Implementation of a Nurse-Driven Protocol for Catheter Removal to Decrease Catheter-Associated Urinary Tract Infection Rate in a Surgical Trauma ICU

Tyson, Anna F.; Campbell, Eileen; Spangler, Lacey; Ross, Samuel W.; Reinke, Caroline E.; Passaretti, Catherine; Sing, Ronald F.

doi:10.1177/0885066618781304

Cited by 44 publications

(63 citation statements)

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“…The analysis of the knowledge and practice means variance between pre-and post-intervention tests showed the significant effect of the MIMIC module on improving the adult critical care nurses'knowledge and practice levels. limited studies have focused on the development and implementation of a comprehensive multi-intervention module or program related to the prevention and control of HAIs and directed at adult ICU nurses.Considering the differencesof the interventions used, the findings of this study are compatible with other studies findings that adopted a multi-intervention, multidimensional, multimodal, ormultifaceted IPC programs (27)(28)(29)(30)(40)(41)(42)(43)(44)(45) .…”

Section: Discussionsupporting

confidence: 89%

Effects of a Multi-Intervention Multimedia Infection Controlmoduleon Critical Care Nurses’ Knowledge and Practice of Prevention and Control of Healthcare-Associated Infections

Sabbah¹,

Ismail²,

Zain³

et al. 2021

Indian Journal of Forensic Medicine & Toxicology

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Aim: This studypurpose is to assess the effectiveness of the MIMIC module in improving the levels of adult critical care nurses' knowledge and practice towards prevention and control of Healthcare-Associated Infections. Background:The Healthcare-Associated Infections are crucial health problem affecting healthcare system worldwide. While many educational programs and other interventions were developed, the nursing awareness and practice of IPC precautions are still inadequate for handling Healthcare-Associated Infections. Method:A one-group pretest-posttest quasi-experimental design was used and the MIMIC module was implemented as three 2-hour theoretical sessions for each of the three groups of adult critical care nurses and four 30-minute practical sessions for each of the four selected ICUs. Self-administered questionnaire was distributed at two points of time, immediately before and three months after the MIMIC module, in order to assess the effectiveness of the module.Results: A total of 121 adult critical care nurses participated in the study. Following the MIMIC module, the participants' level of knowledge towards prevention and control of Healthcare-Associated Infections indicated a statistically significant improvement, F(1, 120)= 632.679, p < .001, ηp2 = .844 with large effect size. And a statistically significant improvement in levels of practice after implementation of the MIMIC module, F(1, 120)= 113.089, p < .001, ηp2 = .492with large effect size. Conclusion:The MIMIC module is a promising module which can be implemented as Continuing Nursing Education to improve adult critical care nurses' knowledge and practice to prevent and control of Healthcare-Associated Infections.

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Section: Discussionsupporting

confidence: 89%

Effects of a Multi-Intervention Multimedia Infection Controlmoduleon Critical Care Nurses’ Knowledge and Practice of Prevention and Control of Healthcare-Associated Infections

Sabbah¹,

Ismail²,

Zain³

et al. 2021

Indian Journal of Forensic Medicine & Toxicology

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“…We identified 37 relevant studies which met the inclusion criteria ( Figure S1 ) [ 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 ]. Thirty-five studies were conducted in secondary care (hospital care).…”

Section: Resultsmentioning

confidence: 99%

Optimising Interventions for Catheter-Associated Urinary Tract Infections (CAUTI) in Primary, Secondary and Care Home Settings

et al. 2020

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Catheter-associated urinary tract infections (CAUTI) are common yet preventable. Healthcare professional behaviours, such as reducing unnecessary catheter use, are key for preventing CAUTI. Previous research has focused on identifying gaps in the national response to CAUTI in multiple settings in England. This study aimed to identify how national interventions could be optimised. We conducted a multi-method study comprising: a rapid review of research on interventions to reduce CAUTI; a behavioural analysis of effective research interventions compared to national interventions; and a stakeholder focus group and survey to identify the most promising options for optimising interventions. We identified 37 effective research interventions, mostly conducted in United States secondary care. A behavioural analysis of these interventions identified 39 intervention components as possible ways to optimise national interventions. Seven intervention components were prioritised by stakeholders. These included: checklists for discharge/admission to wards; information for patients and relatives about the pros/cons of catheters; setting and profession specific guidelines; standardised nationwide computer-based documentation; promotion of alternatives to catheter use; CAUTI champions; and bladder scanners. By combining research evidence, behavioural analysis and stakeholder feedback, we identified how national interventions to reduce CAUTI could be improved. The seven prioritised components should be considered for future implementation.

