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    Ethical Analysis

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    This study evaluated the ethical principles of a quality improvement study that aimed to reduce catheter-associated urinary tract infections (CAUTIs) at a medical center in Colorado. The study implemented nurse-driven interventions like training, new products, and a revised catheter policy on two units over nine months. It followed ethical guidelines by obtaining IRB approval, using evidence-based practices, protecting patient privacy, and applying interventions equally. While patient consent was not explicitly mentioned, the retrospective nature may have exempted it. Overall, the analysis found the study was well-planned and protected subjects' rights in accordance with ethical standards.

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    Ethical Analysis

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    386 views5 pages
    This study evaluated the ethical principles of a quality improvement study that aimed to reduce catheter-associated urinary tract infections (CAUTIs) at a medical center in Colorado. The study implemented nurse-driven interventions like training, new products, and a revised catheter policy on two units over nine months. It followed ethical guidelines by obtaining IRB approval, using evidence-based practices, protecting patient privacy, and applying interventions equally. While patient consent was not explicitly mentioned, the retrospective nature may have exempted it. Overall, the analysis found the study was well-planned and protected subjects' rights in accordance with ethical standards.

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    This study evaluated the ethical principles of a quality improvement study that aimed to reduce catheter-associated urinary tract infections (CAUTIs) at a medical center in Colorado. The study implemented nurse-driven interventions like training, new products, and a revised catheter policy on two units over nine months. It followed ethical guidelines by obtaining IRB approval, using evidence-based practices, protecting patient privacy, and applying interventions equally. While patient consent was not explicitly mentioned, the retrospective nature may have exempted it. Overall, the analysis found the study was well-planned and protected subjects' rights in accordance with ethical standards.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    386 views5 pages

    Ethical Analysis

    Uploaded by

    api-521003884
    This study evaluated the ethical principles of a quality improvement study that aimed to reduce catheter-associated urinary tract infections (CAUTIs) at a medical center in Colorado. The study implemented nurse-driven interventions like training, new products, and a revised catheter policy on two units over nine months. It followed ethical guidelines by obtaining IRB approval, using evidence-based practices, protecting patient privacy, and applying interventions equally. While patient consent was not explicitly mentioned, the retrospective nature may have exempted it. Overall, the analysis found the study was well-planned and protected subjects' rights in accordance with ethical standards.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    of 5

    Running head: ETHICAL ANALYSIS 1

    Ethical Analysis

    Caitlyn Summers

    Grand Canyon University: NSG-324

    18 January 2020
    ETHICAL ANALYSIS 2

    Ethical Analysis

    Quality indicators are aimed at refining patient care and making sure patients are

    receiving the best and safest care possible. They are useful tools designed to evaluate the quality

    of nursing care by reporting clinical performance and patient outcomes to find areas that may

    need improvement (Schmidt & Brown, 2017). In this paper, a study done on the quality

    improvement of catheter associated urinary tract infections will be evaluated to see if it follows

    the ethical principles stated in The Belmont Report.

    The study was done on two adult medical/surgical nursing units in a medical center in

    Aurora, Colorado over a span of nine months. The general surgery unit had 150 patients per

    month and the pulmonary unit had 125 patients per month. They used several interventions,

    including teaching, adding new products to aid nurses, and required training that all nurses had to

    attend. The purpose of this study was to use “evidence based, multifaceted, nurse-driven

    interventions” to decrease the number of CAUTIs with inpatient units (Oman, Makin, Fink…,

    2012). The results of the study showed that the interventions implemented by the nurses on the

    units did improved CAUTI rates.

    This study includes several methods to prevent research misconduct. To begin, this study

    was exempt from institutional review board oversight, meaning that it qualifies in one or more of

    the exempt categories. The focus of the study was on changes the hospital could make and did

    not involve using any techniques that could risk the patient’s safety or health. There was also

    appropriate funding for this project by the University of Colorado Hospital and the University of

    Colorado Denver School of Medicine with a quality improvement grant. The study followed

    evidence-based practice guidelines from valid research to create an outline of the approach. This

    included obtaining a multidisciplinary team of nurses, providers, infection control, clinical


    ETHICAL ANALYSIS 3

    informatics representatives, and therapists. As for the interventions, they were divided into three

    phases, the first was to obtain baseline data on the IUC and current CAUTI rates. The second,

    included implementing a revised hospital policy on the insertion and care of indwelling catheters

    developed by current evidence-based research, practice recommendations by Infectious Disease

    Society of America, catheter insertion training, an evaluation of the IUC products, and a

    mandatory presentation explaining the policy changes (Oman, Makin, Fink…, 2012). The third

    phase consisted of multiple sixty-minute educational sessions to address the risk factors and

    prevention interventions, increased availability of beside commodes to promote post catheter

    voiding safely, and purchase of bladder scanners to assess post void residual (Oman, Makin,

    Fink…, 2012). By creating a plan on how to carry out the study, they could confirm that there is

    no research misconduct.

    The primary ethical principles, as discussed in The Belmont Report, are respect for

    others, beneficence, and justice. Beneficence, which means to do no harm, was definitely a

    consideration when creating the approach to this study. They used evidence-based research to

    develop the outline for their research study, ensuring that newest and most recent data was being

    used to better patient outcomes. Equal treatment was also incorporated when choosing who to

    have participate in the study. The researchers used everyone in the two units that had an

    indwelling catheter, both general surgery and pulmonary. The only exception was those who

    were having urologic surgery because it could change the results. It was also stated that all of

    the patient information was kept confidential and located in password protected electronic files

    (Oman, Makin, Fink…, 2012). The only identifier collected was the patient’s medical record

    number. There was no mention of getting consent from all the patients, it could be possible that

    they did not need to get consent, which occurs in certain circumstance one being if the study is
    ETHICAL ANALYSIS 4

    retrospective. I assume that this could have been the reason why. However, if that was not the

    case, then this would be an example of not protecting the rights of the patients. Patients should

    always be informed and asked for consent if they are being included in a research study, this

    violates autonomy.

    Overall, this research study was very well thought out and planned when it came to the

    ethical principles. All of the steps to preventing research misconduct were followed, including

    getting approved by the institutional review board, getting a grant, and ensuring that all of the

    research done prior was valid and effective. As far as the ethical principles and the subject’s

    rights, they were protected in this research study. Based off my analysis, the study was ethically

    sound and followed all of the parameters.


    ETHICAL ANALYSIS 5

    References

    Oman, K. S. , Makic, M. B. , Fink, R. , Schraeder, N. , Hulett, T. , Keech, T. & Wald,

    H. (2012). Nurse-directed interventions to reduce catheter-associated urinary tract

    infections. AJIC (American Journal of Infection Control),  40(6), 548–553. doi:

    10.1016/j.ajic.2011.07.018.

    Schmidt, N., & Brown, J. (2017). Evidence-based practice for nurses: Appraisal and application

    of research (fourth edition.). Burlington, Massachusetts: Jones & Bartlett Learning.

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