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Implementation of a Care Prevention ...

Peterson, Karen Ann.

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Implementation of a Care Prevention Bundle for Catheter-Associated Urinary Tract Infections.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Implementation of a Care Prevention Bundle for Catheter-Associated Urinary Tract Infections./
Author:	Peterson, Karen Ann.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2020,
Description:	154 p.
Notes:	Source: Dissertations Abstracts International, Volume: 82-05, Section: B.
Contained By:	Dissertations Abstracts International82-05B.
Subject:	Nursing. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28155896
ISBN:	9798691237966

Implementation of a Care Prevention Bundle for Catheter-Associated Urinary Tract Infections.
Peterson, Karen Ann.

Implementation of a Care Prevention Bundle for Catheter-Associated Urinary Tract Infections. - Ann Arbor : ProQuest Dissertations & Theses, 2020 - 154 p.

Source: Dissertations Abstracts International, Volume: 82-05, Section: B.

Thesis (D.N.P.)--Grand Canyon University, 2020.

This item must not be sold to any third party vendors.

A proportion of intensive care unit patients (ICU) may receive an indwelling urinary (IUC) catheter (aka Foley) and a large portion acquire a catheter-associated urinary tract infection (CAUTI). Despite the amount of current evidence-based practice (EBP) tools available, the project site did not have a current one in practice. The purpose of this quantitative quasi-experimental project was to determine if implementation of the American Nurses Association (ANA) CAUTI Prevention Tool would impact the number of IUC insertions, catheter days and CAUTI rates among adult ICU patients at an acute care hospital, in northern California, over four-weeks. The theoretical frameworks applied were the Iowa model and Kurt Lewin's change theory of nursing. The results found 97.14% of ICU patients had an IUC pre- (n=35) and 89.66% post-intervention(n=29) which is a clinically significant decrease. A chi-square analysis revealed no statistically significant decrease in IUC insertions pre to post-intervention; χ2 (1, N = 35)= .049, p = .82. An independent t-test revealed an increase in mean IUC days between pre- (M = 6.14, SD = 5.15) and post-intervention (M = 8.94, SD = 6.31), t (66) = -2.01, p= .049. CAUTI rates were not affected as the pre-intervention rate was zero and postintervention was one (U = 490, p = .272). Though no statistical significance was found, the ANA CAUTI Prevention Tool presented a clinically significant reduction in IUC postimplementation. Therefore, it is recommended the project is sustained and reinforced to reduce the insertion of IUC which may reduce CAUTI.

ISBN: 9798691237966Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

American Nurses Association

Implementation of a Care Prevention Bundle for Catheter-Associated Urinary Tract Infections.
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500 $a Source: Dissertations Abstracts International, Volume: 82-05, Section: B.
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520 $a A proportion of intensive care unit patients (ICU) may receive an indwelling urinary (IUC) catheter (aka Foley) and a large portion acquire a catheter-associated urinary tract infection (CAUTI). Despite the amount of current evidence-based practice (EBP) tools available, the project site did not have a current one in practice. The purpose of this quantitative quasi-experimental project was to determine if implementation of the American Nurses Association (ANA) CAUTI Prevention Tool would impact the number of IUC insertions, catheter days and CAUTI rates among adult ICU patients at an acute care hospital, in northern California, over four-weeks. The theoretical frameworks applied were the Iowa model and Kurt Lewin's change theory of nursing. The results found 97.14% of ICU patients had an IUC pre- (n=35) and 89.66% post-intervention(n=29) which is a clinically significant decrease. A chi-square analysis revealed no statistically significant decrease in IUC insertions pre to post-intervention; χ2 (1, N = 35)= .049, p = .82. An independent t-test revealed an increase in mean IUC days between pre- (M = 6.14, SD = 5.15) and post-intervention (M = 8.94, SD = 6.31), t (66) = -2.01, p= .049. CAUTI rates were not affected as the pre-intervention rate was zero and postintervention was one (U = 490, p = .272). Though no statistical significance was found, the ANA CAUTI Prevention Tool presented a clinically significant reduction in IUC postimplementation. Therefore, it is recommended the project is sustained and reinforced to reduce the insertion of IUC which may reduce CAUTI.
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