Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal

Answer:

Catheter associated urinary tract infections (CAUTI) are the most prevalent hospital 
acquired infections worldwide 

The PICOT question for this final DNP project is "Do patients with urinary catheters 
inserted during their hospital admission using a one-person versus two-person insertion
technique have a higher incidence of CAUTI?"
P = Patients with urinary catheters / CAUTI 

I = Team (two-person) technique for catheter insertion
C = One-person technique for catheter insertion
O = Catheter associated urinary tract infections
T = Eight months (retrospective)
Step-by-step explanation

There are three areas to improve evidence-based clinical care to reduce the rate of CAUTI: (1) prevention of inappropriate short-term catheter use, (2) nurse-driven timely removal of urinary catheters, and (3) urinary catheter care during placement.

Nursing Interventions Can Reduce CAUTIs

• On a daily basis, nurses assess all catheterized patients for conditions that indicate continued catheter use. ...
• If indications for continued use are present, nurses will monitor and manage the catheter according to infection control guidelines—and continue to assess the need for the catheter on a daily basis.

Pt care 

Keep the drainage bag below the level of your bladder and off the floor at all times.

• Keep the catheter secured to your thigh to prevent it from moving.
• Don't lie on your catheter or block the flow of urine in the tubing.
• Shower daily to keep the catheter clean.

the Centers for Medicare & Medicaid Services no longer reimburses costs associated with hospital-acquired CAUTI. AHRQ tools, research, and resources related to reducing catheter-associated urinary tract infections (CAUTIs), among the most common types of healthcare-associated infections. 

CAUTI Prevention Strategies for Nurses

Following aseptic insertion of the catheter by properly trained staff, maintain a closed drainage and unobstructed urine flow (be sure there are no kinks in the tubing, etc.) In post-operative patients, remove catheters as soon as possible.