Strategies for Nurses: Caring for Patients with Indwelling Catheters

This annotated bibliography addresses the nursing question: What strategies can nurses use to effectively care for patients with indwelling urinary catheters? The search strategy involves identifying keywords such as 'strategies,' 'nurses,' 'care,' 'indwelling urinary catheter,' and 'caring.' The annotations include articles discussing the prevalence of catheter-associated urinary tract infections (CAUTIs), strategies for prevention (handwashing, sterile barriers), and the importance of appropriate catheter use. One article highlights the categorization of CAUTIs as 'never events' and emphasizes the need for medical justification for catheter insertion. Another resource cites CDC guidelines for CAUTI prevention, including staff reminders and prompt removal of unnecessary catheters, contributing to a 53% reduction in CAUTI rates. The bibliography collectively underscores the significance of adhering to established guidelines and implementing strategies to minimize catheter use and prevent infections.

Running head: SEARCH STRATEGY AND ANNOTATION 1
Search Strategy and Annotation
Name
Institutional Affiliation

SEARCH STRATEGY AND ANNOTATION 2
SEARCH STRATEGY AND ANNOTATION
Nursing Question: What strategies can nurses use to effectively care for patients with indwelling
urinary catheter for effective caring?
Search Strategy
From the above nursing question, the search strategy will be developed by first
identifying the keywords/terms and concepts within it. The key words will include strategies,
nurses, care, indwelling urinary catheter and caring. After this, each component is treated as a
distinct concept. For every concept, key terms/words derived from the study question is listed,
and any other relevant synonyms or terms found in the preliminary searches. Plural and singular
forms of terms, acronyms, variants spellings, and relevant index terms are considered. Whereas
strategy is identified as the concept in the study question, there will be pertinent sources that
exclude terms like strategies. Thus, the search strategy might eventually exclude strategies.

SEARCH STRATEGY AND ANNOTATION 3
1st concept 2nd concept 3rd concept 4th Concept
Strategies
Methods
Approaches
Ways
Nurses
Register
nurses
Healthcare
workers
Healthcare
professionals
Health
practitioners
Health
personnel
Care
Caring
Treating
Indwelling urinary
catheter
catheter
Combined terms, truncation & wildcards, phrase searching, and subject search headings
will also be used.
Annotation

SEARCH STRATEGY AND ANNOTATION 4
Fink, R., Gilmartin, H., Richard, A., Capezuti, E., Boltz, M., & Wald, H. (2012). Indwelling
urinary catheter management and catheter-associated urinary tract infection
prevention practices in Nurses Improving Care for Healthsystem Elders hospitals.
American journal of infection control, 40(8), 715-720.
http://www.ucdenver.edu/academics/colleges/medicalschool/departments/medicine/
hcpr/cauti/Documents/TeamPublications/Indwelling%20urinary%20catheter
%20management%20and%20catheter-associated%20urinary%20tract%20infection
%20prevention%20practices.pdf
The article recognizes the use of IUC amongst the elderly inpatients and demonstrates
that catheter-linked infections contribute to 34% of all healthcare-based infections in the US. It
also acknowledges that the use of IUC is linked to extreme morbidity and high cost of
healthcare. It highlights the gap in the literature about the adherence to practices or strategies to
prevent IUC-based infections. This source is significance in answering the study question since it
highlights the commonly used strategies used to prevent IUC’s infections. These include
handwashing, wearing gloves, maintenance of a sterile barricade, and utilization of a no-touch
insertion method. It will also help show the use of a silver-coated catheter and catheter-securing
devices. It will help recommend the need for a further study to show impacts of enhanced
acquiescence with infection’s prevention strategies on infection incidence.
Lee, E. A., & Malatt, C. (2011). Making the hospital safer for older adult patients: A focus
on the indwelling urinary catheter. The Permanente Journal, 15(1), 49.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3048634/
The Medicare & Medicaid Services’ Centers have categorized urinary-based infections
linked to IUC’s utilization as amongst the 8 “never events” to enhance systems of caring for the

SEARCH STRATEGY AND ANNOTATION 5
elderly. The article highlights the iatrogenic complication linked to IUC’s insertion. The article
shows that IUC’s insertion must proceed medical indication to prevent prolonged hospitalization
and mortality of inpatients. It identified Foley catheterization as a victim in urosepsis and linked
it to geriatric syndromes like functional impairment and delirium. This article will be
significance in answering the study question because it discusses IUC’s indications, potential
complications, and efforts to reduce pointless IUC’s use. It will also be used to recommend
judicious and thoughtful IUC’s use like minimization of catheterization usage by avoiding IUC’s
insertion and removal of IUC immediately it becomes needless as the most strategies to decrease
inpatient morbidity and enhance hospitalized elderly’s health.
Lo, E., Nicolle, L. E., Coffin, S. E., Gould, C., Maragakis, L. L., Meddings, J., ... & Yokoe,
D. S. (2014). Strategies to prevent catheter-associated urinary tract infections in
acute care hospitals: 2014 update. Infection Control & Hospital Epidemiology,
35(5), 464-479. https://www.jstor.org/stable/pdf/10.1086/675718.pdf
The article highlights the existing strategies to prevent infections from IUC. It will,
therefore, help answer this study question because it will help know the approach being used and
suggest what new strategies will be sufficient. It cites the CDC’s guidelines for preventing
CAUTI with recommendations for the use of a catheter, inserting a catheter, caring for a catheter,
and program implementation to prevent CAUTI. The information from this source will help me
highlight the intervention used to prevent infection from the catheter. These strategies include
staff reminders that the catheter was in place and stop order to the immediate removal of the
redundant catheter to decrease the rate of CAUTI by 53%. It will also help me explain why
monotonous use of indwelling bladder catheter is discouraged for C-sections.