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“…Under these protocols, nursing staff are encouraged to assess patients for the need for ongoing catheterization and to remove urinary catheters when they no longer meet the criteria (Thomas, 2016) The nurse-driven protocols promoting early catheter removal in conjunction with improved catheter care and maintenance and improved urine culture ordering and collection practices can result in measurable decreases in both in-dwelling urinary catheter utilization and CAUTI rates in the STICU setting. In an era of quality improvement and patientcentered outcomes, this protocol represents a relatively low-cost resource which can serve as a useful adjunct for infection prevention in the STICU setting (Tyson et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…There are several strategies used in terms of preventing CAUTI such as nursing rounds, CAUTI bundle, bacitracin, nurse-driven protocol, protocol by team / developmental protocol, surveillance of CAUTI, education, performance feedback, general culture or culturing practices within the ACCCM and IDSA guidelines. In this study, to reduce the incidence of CAUTI, there were 12 studies using a multi-dimensional approach strategy (Al-Hameed et al, 2018;Düzkaya, Bozkurt, Uysal, & Yakut, 2016;Galiczewski, 2016;Galiczewski & Shurpin, 2017;Gao et al, 2015;Kanj et al, 2013;Khamis et al, 2014;Leblebicioglu et al, 2013;Mullin et al, 2017;Navoa-Ng et al, 2013;Tyson et al, 2018;Underwood, 2015) and 2 other studies used a oneapproach strategy (Davies et al, 2018;Thomas, 2016)…”

Section: Strategy Of Prevention Cauti In Icumentioning

confidence: 99%

Summary of the Prevention of Catheter-Associated Urinary Tract Infection in An Intensive Care Unit

Waluyo¹,

Permata²,

Rohmah³

et al. 2020

J. Ners

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Background: Catheter-associated urinary tract infection is the most common type of nosocomial infection in an intensive care unit. The aim of this study was to examine the existing evidence of preventative measures against catheter-associated urinary tract infection being implemented to reduce urinary tract infection in intensive care units.Method: Databases were used to identify potential articles, namely Scopus, Pubmed, EBSCO and Proquest, limited to those published within the last 5 years from 2013 to 2018. The literature review used the keyword prevention, CAUTI and ICU. In the article search using “AND”, only 14 studies met the inclusion criteria. Across the 14 studies, 42486 participants and a mean 3540 per trial were included.Discussion: Nursing round, CAUTI bundle, bacitracin and cranberry, Nurse-driven protocol, protocol by team/ developmental protocol, surveillance of CAUTI, education, performance feedback, and general cultural practices alongside the American College of Critical Care Medicine and the Infectious Disease Society of America present guidelines that recommend CAUTI preventive practices that can be implemented to reduce the incidence of CAUTI in ICUs.Conclusion: From the several strategies used to prevent CAUTI, the most effective is the multidimensional approach because this approach combines several interventions and it also involves other practitioners. A multidimensional approach is more effective than a single dimensional approach in ICU.

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Implementation of a Nurse-Driven Protocol for Catheter Removal to Decrease Catheter-Associated Urinary Tract Infection Rate in a Surgical Trauma ICU

Abstract: Implementation of a nurse-driven protocol for early urinary catheter removal as part of a multimodal CAUTI intervention strategy can result in measurable decreases in both catheter utilization and CAUTI rates.

Cited by 44 publications

References 20 publications

Effects of a Multi-Intervention Multimedia Infection Controlmoduleon Critical Care Nurses’ Knowledge and Practice of Prevention and Control of Healthcare-Associated Infections

Effects of a Multi-Intervention Multimedia Infection Controlmoduleon Critical Care Nurses’ Knowledge and Practice of Prevention and Control of Healthcare-Associated Infections

Optimising Interventions for Catheter-Associated Urinary Tract Infections (CAUTI) in Primary, Secondary and Care Home Settings

Summary of the Prevention of Catheter-Associated Urinary Tract Infection in An Intensive Care Unit

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