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Directions: below are two statements, both will need responses of approx 200-250 words using the references listed below Problem statement  1. It is  not known if the implementation of a nurse-driven catheter removal protocol using the Agency for Healthcare and Quality (AHRQ) Comprehensive Unit base toolkit for reducing catheter-associated urinary tract infection – prompt removal protocol would impact catheter utilization days among adult patients admitted to a long-term acute care hospital.   Purpose statement  2.  The purpose of this quality improvement project is to determine if the implementation of   the Agency for Healthcare and Quality (AHRQ) Comprehensive Unit base toolkit for reducing catheter-associated urinary tract infection – prompt removal protocol would impact catheter utilization days among adult patients admitted to a long-term acute care hospital. The project is to be piloted over an eight-week period in a 52-bed urban long-term acute care hospital  in Virginia. references to use:  you may use other references just as long as dated 2019 and above ( be sure to include in references) Leontie, S. L. (2021). Utilizing a “fight the foley” bundle to reduce device utilization rates and catheter-associated urinary tract infections. Urologic Nursing, 41(4), 208–213.  Shadle, H. N., Sabol, V., Smith, A., Stafford, H., Thompson, J. A., & Bowers, M. (2021). A bundle-based approach to prevent catheter-associated urinary tract infections in the intensive care unit. Critical Care Nurse, 41(2), 62–71 Maxwell, M., Murphy, K., & McGettigan, M. (2018). Changing ICU culture to reduce catheter-associated urinary tract infections. Canadian Journal of Infection Control, 33(1), 39–43.  Tyson, A. F., Campbell, E. F., Spangler, L. R., Ross, S. W., Reinke, C. E., Passaretti, C. L., & Sing, R. F. (2020). Implementation of a nurse-driven protocol for catheter removal to decrease catheter-associated urinary tract infection rate in a surgical trauma ICU. Journal of Intensive Care Medicine, 35(8), 738–744. McCoy, C., Paredes, M., Allen, S., Blackey, J., Nielsen, C., Paluzzi, A., Jonas, B., & Radovich, P. (2017). Catheter-Associated Urinary Tract Infections: Implementing a protocol to decrease incidence in oncology populations. Clinical Journal of Oncology Nursing, 21(4), 460–465. https://doi-org.lopes.idm.oclc.org/10.1188/17.CJON.460-465   here is an example: of the purpose statement  The purpose of this quality improvement project is to determine if the implementation of the Agency for Healthcare Research and Quality’s (AHRQ) Nurse-Driven Early Mobility Protocol would impact the patient’s time to first ambulation and an average length of stay.  The project will take place over 12-weeks on the adult, medical-surgical unit at an urban (rural or use direction: northeastern, southeastern) Kentucky hospital. The nurse-driven early mobilization protocol is defined as ambulating all admitted patients in the medical-surgical unit, four times a day at least 100 feet each time, irrespective of the diagnoses, unless contraindicated. The first ambulation should happen within 24 hours of admission.  The average length of hospital stay refers to the average number of days that patients spend in the hospital (Organization for Economic Co-operation and Development, 2019). This is a measurement of the quality of care provided by the hospital.

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