Application Evidence-based Nursing Practice


Application Evidence-basedNursing Practice



Evidence-basednursing practice is the process by which medical practitioners usethe clinical knowledge, technology, and expert opinion to provideoptimum care to the patients. In order to make the evidence-basedpractice more efficient, and relevant there should be a tight workingrelationship between researchers and nurses (Hari &amp Bagga 2011).The purpose of this paper is to give a comprehensive review of theUrinary Tract Infections (UTIs), the impacts on patients as well asits significance to the nursing practice.

PracticeSetting Problem

TheUrinary Tract Infection refers to an infection that occurs in anysection of the urinary system especially the lower urinary tract. Theparts infected are the urethra, ureters, bladder, and kidney. Theseinfections are caused by bacteria that fights the body`s defenses inthe urinary tract system (Rane&amp Dasgupta 2013).Medical research shows that the Urinary Tract Infections is rankedsecond as the most common type of body infection. Females are morelikely to getting infected as compared to men because they have ashorter urethra making bacteria enter the bladder easily and quicker.Further, pregnant mothers have higher chances of being infected ascompared to other women. The typical symptoms include a burning painwhen urinating, nausea, vomiting and a frequent urge to urinate(West,2012).Not all UTIs are dangerous, but infections that affect the upperurinary tract systems can be at times severe requiring medicalattention. Chronic and acute infections that affect the kidney cancause a permanent damage that is life threatening.

Importanceof theUrinary Tract Infectionand its Significance in Nursing Practice

Thereare numerous benefits if Urinary Tract Infections and the nurses’interventions help reduce the risk associated with the condition. Oneof the best preventive conditions demonstrated by medicalpractitioners is patient safety measures (Rane &amp Dasgupta 2013).Inadequacy of nurses in healthcare facilities leads to poor andinadequate care to the patients as well as compromising their safety.Nurses spend most of their time looking after patients and hence areto monitor and assess their progress. Medical research shows thatadequate nurse staffing in hospitals leads to more than 35% reductionin any healthcare related disease (West, 2012). The Urinary TractInfections is significant to nursing practice because it helpseliminate chances of infection. It can only be achieved if the nurseto patient ratio is maintained at optimum levels.

Nursesare considered as the closest allies to patients and hence neededucation on the disease. For instance, the treatment ofCatheter-associated Urinary Tract Infection requires special training(West, 2012). The prevention of this condition requires nurses tounderstand the disease as well as defining catheter-associatedurinary tract infections. Nurses should be in a position to gatherevidence that helps in the prevention of this condition. The nursesare responsible for the insertion, removal and management of cathetertubes and hence the need for continuous education. Nurses do notauthorize the insertion of catheter tubes. However, they have aninfluence on their use.

Thesociety should be educated better ways to prevent themselves fromUTIs. Nurses have the responsibility of education the communitybecause they are aware of the symptoms, causes and prevention of theUrinary Tract Infections (Hari &amp Bagga 2011). The knowledgegained through learning and experience is applied to educate thecommunity. One of the safety measures demonstrated by nurses ispersonal hygiene that significantly reduces chances of contractingthe infections. People are also encouraged to visit healthcarecenters in case they experience the symptoms of urinary tractinfections to prevent further spreading (Rane &amp Dasgupta 2013).

Addedexpectations for BSN-prepared nurses

Nursingis a unique profession among the healthcare department. There arenumerous educational ways that enables one to be licensed andpractice as a nurse. One of the educational pathways for becomingregistered nurse is the Bachelor of Science in Nursing (Berger etal., 2010). These courses have similar programs in nursing such aspsychology, biochemistry and nursing practice among others. However,the BSN-prepared nurses have numerous added expectations in additionto those of RNs with an associate degree or diploma in relation tourinary tract infection. The added hope for BSN-prepared nurses isbecause their programs include more clinical experience as well ascoursework (Brunner &amp Smeltzer 2010). They also have a broaderexperience due to clinical rotations, community, and outpatientclinics.

Theother added expectation for BSN-prepared nurses is that it promotescritical thinking. Majority of the nursing institutions agenciesargue that the minimum entry requirement for registered nurses shouldbe a BSN degree (Berger et al., 2010). Their critical thinkingabilities are promoted. Further, registered nurses with a bachelordegree are familiar with the social-economic context and hence theycan meet the patient`s needs at ease. Nurses should have strong oraland written skills for an effective communication in the organization(Brunner &amp Smeltzer 2010). Majority of the BSN bachelor degreeprograms teach communication and leadership skills thus achievingthis objective.

Differencesin Care Based on Evidence

Heathcare facilities are required to have evidence-based practices intheir organizations. Nurses should use documented research in alltheir clinical operations to promote patient safety. They are alsomandated to undertake some research projects so that they can boosttheir knowledge in the various fields that they serve (Rane &ampDasgupta 2013). It is because it leads to quality improvement,research findings and expert opinions that improve the overallactivities in the institution. Failure to provide care that isevidence-based can lead to compromise to the patient`s care in theorganization. The differences in care based on evidence can bechallenging to nurses. Evidence-based practices bridge theresearch-practice gap by analyzing the reasons behind the existingprocesses adopted. The ANCC argues that most of the services provideby nurses are traditional, and opinion based and that should come topass and use evidence instead (Brunner &amp Smeltzer 2010).

Urinarytract infections affect people of any gender and age. Some medicalpractitioners use sophisticated words to show the seriousness of thecondition. However, the disease is only complicated in situationswhere the patient is a pregnant mother or has other illnesses such asrenal and diabetes (West, 2012). One aspect of patient care relatedto urinary tract infection is the use of cranberry juice to combatthe bacterial infection. According to a published report in theCanadianJournal of Microbiology,it showed that cranberries help in the treatment of UTIs. Theresearch was conducted at Montreal McGill University on July 17,2013. The scientists demonstrated that increasing the levels of thejuice deactivates the enzyme that spreads that infection (Gorman etal., 2009). Professor Nathalie Tufenkji said that the bacterialresistance to the medicine calls for the need to establish newtreatment methods of UTIs.

Thesecond aspect of patient care is the use of catheter tubes. Thecatheter-associated urinary tract infection is considered costly interms of treatment because it leads to patient delay in discharge aswell as activity restriction (Berger et al., 2010). The conditionmostly affects the elderly. Catheter tubes are placed on the urinarysystem that helps remove the urea waste. The tubes assist inpreventing further spread of the CAUTI by making sure that there is acontinuous catheter removal.


Urinarytract infection is a disease that occurs in the urinary tract systemthat includes the bladder, kidney, and urethra. Waste emitted whenthe blood flows from the bladder is stored in the bladder. Aninfection occurs when bacteria gets into the urinary tract andmultiplies. At first, the disease develops into the bladder and laterspreads to the system (Berger et al., 2010). The infections are duesexual intercourse or using a diaphragm as a preventive measure forgetting birth among others. Menopause is also another factor thatincreases the risk. Further, diabetes, old age, urinary catheter,kidney stones and pregnancy are some of the risk factors contributingto UTIs (West, 2012). It is important to educate nurses and thegeneral public in order to be free from factors that can make themcontract the disease. In addition, nurses should provide care basedon evidence in order to promote patient safety.


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