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Evaluation of a Standard Educational...

Garvida, Roque Curammeng, Jr.

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Evaluation of a Standard Educational Program to Prevent Catheter-Associated Urinary Tract Infection.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Evaluation of a Standard Educational Program to Prevent Catheter-Associated Urinary Tract Infection./
作者:	Garvida, Roque Curammeng, Jr.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2024,
面頁冊數:	86 p.
附註:	Source: Dissertations Abstracts International, Volume: 85-11, Section: A.
Contained By:	Dissertations Abstracts International85-11A.
標題:	Nursing. -
電子資源:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31146155
ISBN:	9798382328645

Evaluation of a Standard Educational Program to Prevent Catheter-Associated Urinary Tract Infection.
Garvida, Roque Curammeng, Jr.

Evaluation of a Standard Educational Program to Prevent Catheter-Associated Urinary Tract Infection. - Ann Arbor : ProQuest Dissertations & Theses, 2024 - 86 p.

Source: Dissertations Abstracts International, Volume: 85-11, Section: A.

Thesis (D.N.P.)--Azusa Pacific University, 2024.

Background/Significance. According to the National Healthcare Safety Network (NHSN), urinary tract infection (UTI) is the most common healthcare associated infection (HAI), and 75% of HAIs are associated with urinary catheters known as catheter-associated urinary tract infection (CAUTI) (Centers for Disease Control and Prevention [CDC], 2020a). The impact of CAUTI on patients and healthcare system includes (a) patient discomfort, (b) increased mortality, (c) longer length of stay, and (d) higher healthcare costs. Problem. Despite the presence of evidence-based clinical practice guidelines (CPGs) from the CDC and other organizations, healthcare organizations have been challenged to avoid such adverse patient outcomes. There has been a lack of knowledge among intensive care unit (ICU) and definitive observation unit (DOU) nurses at a 218-bed community hospital regarding the CAUTI prevention protocol. In this clinical setting, there has been an increased CAUTI incidence and CAUTI standardized infection ratio (SIR) in the last three years. In addition, since 2008, CAUTI management has no longer been reimbursable by the Center for Medicare and Medicaid Services (CMS), pointing to a financial rationale for hospitals to implement CAUTI prevention measures. Furthermore, according to Magnet standards, CAUTI incidence and SIR beyond national benchmark can delay an organization from obtaining Magnet designation. Method. A quality improvement design was used to evaluate the impact of standard educational program on CAUTI prevention for 78 ICU and DOU registered nurses (RNs) on CAUTI incidence and CAUTI SIR, three months prior to intervention and three months and six months after the intervention. Convenience sampling was used to recruit participants. Data collection was completed three months post intervention and 7 was extended to six months due to project period coincided with the third surge of the pandemic. Descriptive statistics were used to describe the number of (a) participants, (b) CAUTI incidence, and (c) CAUTI SIR for each unit. Intervention. A 30-minute instructor-led face-to-face instruction using a PowerPoint presentation on CAUTI prevention was provided to the ICU and DOU nurses, approximately four to six times a day for 4 days. Results. Seventy-six out of 78 nurses (97.4%) attended the educational program on CAUTI prevention. Of those, there were 40 ICU RNs (52.6%) and 36 DOU RNs (47.4%). In ICU, there were two incidences of CAUTI before the intervention which increased to six incidences three months following the intervention and no incidences six months after. The mean CAUTI SIR in the ICU more than doubled, from 4.124 pre-intervention to 8.449, three months later and zero six months after. The mean CAUTI SIR in DOU increased from zero to 2.008 at the same time and zero six months after. Conclusions. Although the project's outcome increased the number of CAUTI incidence and CAUTI SIR in both units three months following intervention, it was down to zero the next quarter. The increased CAUTI incidence and SIR in both units was consistent with increased CAUTI incidence and CAUTI SIR from the CDC fourth quarter 2020 during the third surge of the pandemic. It is important to conduct annual CAUTI prevention education for nurses. Empowering nurses to remove an indwelling urinary catheter (IUC) based on the protocol will decrease or avoid any chance a patient can develop CAUTI. It is essential to integrate evidence-based CAUTI prevention practices in the organizational policy and electronic health record (EHR) system. It is critical to ensure that the project is in line with organizational goals with leadership support.

ISBN: 9798382328645Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Bladder scan protocol

Evaluation of a Standard Educational Program to Prevent Catheter-Associated Urinary Tract Infection.
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