Medicine and Health Sciences Commons^™

Reducing Indwelling Urinary Catheter Days: Improving Interdisciplinary Communication In A Surgical Intensive Care Unit, Karen M. Wong

Master's Projects and Capstones

Problem Urinary catheter nurse-driven removal protocols (UCNDRPs) are evidence-based algorithms that promote the timely removal of indwelling urinary catheters (IUCs) and prevent catheter-associated urinary tract infections (CAUTIs). Communication barriers hinder consistent implementation of the UCNDRP, resulting in delayed IUC removal and increased risk of CAUTIs. Context This quality improvement project was conducted in a 16-bed surgical intensive care unit (SICU) in an academic medical center in the San Francisco metropolitan area. Interventions Urinary catheter reminder posters displaying the duration of IUC days were placed at the bedside to prompt interdisciplinary communication about IUC indication and removal. An email detailing the …

Reducing Urinary Tract Infections In Adult Hospitalized Patients During The Covid-19 Pandemic: A Quality Improvement Project, Margie Martin, Catherina Chang Martinez, Dayana Kowalski, Courtney Willard, Yessenia Muniz, Gabriela Flores, Laura Budnechky, Joy Mitts, Hollie Gow

Nursing & Health Sciences Research Journal

Background: Catheter-associated urinary tract infections (CAUTIs) remain among the most common healthcare-associated infections, leading to increased morbidity and mortality in hospitalized adult patients. Methods: An interdisciplinary team initiated a quality improvement project to help reduce CAUTIs in a South Florida hospital. The project included using a CAUTI bundle consisting of indwelling catheter protocols, electronic bladder management order sets, nursing staff education, and implementation of external urinary catheters during the years 2020 through 2022. Results: The CAUTI bundle demonstrated positive outcomes in decreasing CAUTI rates. During our fiscal year 2022, there were 63% fewer CAUTIs (n = 23) compared to 2020 …

Improving Catheter-Associated Urinary Tract Infections In The Intensive Care Unit: Implementation Of A Rounding Tool To Enhance Communication And Collaboration., Bethany Carol Risen

Doctor of Nursing Practice Papers

Background/Significance: Catheter-associated urinary tract infections (CAUTIs) are avoidable and costly healthcare-associated infections (HAIs) and are associated with high morbidity and mortality. A rise in CAUTIs at the project site, and the need for a standardized CAUTI prevention communication process, prompted this quality improvement project.

Purpose: The purpose of this quality improvement project was to decrease CAUTIs through improved communication and collaboration amongst the critical care team.

Methods: Twelve nurses completed the Collaboration and Satisfaction about Care Decisions (CSACD) questionnaire pre- and post- intervention which, evaluated communication and collaboration. Nurses also assessed IUC indication and removal during interdisciplinary rounds.

Intervention: This …

Reducing Catheter-Associated Urinary Tract Infections In The Pediatric Intensive Care Unit, Maria Smith

Dissertations

Problem: CAUTIs (catheter-associated urinary tract infections) are a common hospital-acquired condition (HAC) that increase length of hospital stays, hospital costs, and risk for patient mortality. CAUTI rates in a PICU increased in 2021 from the year 2020. A rapid cycle PDSA revealed nurses were not using soap and water for foley catheter care, which is the recommended cleanser by the Centers for Disease Control and Prevention (CDC).

Methods: An observational descriptive design was used to evaluate foley catheter cleaning and CAUTI rates. PICU nurses completed behavior surveys regarding foley catheter cleaning practices. An education intervention occurred when nurses answered anything …

Silver Alloy-Coated Urinary Catheters: Preventing Urinary Tract Infection, Assumpta I. Iwe

Cohort X

Background: A urinary tract infection (UTI) involves any part of the urinary system, including the urethra, ureter, kidney, and bladder. Urinary tract infections are the most common healthcare-associated infection reported to National Healthcare Safety Network (NHSN). A UTI is also the second most frequent infection in long-term care (LTAC) facilities, making it the most common cause of bacterial infection or sepsis and hospitalization. Patients with urinary catheters are at an increased risk of infection, and standard catheters reduce the body’s natural ability to cleanse the urinary tract of microorganisms. Bacteria can colonize into biofilms that attach themselves to the catheter …

Reducing Catheter-Associated Urinary Tract Infections: Beyond The Bundle, Deana Cirillo

Student Scholarly Projects

Practice Problem: Catheter-associated urinary tract infections (CAUTIs) are preventable but are still the most common healthcare-associated infection (HAI) worldwide, encumbering the health of patients and escalating financial burden on society (CDC, 2021; Shadle, 2021).

PICOT: In adult patients with spinal cord injury, does direct observation of urinary catheter insertion, compared to the standard of care, reduce the rate of catheter-associated urinary tract infections, within ten weeks of implementation?

Evidence: Multiple factors contribute to Healthcare-Associated Infections (HAIs), but hand hygiene is the most important prevention measure to decrease contact transmission (Gould et al., 2017). The Centers for Disease Control (CDC) clinical …

Purewick External Female Catheter, Elizabeth Kiffmeyer, Mallory Mondloch

Nursing Posters

Catheter-Associated Urinary Tract Infection (CAUTI) rates increased in FY21 compared to FY20, and many units continue to not meet their National Database of Nursing Quality Indicators (NDNQI) target goal even through FY22.

A group of CentraCare stakeholders gathered, including bedside nursing staff, urology techs and nursing leadership, to discuss barriers and areas for opportunity. Representatives from BARD®, our urinary catheter supply company, were invited to conduct an analysis on our urinary catheter/ CAUTI reduction practices. Findings from the analysis included an opportunity to implement an external female catheter.

Improving The Care Of Patients With Urinary Catheters Through A Quality Improvement, Ashley Nicole Holmstrom

Walden Dissertations and Doctoral Studies

Catheter-associated urinary tract infections (CAUTI) significantly increases patient morbidity and mortality, length of stay, and organizational cost. In the 2 years prior to project implementation, the incidence of CAUTI increased by 15% in the local acute care, inpatient facility that served as the project site. Nursing leaders at the project site linked the increase in CAUTIs to a nursing knowledge deficit related to CAUTI prevention principles. The clinical question focused on the impact of CAUTI prevention staff training on the incidence of CAUTI, length of stay, and cost to the local acute care organization. After a review and critical appraisal …

Registered Nurses' Practices And Perceptions Of Indwelling Urinary Catheters And Number Of Indwelling Urinary Catheter Days In A Hospitalized Population, Janice Martin

Nursing Theses and Capstone Projects

Prevention of catheter associated urinary tract infections (CAUTIs) is an important component of the delivery of safe quality care. A common theme is emerging from the literature: not all indwelling urinary catheters are appropriate for the duration of the catheterization, which places the patient at an increased risk of CAUTI (Blodgett, 2009). Often, the reasoning used for determining if a patient needs a catheter is not evidence-based. The placement and maintenance of indwelling urinary catheters (IUCs) are in the scope of practice for registered nurses. Nurses should play an integral role in developing strategies to limit the use of catheters …