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

Autor: Chantal Backman, Krista R. Wooller, Delvina Hasimja‐Saraqini, Melissa Demery Varin, Michelle Crick, Danielle Cho‐Young, Lisa Freeman, Lori Delaney, Janet E. Squires
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Nursing Open, Vol 9, Iss 2, Pp 1432-1444 (2022)
Druh dokumentu: article
ISSN: 2054-1058
DOI: 10.1002/nop2.920
Popis: 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.
Databáze: Directory of Open Access Journals