Assessment of Perceptions and Practices of the Nurses to Prevent Indwelling Catheter Associated Infection; Jinnah Hospital Lahore, Pakistan

Abstract

Nursing is an art science and an essential health care profession in which the skilled knowledgeable persons are committed to provide care to sick peoples and strive for the, protection and promotion of health and prevention against diseases and helps to minimize the risk and risk related injuries. Urinary tract infections are very common infection in the hospital settings almost responsible for 40% nosocomial infections. All the urinray tract infection is expected that approximately more than 70% infection reported because of indewelling cathters.Objectives: To assess the perceptions of nurses regarding indwelling urinary catheter and its care. To assess the practices of nurses to prevent the indwelling catheter related urinary tract infection. Methodology: Descriptive cross sectional design and data was collected through a five point Likert scale questioner. Study population was the nursing staff from the Jinnah hospital Lahore. Sample size was 184 nurses from all indoor departments of the Jinnah Hospital Lahore. Results: The findings show that the practice and perceptions scores of the registered nurses' in the study group are insignificant with age, qualification and experience (i.e., p-value > 0.05) with the evidence-based guidelines for prevention of catheter associated urinary tract infection. Results of study indicated insignificant relationship between registered nurses' practice and perceptions regarding the indwelling urinary catheter associated infection.

Work experience was associated with the knowledge and practice of catheter-associated urinary tract infection prevention among nurses at University of Gondar Comprehensive Specialized Hospital, northwest Ethiopia, 2021

“…The odds of good practice towards catheter associated UTI prevention among nurses with > 10 years work experience was 5.44 times that of nurses with < 5 years of work experience [AOR = 5.44, 95% CI (1.66, 17.84)], Moreover the odds of good practice towards catheter associated UTI prevention among nurses with 5 to 10 years work experience was 3.59 times that of nurses with < 5 years of work experience [AOR = 3.59, 95% CI (1.46, 8.87)]. Similar finding was reported in studies conducted in India [ 40 ], Pakistan [ 20 ]. The finding might be justified as nurses’ experience increased; they become familiar with the subject matter thereby acquire good practice to carry out the procedure with safety and precision.…”

“…Even though 17–69% of catheter-associated urinary tract infections can be prevented by applying infection prevention methods, the knowledge and practice level of many nurses are not well known regarding catheter insertion, maintenance and removal [ 19 ]. According to the study conducted in Pakistan the adequate knowledge and practice level of nurses towards CAUTI prevention was 3.13% and 49% respectively [ 20 ]. Another study in Saudi Arabia shows that only 0.73% of nurses have adequate knowledge and 55.7% of nurses have good practice regarding CAUTI prevention [ 21 ].…”

Knowledge and practice of nurses towards preventing Catheter-related Urinary Tract Infection and its associated factors at the governmental referral hospitals of West Oromia, Ethiopia, 2022. A facility-based cross-sectional study design

“…Nurses who had guidelines were 2.6 times more likely to have good knowledge regarding preventing CAUTIs than nurses who did not. This nding is consistent with a study conducted in Pakistan (45). This may be justi ed by the fact that the presence of guidelines will enhance the knowledge of nurses regarding CAUTI prevention (33).…”

Knowledge, practice and associated factors of nurses towards prevention of catheter-associated urinary tract infection in intensive care unit of public hospitals administered by Federal Government in Addis Ababa, Ethiopia: a cross-sectional institutional-based study

“…The current study revealed that more than half (52.2%) of the study participants had good practice towards prevention of Catheter-associated UTIs. This finding is higher than the studies conducted in Pakistan [26], Philippines [16] and Egypt [17]. This discrepancy might be due to the educational status of the study participants, the difference in the study setting and the sample size.…”