Evidence Based project

Picot Question: In hospitalized orthopedic patients with indwelling urinary catheters, what is the effect of removing indwelling urinary catheters post-op day one or two, compared to leaving them in till discharge in the reduction of catheter associated urinary tract infection during hospitalization stay for a period of 6-months? The paper should include all topics below and in APA format based on the topic below 1. Introduction 2. The Spirit of Inquiry Ignited 3. The PICOT Question Formulated 4. Search Strategy Conducted 5. Critical Appraisal of the Evidence Performed 6. Evidence Integrated with Clinical Expertise and Patient Preferences to Inform a Decision and Practice Change Implemented 7. Outcome Evaluated 8. Project Dissemination 9. Implementation Plan and Evaluation Plan. 10. Conclusion Please use the following refences Carrouget, J., Legeay, C., Poirier., A., Azzouzi, A., Zahar, J., & Bigot, P. (2017). Urinary catheters prevalence study in a university hospital. Prog Urol, 27(5), 305-311. doi:doi: 10.1016/j.purol.2017.03.006 Clarke, K., Tong, D., Pan, Y., Easley, A. K., Norrick, B., K0, C.,…Stein, J. (2013). Reduction in catheter-associated urinary tract infections by bundling interventions . International Journal for Quality Health Care, 25(1), 43-49. doi:doi: 10.1093/intqhc/mzs07 Clayton, J. L. (2017). Indwelling urinary catheters: A pathway to health care – Associated infections.AORN Journal, 105(5), 446-452. Retrieve from dx.doi.org Huang, S. S. (2016). Catheter-associated urinary tract infections -Turning the tide. The New England Journal of Medicine, 374, 2168-2169. doi:10.1056/NEJMe1604647 Nicolle, E. L. (2014). Catheter-associated urinary tract infections. Antimicrobial Resistance and Infection Control Journal, 3(23). doi:dx.doi.org Underwood, L. (2015). The effect of implementing a comprehensive unit-based safety program on urinary catheter use. Urologic Nursing, 35(6), 271-279. doi:10.7257/1053-816X.2015.35.6.271