tion with video clips, knowledge assessment, and skill acquisition and competency demonstration with feedback. Program content was devel-oped from evidence-based prac-tice guidelines on indwelling uri-nary catheter care (Association for Professionals in Infection Control and Epidemiology, 2014; CDC, 2012; Gould et al., 2009) and included the definition of CAUTI, risks and complications of CAUTIs, appropriate (and inappropriate) indications for an indwelling urinary catheter, strategies for CAUTI prevention, and a review of the hospital’s indwelling urinary catheter poli-cy. Video clips on proper in-dwelling urinary cathe ter inser-tion technique and maintenance were utilized. Urologists affiliat-ed with the hospital and the Director of Infection Control reviewed and approved the edu-cational program. Method A pre/post-survey design was used to examine the effect of the one-time educational pro-gram on nurses’ knowledge of appropriate indwelling urinary catheter care and incidence of CAUTIs. Exempt status was granted by the Institutional Review Boards of the hospital and the associated university. Setting and Sample Two units within a 393-bed acute care hospital in the Southeastern region of the United States were selected for this project based on their high rates of CAUTIs for the first quar-ter of 2016. The two units includ-ed neurotrauma intensive care (4.12 per 1,000 catheter days) and telemetry (7.49 per 1,000 catheter days). All nurses (RNs and LPNs) on the units were required to attend the one-hour educational program. Measures Nurses’ knowledge. A 14-item self-report survey was used to assess nurses’ knowledge of appropriate indwelling urinary catheter care (see Table 1). The items were selected from an 18-QUALITY IMPROVEMENT RESEARCH PROJECTKnowledge of Institutional Policies(3 items) Response options = Yes or No •Does the facility you currently work in have a standardized order set (protocol) that gives guidance on when to insert or remove a Foley catheter? •Does your facility have any other formalized system of guidance on when to insert or remove Foley catheters (examples include scheduled in-service on Foley catheters, educational posters, guidelines, etc.)? •Does the facility have a standardized method to monitor which patients have a Foley catheter? Indications for Foley Catheter Use(5 items) Response options = Never indicated, Sometimes indicated, Unsure, Usually indicated, Always indicated•Is a Foley catheter indicated in a patient with critical illness and unstable volume status? •Is a Foley catheter indicated for a patient with post-bladder urinary obstruction? •Is a Foley catheter indicated for urinary incontinence (in a patient without skin breakdown)? •Is a Foley indicated in a patient who is unable to stand to void?
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- Fall '16
- urinary tract infection, Urinary catheterization, Foley catheter, CAUTIs