國立虎尾科技大學 |

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

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	Evaluation of a Standard Educational Program to Prevent Catheter-Associated Urinary Tract Infection./
Author:	Garvida, Roque Curammeng, Jr.
Description:	1 online resource (86 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 85-11, Section: A.
Contained By:	Dissertations Abstracts International85-11A.
Subject:	Nursing. -
Online resource:	click for full text (PQDT)
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. - 1 online resource (86 pages)

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

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

Includes bibliographical references

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.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024

Mode of access: World Wide Web

ISBN: 9798382328645Subjects--Topical Terms:

563081
Nursing.
Subjects--Index Terms:

Bladder scan protocolIndex Terms--Genre/Form:

554714
Electronic books.

Evaluation of a Standard Educational Program to Prevent Catheter-Associated Urinary Tract Infection.
LDR:05231ntm a22004337 4500 001 1146504
005 20240812064632.5
006 m o d
007 cr bn ---uuuuu
008 250605s2024 xx obm 000 0 eng d
020 $a 9798382328645
035 $a (MiAaPQ)AAI31146155
035 $a AAI31146155
040 $a MiAaPQ $b eng $c MiAaPQ $d NTU
100 1 $a Garvida, Roque Curammeng, Jr. $3 1471900
245 1 0 $a Evaluation of a Standard Educational Program to Prevent Catheter-Associated Urinary Tract Infection.
264 0 $c 2024
300 $a 1 online resource (86 pages)
336 $a text $b txt $2 rdacontent
337 $a computer $b c $2 rdamedia
338 $a online resource $b cr $2 rdacarrier
500 $a Source: Dissertations Abstracts International, Volume: 85-11, Section: A.
500 $a Advisor: Bivona-Tellez, Christina.
502 $a Thesis (D.N.P.)--Azusa Pacific University, 2024.
504 $a Includes bibliographical references
520 $a 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.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2024
538 $a Mode of access: World Wide Web
650 4 $a Nursing. $3 563081
650 4 $a Health sciences. $3 1179212
650 4 $a Health education. $3 585977
650 4 $a Bioinformatics. $3 583857
653 $a Bladder scan protocol
653 $a CAUTI prevention
653 $a Electronic health record integration
653 $a Indwelling urinary catheter
653 $a Nurse-empowered catheter removal protocol
653 $a Staff education
655 7 $a Electronic books. $2 local $3 554714
690 $a 0569
690 $a 0566
690 $a 0769
690 $a 0715
690 $a 0680
710 2 $a ProQuest Information and Learning Co. $3 1178819
710 2 $a Azusa Pacific University. $b Nursing. $3 1471901
773 0 $t Dissertations Abstracts International $g 85-11A.
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31146155 $z click for full text (PQDT)