significant to nursing because many issues arise with the placement and length of time a patient has an indwelling catheter. This is important because working in the intensive care unit we focus on this and try to negate any risk factors that could contribute to an infection and a longer hospital stay. My hospital system has been going to great lengths to figure out which patients meet the criteria for indwelling catheters and which catheters can be removed. The hospital has also been working on protocols for removing catheters in the post-acute care unit (PACU) or not inserting indwelling catheters at all. This raises the question of whether criteria for indwelling catheters, such as monitoring intake and output could be accurately trusted with the usage of external catheters. This article helps me understand the importance of research and how indwelling catheters can affect one’s length of hospital stay and can be a factor in their recovery and outcomes.
This study shared that the early removal of indwelling catheters was associated with a reduction of urinary tract infections but was shadowed by an increased risk of re-catheterization and the higher risk they pose for urinary tract infections (Xia et al., 2021). There needs to be more requirements regarding placing indwelling catheters as well as removing them. More studies need to be done regarding the effects on our patients for each outcome. This relates to my question because my question focuses on intensive care patients and the effects of indwelling catheters compared to external catheters or intermittent self-catheterization and their association with urinary tract infections. This study suggested that early catheter removal is still preferred to be had within two days of surgery (Xia et al., 2021). This was a lesson learned as we need more awareness and studies done for patients in the intensive care unit related to the length of catheters in place and the effects that it has on their recovery.
Grading rubic:. Points from other participants clearly built upon and/or refuted. Promotes interaction, asks questions, and/or deepens the discussion.
APA format is required. This includes in-text citations, references, grammar, double-spaced, and headers.
The initial post must include at least one current (5 years) peer-reviewed reference, and each response must include a different peer-reviewed reference.
Respond to peer in meaningful and thoughtful posts demonstrating the synthesis of the course material, information from the research article, and ongoing involvement in the discussion.
