A Clinical Nurse Specialist–Led Initiative to Reduce Catheter-Associated Urinary Tract Infection Rates Using a Best Practice Guideline

Abstract

The purpose of this clinical nurse specialist-led initiative was to reduce catheter-associated urinary tract infection rates to less than 1 infection per 1000 catheter days, to reduce catheter device utilization, and to improve staff adherence to documentation requirements on a traumatic brain injury rehabilitation unit. Description of the Project: Catheter-associated urinary tract infections are costly hospitalacquired infections increasing length of stay and morbidity for patients. Following an education intervention, a best practice initiative was implemented. Staff performance based on electronic health record documentation, infection rates, and device utilization were compared before and after a bundle of interventions including education, staff competency, simulation, and audits. Outcomes:Catheter-associated urinary tract infection rates were reduced from 16.67 to 0 per 1000 catheter days and device utilization ratio from 0.122 to 0.056 per patient day. The unit maintained zero infections upon project completion. Following initiative implementation, documentation improved related to urinary catheter necessity, daily care interventions, patient education, and urine output. Conclusion:This initiative resulted in reductions in device utilization and catheter infection rates, which were maintained following project completion. Adherence to documentation audit criteria also improved.

Effectiveness of nursing instructions on reducing urinary tract infections in critically ill patients

“…The investigator's perspective is that most of the people in rural areas of Upper Egypt tend to marry in early adulthood, and other single patients could be in urban areas or aged less than 20 years. The present study finding was consistent with (Alhabdan et al, 2023) [15] , who revealed the majority of the participants were married. The present study finding contradicted (Hak et al, 2022) [14], who indicated that one-third of the study group were married.…”

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“…Penelitian ini mengkorelasikan adanya nyeri pasca operasi dan kelelahan dengan kurangnya informasi dan persiapan pra operasi yang tidak memadai. (Dahodwala et al, 2020;Pajerski et al, 2022). Pentingnya edukasi persiapan operasi menuntut perawat untuk mampu meningkatkan kompetensi sebagai edukator.…”