CAUTI prevention bundles: improving best practices within Western Health for continued success

Stagg, Paula C. (2016) CAUTI prevention bundles: improving best practices within Western Health for continued success. Practicum Report. Memorial University of Newfoundland. (Unpublished)

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Background: Persons in acute care settings who have indwelling urethral catheters are at higher risk of acquiring a urinary tract infection (UTI). Other complications related to prolonged indwelling urinary catheters include decreased mobility, damage to the meatus and/or urethra, increase use of antibiotics, increased length of stay, and pain. UTIs in acute care settings account for 30 to 40% of all health care associated infections (HAIs). Of these, 80% are catheter associated UTIs (CAUTIs). Purpose: To utilized the CDC (2009) bundle approach for CAUTI prevention and create a program which supports a multimodal method to improving urinary catheter use, maintenance, and removal, including a continuing competency program where role expansion is anticipated. Methods: A comprehensive review of the literature was conducted. Physicians were consulted through a power point presentation followed by a letter explaining the project, a questionnaire, and two selections of relevant literature. Nursing staff and allied health professionals from the target units of 3A and 3B medicine attended one of two lunch and learns. They were presented the project via a power point presentation and the same questionnaire as distributed to physicians. Results: Five e-learning modules, a revised policy, and clinical pathway have been developed to support staff with best practice knowledge transfer. Conclusion: Behaviour changes need to be approached with a framework, extensive consultation, and education. Sustainability of any practice change cannot occur without having completed the background work to ensure staff have access to tools to support the change.

Item Type: Report (Practicum Report)
Item ID: 12102
Additional Information: Includes bibliographical references. -- Final report of the Advanced Practice Clinical Practicum -- Practicum report submitted to the School of Nursing in partial fulfillment of the requirement for the degree of Master of Nursing.
Department(s): Nursing, Faculty of
Date: May 2016
Date Type: Submission
Library of Congress Subject Heading: Urinary tract infections--Prevention; Intensive care nursing--In-service training; Urinary catheterization--Study and teaching
Medical Subject Heading: Urinary Tract Infections--prevention & control; Critical Care Nursing; Inservice Training; Urinary Catheterization--methods

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