Auditing urinary catheter care

Dailly, Sue

doi:10.7748/ns.26.20.35.s48

Cited by 4 publications

(7 citation statements)

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“…proved to be below that required for safe care when compared to similar studies, [17][18] which showed adhesion being higher than 80.0%. Despite the poor adherence to hand hygiene, procedure gloves were used in 92.8% of the handlings, which is unacceptable since the risk of contact with biological material would require its use in 100% of the occurrences.…”

Section: Discussionmentioning

confidence: 57%

Prevention of Catheter-Associated Urinary Tract Infection: What Is the Gap in Clinical Practice?

Mota

Oliveira

2019

Texto contexto - enferm.

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Objective: to identify the gap in the prevention of catheter-associated urinary tract infection. Method: an observational study conducted by an audit of process indicators in relation to the recommendations for preventing catheter-associated urinary tract infection during its maintenance and handling. The collection was carried out between July and September of 2017 in an adult intensive care unit located in the State of Minas Gerais, Brazil. The observations were made with the help of a developed instrument for the present study and the data were analyzed by means of descriptive statistics. Results: 451 evaluations were performed related to maintenance of the urinary catheter with a focus on its fixation, the collector bag maintenance, and volume and urinary flow of the drainage system. Regarding clinical practice gaps, inadequate fixation of the urinary catheter and drainage pocket were found, with more than three-quarters of its capacity filled (97.7% and 3.5%, respectively). Regarding the handling of 556 urinary catheters, there was non-conformity in the hygiene of the urethral meatus in 22.9% of the situations, and non-adherence to hands hygiene before and after handling the urinary catheter was 94.2% and 66.5%, respectively (p=0.002). Conclusion: isolated measures had good adherence rates, but prevention of catheter-associated urinary tract infection should be based on adherence to several measures simultaneously. The prevention gap is in the awareness of health professionals that the recognized prevention measures of catheter - associated urinary tract infection should be adopted collectively in order to guarantee patient and clinical practice safety.

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Section: Discussionmentioning

confidence: 57%

Prevention of Catheter-Associated Urinary Tract Infection: What Is the Gap in Clinical Practice?

Mota

Oliveira

2019

Texto contexto - enferm.

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“…In the majority of them, there was an intervention phase and a post-intervention one ( 6 - 7 , 9 - 10 , 13 - 14 , 17 ) . Some studies motivate the formation of nurses about the guidelines of prevention of CAUTI, revealing extreme importance in their duties ( 9 , 11 - 15 , 17 ) .…”

Section: Discussionmentioning

confidence: 99%

“…By making the audit document (15) - UCAM - based on scientific recommendation for the prevention of CAUTI, the nurses managed to improve the records under the manipulation done in the technique of vesical catheterization. The records, as indicators of vesical catheterization and evaluation of the necessity to keep the catheter, have motivated the removal of the catheters considered unnecessary ( 15 - 17 ) . According to the guidelines of CDC ( 2 ) , the early removal of the urinary catheter contributes for the prevention of the infection associated to this device.…”

Section: Discussionmentioning

confidence: 99%

“…Determining the crucial and decisive role that the health professional play in the prevention and control of urinary infection associated to urinary catheter. The awareness of the professionals for this problematic is a fundamental starting point for this supported practice, seen in some studies ( 9 , 11 - 15 , 17 ) in which education was one of the tools for the starting point of this change.…”

Section: Discussionmentioning

confidence: 99%

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Prevention of catheter-associated urinary tract infection: implementation strategies of international guidelines

Andrade

Fernandes

2016

Rev. Latino-Am. Enfermagem

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Objectiveto describe strategies used by health professionals on the implementation of the Centers for Disease Control and Prevention guidelines for the prevention of urinary infection related to catheterism. Methodsystematic review on literature based on data from CINAHL(r), Nursing & Allied Health Collection, Cochrane Plus Collection, MedicLatina, MEDLINE(r), Academic Search Complete, ACS - American Chemical Society, Health Reference Center Academic, Nursing Reference Center, ScienceDirect Journals and Wiley Online Library. A sample of 13 articles was selected. Resultsstudies have highlighted the decrease of urinary tract infection related to catheterism through reminder systems to decrease of people submitted to urinary catheterism, audits about nursing professionals practice and bundles expansion. Conclusionthe present review systemizes the knowledge of used strategies by health professionals on introduction to international recommendations, describing a rate decrease of such infection in clinical practice.

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“…One area that posed a challenge was induction training since most of the nurses had no training in their current workplaces. According to the audit conducted by Hampshire that identified methicillin-resistant Staphylococcus aureus (MRSA) as the main cause of bacterial infection to the urinary catheter, recommended that staffs needed to undergo more formal training in order to eliminate the problem [5]. Furthermore, nurses needed to continuously undergo education in these areas so that they may register improvements in some of the delicate areas of catheter induction which is closely linked to CAUTI risks.…”

Section: Catheterisation Training For Males and Femalesmentioning

confidence: 99%

To What Extend does Reported Practice from Nurses in Management of Indwelling Urinary Catheters Reflect National Evidence-based Guidelines?

2019

JNH

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In recent years, Catheter-Associated Urinary Tract Infection (CAUTI) has progressively developed into a major hospital complication accounting for 60% of hospital-acquired infections; it is costly and morbid. Nurses account for more than half of the catheterisation conducted within hospitals. Due to this reason, it was important to identify whether nursing practice on the management of indwelling urinary catheter was in the reflection of the current national guidelines. The survey is conducted on 32 participants who reveal the strengths and limitation within the areas. Nurses account for more than half of the catheterisation conducted within the hospital. In order to prevent CAUTI complication, the research suggested training and education as the main solution since nurses significantly exhibited poor performance in terms of knowledge and skills in the area of catheterisation, especially in the induction process. Moreover, the study reveals that the use of bladder scan and system intervention which has been identified to reduce the number of catheter insertions contributes to the reduction of urinary bacterial infection.

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Auditing urinary catheter care

Cited by 4 publications

References 0 publications

Prevention of Catheter-Associated Urinary Tract Infection: What Is the Gap in Clinical Practice?

Prevention of Catheter-Associated Urinary Tract Infection: What Is the Gap in Clinical Practice?

Prevention of catheter-associated urinary tract infection: implementation strategies of international guidelines

To What Extend does Reported Practice from Nurses in Management of Indwelling Urinary Catheters Reflect National Evidence-based Guidelines?

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