Improvements in process with a multimodal campaign to reduce urinary tract infections in hospitalised Australian patients

Rhodes, Deborah J.; Kennon, Jacqueline; Aitchison, Stacey; Watson, Kerrie; Hornby, Linda; Land, Gillian; Bass, Pauline; McLellan, Susan C; Karki, Surendra; Cheng, Allen; Worth, Leon J

doi:10.1071/hi14024

Cited by 6 publications

(3 citation statements)

References 17 publications

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“…Although attempts to prevent CAUTI have been led at a state level in New South Wales (NSW), including a suite of resources, individual units/facilities had control over use of the resources, and there has been no formal implementation strategy or planned evaluation (Clinical Excellence Commission, 2015). Rhodes et al (2014), an Australian study, implemented a multimodal strategy in one 860-bed hospital, including an education programme (focusing on UTI risks, staff training on IDC insertion and management, and correct CSU collection), resource development (brochures for staff and patients and an electronic learning package) and identification of champions. The intervention led to improved documentation and a reduction in CAUTIs.…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…Rhodes et al (), an Australian study, implemented a multimodal strategy in one 860‐bed hospital, including an education programme (focusing on UTI risks, staff training on IDC insertion and management, and correct CSU collection), resource development (brochures for staff and patients and an electronic learning package) and identification of champions. The intervention led to improved documentation and a reduction in CAUTIs.…”

Section: Introductionmentioning

confidence: 99%

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Implementation of a multifaceted nurse‐led intervention to reduce indwelling urinary catheter use in four Australian hospitals: A pre‐ and postintervention study

Giles

Graham

Ball

et al. 2020

Journal of Clinical Nursing

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Aims and objectives This study aimed to reduce indwelling urinary catheter (IDC) use and duration through implementation of a multifaceted “bundled” care intervention. Background Indwelling urinary catheters present a risk for patients through the potential development of catheter‐associated urinary tract infection (CAUTI), with duration of IDC a key risk factor. Catheter‐associated urinary tract infection is considered preventable yet accounts for over a third of all hospital‐acquired infections. The most effective CAUTI reduction strategy is to avoid IDC use where ever possible and to remove the IDC as early as appropriate. Design A cluster‐controlled pre‐ and poststudy at a facility level with a phased intervention implementation approach. Methods A multifaceted intervention involving a “No CAUTI” catheter care bundle was implemented, in 4 acute‐care hospitals, 2 in metropolitan and 2 in rural locations, in New South Wales, Australia. Indwelling urinary catheter point prevalence and duration data were collected at the bedside on 1,630 adult inpatients at preintervention and 1,677 and 1,551 at 4 and 9 months postintervention. This study is presented in line with the StaRI checklist (see Appendix S1). Results A nonsignificant trend towards reduction in IDC prevalence was identified, from 12% preintervention to 10% of all inpatients at 4 and 9 months. Variability in preintervention IDC prevalence existed across hospitals (8%–16%). Variability in reduction was evident across hospitals at 4 months (between −2% and 4%) and 9 months (between 0%–8%). Hospitals with higher preintervention prevalence showed larger decreases, up to 50% when preintervention prevalence was 16%. Indwelling urinary catheter duration increased as more of the short‐term IDC placements were avoided. Conclusions Implementation of a multifaceted intervention resulted in reduced IDC use in four acute‐care hospitals in Australia. This result was not statistically significant but did reflect a positive trend of reduction. There was a significant reduction in short‐term IDC use at 9 months postintervention. Relevance to clinical practice Clinical nurse leaders can effectively implement change strategies that influence patient outcomes. Implementation of the evidence‐based “No CAUTI” bundle increased awareness of appropriate indications and provided nurses with the tools to inform decision‐making related to insertion and removal of IDCs in acute inpatient settings. Working in partnership with inpatients and the multidisciplinary team is essential in minimising acute‐care IDC use.

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Section: Backg Rou N Dmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Implementation of a multifaceted nurse‐led intervention to reduce indwelling urinary catheter use in four Australian hospitals: A pre‐ and postintervention study

Giles

Graham

Ball

et al. 2020

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…Hand hygiene practices were promoted by staff education and auditing, and previously implemented hospital-wide prevention interventions for central venous catheter-associated bloodstream infections and hospital-onset urinary tract infections were continued. 9,10 Post-intervention period Following the intervention, further auditing of process was performed ('post-intervention period'), using the standard audit tool applied during the pre-intervention period. PIVCassociated SAB rates during the 27-month post-intervention period (September 2013 to November 2015) were determined as an evaluable outcome measure.…”

Section: Intervention Periodmentioning

confidence: 99%

Reducing Staphylococcus aureus bloodstream infections associated with peripheral intravenous cannulae: successful implementation of a care bundle at a large Australian health service

Rhodes

Cheng

McLellan

et al. 2016

Journal of Hospital Infection

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Adherence to evidence-based guidelines for indwelling urinary catheter management: A cross-sectional study

et al. 2021

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Improvements in process with a multimodal campaign to reduce urinary tract infections in hospitalised Australian patients

Cited by 6 publications

References 17 publications

Implementation of a multifaceted nurse‐led intervention to reduce indwelling urinary catheter use in four Australian hospitals: A pre‐ and postintervention study

Implementation of a multifaceted nurse‐led intervention to reduce indwelling urinary catheter use in four Australian hospitals: A pre‐ and postintervention study

Reducing Staphylococcus aureus bloodstream infections associated with peripheral intravenous cannulae: successful implementation of a care bundle at a large Australian health service

Adherence to evidence-based guidelines for indwelling urinary catheter management: A cross-sectional study

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