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. 2022 Jan 13;10(1):152.
doi: 10.3390/healthcare10010152.

Aspects of Prevention of Urinary Tract Infections Associated with Urinary Bladder Catheterisation and Their Implementation in Nursing Practice

Jitka Krocová  1   2 , Radka Prokešová  1
Affiliations

Aspects of Prevention of Urinary Tract Infections Associated with Urinary Bladder Catheterisation and Their Implementation in Nursing Practice

Jitka Krocová et al. Healthcare (Basel). .

Abstract

In the case of the prevention of catheter-associated urinary tract infections (CAUTI) related to healthcare provision, high-quality and comprehensively provided nursing care is essential. Implementation of preventive strategies is based on recommended procedures, and the introduction of whole sets of measures has been shown to be effective. The objective of this research is to find out whether the providers of acute bed care have implemented the steps of CAUTI prevention, and specifically which measures leading to improved quality of care in the area of urinary infections are already in place. To determine this, we carried out quantitative research. Data were collected using a questionnaire-based investigation; we used two non-standardised and one standardised questionnaire, and the respondents were general nurses in management positions (n = 186). The results revealed that result-related CAUTI indicators are monitored by only one-third of the respondents, and records of catheterisation indication are not kept by 17.3% of general nurses. The results of the research showed deficiencies in the monitoring of CAUTI outcome and process indicators, and a weakness of the implemented preventive measures is the maintenance of catheterisation documentation. Periodic CAUTI prevention training is not implemented as recommended. It is positive that there are well-working teams of HAI prevention experts in hospitals.

Keywords: care quality; documentation; nursing; prevention; urinary bladder catheterisation; urinary infections.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Overview of the responses to the statement “Indication for the catheterisation is a facilitation of nursing care”.
See this image and copyright information in PMC

References

    1. Andreessen L., Wilde M.H., Herendeen P. Preventing catheter-associated urinary tract infections in acute care: The bundle approach. J. Nurs. Care Qual. 2012;27:209–217. doi: 10.1097/NCQ.0b013e318248b0b1. - DOI - PubMed
    1. Carter N.M., Reitmeier L., Godloe L.R. An evidence-based approach to the prevention of catheter-associated urinary tract infections. Urol. Nurs. 2014;34:238–245. doi: 10.7257/1053-816X.2014.34.5.238. - DOI - PubMed
    1. Jindrák V., HEDLOVÁ D., Urbášková P. Antibiotická Politika a Prevence Infekcí v Nemocnici. Mladá Fronta; Praha, Czech Republic: 2014.
    1. Purvis S., Gion T., Kennedy G., Rees S., Safdar N., Van Den Bergh S., Weber J. Catheter-associated urinary tract infection: A successful prevention effort employing a multipronged initiative at an academic medical center. J. Nurs. Care Qual. 2014;29:141–148. doi: 10.1097/NCQ.0000000000000037. - DOI - PubMed
    1. Yatim J., Wong K.S., Ling M.L., Tan S.B., Tan K.Y., Hockenberry M. A nurse-driven process for timely removal of urinary catheters. Int. J. Urol. Nurs. 2016;10:167–172. doi: 10.1111/ijun.12113. - DOI

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