Intervention to reduce unnecessary urinary catheter use in a large academic health science centre: A one-group, pretest, posttest study with a theory-based process evaluation

doi:10.1002/nop2.920

. 2022 Mar;9(2):1432-1444.

doi: 10.1002/nop2.920. Epub 2021 May 14.

Intervention to reduce unnecessary urinary catheter use in a large academic health science centre: A one-group, pretest, posttest study with a theory-based process evaluation

Affiliations

¹ School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
² Ottawa Hospital Research Institute, Ottawa, ON, Canada.
³ Bruyère Research Institute, Ottawa, ON, Canada.
⁴ The Ottawa Hospital, Civic Campus, Ottawa, ON, Canada.
⁵ The Ottawa Hospital, General Campus, Ottawa, ON, Canada.

PMID: 33988900
PMCID: PMC8859062
DOI: 10.1002/nop2.920

Intervention to reduce unnecessary urinary catheter use in a large academic health science centre: A one-group, pretest, posttest study with a theory-based process evaluation

Chantal Backman et al. Nurs Open. 2022 Mar.

. 2022 Mar;9(2):1432-1444.

doi: 10.1002/nop2.920. Epub 2021 May 14.

Authors

Affiliations

¹ School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
² Ottawa Hospital Research Institute, Ottawa, ON, Canada.
³ Bruyère Research Institute, Ottawa, ON, Canada.
⁴ The Ottawa Hospital, Civic Campus, Ottawa, ON, Canada.
⁵ The Ottawa Hospital, General Campus, Ottawa, ON, Canada.

PMID: 33988900
PMCID: PMC8859062
DOI: 10.1002/nop2.920

Abstract

Aim: To evaluate an intervention to reduce unnecessary urinary catheter use and prevent catheter-associated urinary-tract infections (CAUTI) in hospitalized patients across an academic health science centre.

Methods: We conducted a one-group, pretest, posttest study with a theory-based process evaluation. Phase 1 consisted of a pre/postintervention to test the impact of a CAUTI protocol. Audits on four units were conducted, and data were analysed descriptively. Phase 2 consisted of a theory-based process evaluation to understand the barriers/enablers to the implementation. Semistructured interviews were conducted and then analysed using a systematic approach.

Results: In Phase 1, all inpatients with urinary catheters admitted to the units (N = 4) during the study period (N = 99, pre) and (N = 99, post) were included. CAUTI prevalence rate was 18.2% pre versus 14.1% post (p = .563). In Phase 2, participants (N = 18) who worked on the units were interviewed, and a total of 13 barriers and 19 enablers were found.

Keywords: patient safety; quality improvement; urinary catheter; urinary tract infections.

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Conflict of interest statement

The authors have no relevant financial or non‐financial interests to disclose.

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References

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1. Cane, J. , O'Connor, D. , & Michie, S. (2012). Validation of the theoretical domains framework for use in behaviour change and implementation research. Implementation Science: IS, 7, 37. 10.1186/1748-5908-7-37 - DOI - PMC - PubMed
1. Cassel, C. K. , & Guest, J. A. (2012). Choosing wisely: Helping physicians and patients make smart decisions about their care. JAMA, 307(17), 1801–1802. 10.1001/jama.2012.476 - DOI - PubMed
1. Clarke, K. , Tong, D. , Pan, Y. , Easley, K. A. , Norrick, B. , Ko, C. , Wang, A. , Razavi, B. , & Stein, J. (2013). Reduction in catheter‐associated urinary tract infections by bundling interventions. International Journal for Quality in Health Care, 25(1), 43–49. 10.1093/intqhc/mzs077 - DOI - PubMed
1. Curran, J. A. , Brehaut, J. , Patey, A. M. , Osmond, M. , Stiell, I. , & Grimshaw, J. M. (2013). Understanding the Canadian adult CT head rule trial: Use of the theoretical domains framework for process evaluation. Implementation Science: IS, 8, 25. 10.1186/1748-5908-8-25 - DOI - PMC - PubMed

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[1] Atkins, L. , Francis, J. , Islam, R. , O'Connor, D. , Patey, A. , Ivers, N. , Foy, R. , Duncan, E. M. , Colquhoun, H. , Grimshaw, J. M. , Lawton, R. , & Michie, S. (2017). A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems. Implementation Science: IS, 12(1), 77. 10.1186/s13012-017-0605-9 - DOI - PMC - PubMed

[2] Atkins, L. , Francis, J. , Islam, R. , O'Connor, D. , Patey, A. , Ivers, N. , Foy, R. , Duncan, E. M. , Colquhoun, H. , Grimshaw, J. M. , Lawton, R. , & Michie, S. (2017). A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems. Implementation Science: IS, 12(1), 77. 10.1186/s13012-017-0605-9 - DOI - PMC - PubMed

[3] Cane, J. , O'Connor, D. , & Michie, S. (2012). Validation of the theoretical domains framework for use in behaviour change and implementation research. Implementation Science: IS, 7, 37. 10.1186/1748-5908-7-37 - DOI - PMC - PubMed

[4] Cane, J. , O'Connor, D. , & Michie, S. (2012). Validation of the theoretical domains framework for use in behaviour change and implementation research. Implementation Science: IS, 7, 37. 10.1186/1748-5908-7-37 - DOI - PMC - PubMed

[5] Cassel, C. K. , & Guest, J. A. (2012). Choosing wisely: Helping physicians and patients make smart decisions about their care. JAMA, 307(17), 1801–1802. 10.1001/jama.2012.476 - DOI - PubMed

[6] Cassel, C. K. , & Guest, J. A. (2012). Choosing wisely: Helping physicians and patients make smart decisions about their care. JAMA, 307(17), 1801–1802. 10.1001/jama.2012.476 - DOI - PubMed

[7] Clarke, K. , Tong, D. , Pan, Y. , Easley, K. A. , Norrick, B. , Ko, C. , Wang, A. , Razavi, B. , & Stein, J. (2013). Reduction in catheter‐associated urinary tract infections by bundling interventions. International Journal for Quality in Health Care, 25(1), 43–49. 10.1093/intqhc/mzs077 - DOI - PubMed

[8] Clarke, K. , Tong, D. , Pan, Y. , Easley, K. A. , Norrick, B. , Ko, C. , Wang, A. , Razavi, B. , & Stein, J. (2013). Reduction in catheter‐associated urinary tract infections by bundling interventions. International Journal for Quality in Health Care, 25(1), 43–49. 10.1093/intqhc/mzs077 - DOI - PubMed

[9] Curran, J. A. , Brehaut, J. , Patey, A. M. , Osmond, M. , Stiell, I. , & Grimshaw, J. M. (2013). Understanding the Canadian adult CT head rule trial: Use of the theoretical domains framework for process evaluation. Implementation Science: IS, 8, 25. 10.1186/1748-5908-8-25 - DOI - PMC - PubMed

[10] Curran, J. A. , Brehaut, J. , Patey, A. M. , Osmond, M. , Stiell, I. , & Grimshaw, J. M. (2013). Understanding the Canadian adult CT head rule trial: Use of the theoretical domains framework for process evaluation. Implementation Science: IS, 8, 25. 10.1186/1748-5908-8-25 - DOI - PMC - PubMed

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Intervention to reduce unnecessary urinary catheter use in a large academic health science centre: A one-group, pretest, posttest study with a theory-based process evaluation

Affiliations

Intervention to reduce unnecessary urinary catheter use in a large academic health science centre: A one-group, pretest, posttest study with a theory-based process evaluation

Authors

Affiliations

Abstract

Conflict of interest statement

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