Nursing Reflection: Applying Driscoll's Model to Urinary System Care

This nursing report employs Driscoll's reflective model to address a knowledge gap concerning the safe acquisition of urine cultures and the management of catheter-associated urinary tract infections. The reflection highlights a deficit in the understanding of proper urine collection techniques, potentially leading to misdiagnoses, overtreatment, and antibiotic resistance. The 'What?' section identifies the knowledge gap and its potential impact on patient care. The 'So What?' section reflects on the significance of this gap, acknowledging feelings of incompetence and the need for improvement. It also includes a review of existing research on nursing practices related to urine culture collection. Finally, the 'Now What?' section outlines a self-directed learning plan to address the identified need, focusing on evidence-based practices to reduce catheter-related infections, and includes specific actions, resources, and timelines for achieving the desired learning outcomes. Desklib offers a wealth of similar documents and study resources for nursing students.

Nursing Reflective practice using Driscoll’s Model 1
NURSING REFLECTION USING DRISCOLL’S MODEL
By Student’s Name
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Nursing Reflective practice using Driscoll’s Model 2
Nursing Reflection on Knowledge gap on Urinary system using Driscoll’s Model
What (Safe Urine Culture Acquisition in Nursing practice)
My knowledge gap pertains deficit on the management of urinary catheters risks of
infection. Limited knowledge of the prescribed guidelines for the diagnosis and treatment of
catheter-associated infections on the urinary system has altered my core nursing skills. My
key gap is on the appropriate methodology of obtaining urine culture from patients. Lack of
adequate skills on urine collection can lead to overdiagnosis processes and overtreatment for
catheter-associated urinary tract infections and the use of unnecessary usage of antibiotic
usage and significant antibiotic resistance infection. Studies have shown that similar
knowledge gap does exist and misconception often arises on the need of obtaining urine
culture from patients through safer methods among users of urinary catheters (Trautner et al.,
2009). Nursing knowledge of appropriate culture indication is crucial in reducing
inappropriate urine cultures.
My limited knowledge on this application is crucial in the manner that it could signify a
potential of causing misdiagnoses and offering over treatment to urinary infections patients.
Thus my limited knowledge on this aspect lies in poor practices of on my practices. Thus
urinary catheters for patients often carry tremendous risks of associated infection; hence my
knowledge gap is likely to have detrimental effects on caring for these patients which might
lead to various complications.
So What? The significance of the identified gap
On reflecting my limited knowledge of urinary tract urine culture extraction at the
health facility made me feel ashamed of being incompetent. Despite various opportunities
undertaken both in training and my studies, I have realized that my limited skills on correct
indications of obtaining urine culture specimen are likely to have an effect on the care I
provide to patients. Various training and education are often facilitated in the hospital to
teach on the correct methods and avenues to obtaining urine specimen, however, it seems a
challenge to me. Research has demonstrated that majority of nurses about three fourths often
receive education on catheter-associated urinary tract infections, about 54% offered a rating
of above average knowledge on identifying catheter-related urinary tract infections, while
over 90% of nurses believe that continuous nursing education is key towards refreshing this
knowledge (Drekonja et al., 2013).

Nursing Reflective practice using Driscoll’s Model 3
Various methods have been identified through research on how the nurse's obtained
urine cultures in urinary related conditions. Most nurses (78.9%) were reported to have
obtained urine through aspirations form the sampling with the aid of a syringe, few nurses
about (3.3%) empty the urine drainage bad while 6.6% obtained the aspiration through the
usage of the syringe (Trautner et al., 2009). This practice signifies how the nursing profession
has a varied understanding of the appropriate approach for collecting urine culture with the
aim of reducing catheter-related urinary tract infections.
Thus, it is of the essence to understand the limited knowledge of the effective indication
of culture as it is critical in reducing ineffective culture requisition. This is demonstrated by
the fact that many patients using urinary catheter are often at risks of getting catheter-related
urinary tract infection. This is compounded with poor practices and the widespread
application of obtaining urine samples from the bags, as displayed with my limited
knowledge on this nursing issue.
Now What?
NMIH204 Self-directed Learning Plan
Identified
learning need
Action plan Identified
learning
outcome
Estimated
time to
complete
Resources required for
completion
Understanding
nursing
principles and
practices which
promote safe
urine culture
acquisition
from urinary
system patients
in view of
associated risks
of catheter
urinary tract
infections
Need to engage
in
understanding
and gaining
knowledge on
evidence-based
practices which
reduce catheter-
related tract
infections in
urine culture
procedures
Learning safe
and
appropriate
nursing
practice on
obtaining a
urine culture
15 hour
Evidence-based
resources
Nursing guidebooks

Nursing Reflective practice using Driscoll’s Model 4
Reference
Drekonja, D. M., Abbo, L. M., Kuskowski, M. A., Gnadt, C., Shukla, B., & Johnson, J. R.
(2013). A survey of resident physicians' knowledge regarding urine testing and
subsequent antimicrobial treatment. American journal of infection control, 41(10), 892-
896.
Trautner, B. W., Cope, M., Cevallos, M. E., Cadle, R. M., Darouiche, R. O., & Musher, D.
M. (2009). Inappropriate treatment of catheter-associated asymptomatic bacteriuria in a
tertiary care hospital. Clinical infectious diseases, 48(9), 1182-1188.