100%(5)5 out of 5 people found this document helpful
This preview shows page 2 - 4 out of 11 pages.
However, despite their self-report of comfort, nurses could correct-ly identify the appropriate indi-cations for placement in only 40% of the cases presented and the remaining provider sample in only 37% of cases. In addition, the authors found few nurses (or other providers) reported they reassessed their patients for indi-cations for the removal of an indwelling catheter after inser-QUALITY IMPROVEMENT RESEARCH PROJECTResearch SummaryIntroduction Catheter-associated urinary tract infections (CAUTIs) are the fourth leading cause of healthcare-associated infec-tions in acute care hospitals in the United States. Nurses can play a key role in preventing CAUTIs among hospital-ized patients, and subsequently, impact the outcomes and burden of CAUTIs by adhering to evidence-based practice guidelines. Purpose The purpose of this quality improvement (QI) project was to implement an interactive CAUTI prevention educa-tional program in two units of an acute care hospital to enhance nurses’ knowledge of appropriate indwelling uri-nary catheter care and reduce the incidence of CAUTIs experienced among patients on the units.Methods Two units within a 393-bed acute care hospital were selected based on their high rates of CAUTIs. The units’ nurses participated in a one-hour multifaceted, interactive CAUTI prevention educational program that included face-to-face instruction, knowledge assessment, and skill acqui-sition with competency demonstration. A pre/post-design was used to assess nurses’ knowledge of indwelling urinary catheter care and CAUTI incidence for each unit.ResultsA total of 59 nurses completed the educational pro-gram over a three-month period. Paired t tests revealed sig-nificant increases in the nurses’ knowledge summary score and across all three knowledge subscale scores (all p=0.00). A reduction in CAUTI rates was observed in both hospital units. CAUTI rates declined to zero (from 7.49) and to 1.56 (from 4.12) per 1,000 catheter days, respectively, in the quarter following implementation of the educational pro-gram. Conclusion Consistent with the evidence-based literature, this QI project demonstrated a multifaceted, interactive CAUTI pre-vention educational program can increase nurses’ knowl-edge of appropriate indwelling urinary catheter care and decrease the incidence of CAUTI among hospitalized patients. It was a feasible and sustainable, cost-effective method to improve quality of care in the acute care hospital setting. Level of Evidence – V-BSource:Johns Hopkins Hospital/Johns Hopkins University, 2016.
UROLOGIC NURSING / November-December 2018 / Volume 38 Number 6275tion, subsequently increasing each patient’s risk of developing a CAUTI. While data indicate nurses and other providers reported comfort with the appro-priate indications of catheter placement, their reported prac-tice behaviors were inconsistent with their knowledge.