References Kritsonis A2005 Comparison of change theories International Journal

References kritsonis a2005 comparison of change

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motivating the nurses to embrace the recommended evidence based practice. References Kritsonis, A.(2005). Comparison of change theories. International Journal of Scholarly and Academic Intellectual Diversity, 8(1): 1-7. The purpose of this study was to investigate through an audit, nurses’ catheter management practices as documented in a newly introduced self-administered indwelling catheter management checklist that incorporated four components of catheter care in a catheter-associated urinary tract infection (CAUTI) prevention bundle. The components of the bundle of care are: minimising inappropriate catheter use, aseptic insertion of catheters, catheter maintenance based on guidelines, and ongoing review and evaluation of catheter necessity. The study was conducted at two surgical wards within one public hospital in Auckland, New Zealand. Data was gathered from the checklists completed by a onvenience sample of all nurses (n=50) working at the two surgical wards Of the 175 checklists, only 101 (58%) indicated that hand hygiene had been performed by the nurses. Documentation showed that 157 out of 175 (90%) indwelling catheters were removed. Of these, 144 (82%) had the appropriate date of removal and nurse’s signature. The findings were of sub-optimal performance of evidence-based catheter management practices by nurses. Whether this is a reflection of poor documentation or poor practice is not known. Catheter management practices impact on CAUTI prevention efforts when performed consistently as a bundle of care across all four components outlined in the checklist. Recommendations from this research include regular in-service education, complete and accurate documentation of care using the catheter maintenance checklist, regular audit of checklist use, and further research with a larger sample size. Implementation of these care components significantly decreased bacteriuria rates and CAUTI when put together in standardised clinical checklists and performed collectively by nurses. Introduction Catheter-associated urinary tract infections (CAUTIs) are the fourth leading cause of healthcare-associated infections in acute care hospitals in the United States. Nurses
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can play a key role in preventing CAUTIs among hospitalized 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 educational program in two units of an acute care hospital to enhance nurses’ knowledge of appropriate indwelling urinary 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 faceto-face instruction, knowledge assessment, and skill acquisition with competency demonstration. A pre/post-design was used to assess nurses’ knowledge of indwelling urinary catheter care and CAUTI incidence for each unit.
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  • Winter '18
  • Tammy Gray
  • Nursing, urinary tract infection, Catheter, Urinary catheterization

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