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The purpose of this quality improvement project was to determine the gaps between published evidence-based practice (EBP) guidelines and clinical practice related to indwelling urinary catheter (IUC) care and the prevention of catheter-associated urinary tract infection (CAUTI) based on healthcare professionals (HCP) perspective. A CAUTI is a urinary tract infection (UTI) related to an IUC that has been in place for more than two days. CAUTI accounts for 40% of hospital-acquired infections, increasing the need for continued prevention. The number of CAUTI events in the project ICU was consistent with the national and community data. An investigation of practice was conducted in two Medical Intensive Care Units (MICU) in a Level 1Trauma Center hospital in California. Participants included registered nurses, nursing assistants, and physicians. Participants completed a Fishbone (Ishikawa) tool, a Strengths, Weaknesses, Opportunities, Threats (SWOT) Analysis survey, and the Center for Disease Control and Prevention Targeted Assessment for Prevention (TAP) survey to identify underlying causes, prevention strategies, and IUC care. Results from the surveys confirmed gaps between published guidelines and current clinical practice. Causes of CAUTI related to HCP practices, IUC care, and inconsistent prevention practices were identified. Barriers that impede CAUTI prevention efforts and HCP perceptions must be considered when addressing areas for improvement. Understanding the local context and culture can maximize organizational resources and improve patient outcomes. Keywords: Catheter-Associated Urinary Tract Infections, CAUTI, Evidence-based Guidelines, Fishbone (Ishikawa), Strengths, Weaknesses, Threats, and Opportunities (SWOT) Analysis, Targeted Assessment for Prevention (TAP) |
