Translating academic research into bedside clinical practice remains one of the most vital tasks in modern healthcare leadership. Bridging the gap between scientific evidence and daily nursing routines requires a structured framework, strong leadership, and effective change management. This case study examines the implementation of an evidence-based clinical protocol aimed at reducing Catheter-Associated Urinary Tutor Infections (CAUTIs) in a 32-bed Medical-Surgical Nursing Unit.
Background and Problem Identification
In an acute care hospital setting, the Medical-Surgical unit experienced an elevated rate of CAUTIs over a six-month period, reaching 4.8 infections per 1,000 catheter-days—well above the national benchmark of 1.5. A preliminary clinical audit revealed inconsistent catheter insertion techniques, lack of daily reassessment for catheter necessity, prolonged dwell times, and absence of standardized maintenance protocols among unit staff.
The unit leadership initiated an Evidence-Based Practice (EBP) quality improvement project using the Iowa Model of Evidence-Based Practice to Promote Quality Care as the structural framework.
EBP Framework and Methodology
The project followed the structured phases of the Iowa Model:
1. Identifying the Clinical Trigger
- Knowledge/Problem-Focused Trigger: High unit CAUTI rates resulting in extended patient length of stay, increased pharmaceutical costs, and lower