Open AccessIntervention 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
Author(s) -
Backman Chantal,
Wooller Krista R.,
HasimjaSaraqini Delvina,
Demery Varin Melissa,
Crick Michelle,
ChoYoung Danielle,
Freeman Lisa,
Delaney Lori,
Squires Janet E.
Publication year - 2022
Publication title -
nursing open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.55
H-Index - 12
ISSN - 2054-1058
DOI - 10.1002/nop2.920
Subject(s) - audit , urinary system , medicine , catheter , intervention (counseling) , protocol (science) , data collection , urinary catheter , test (biology) , nursing , physical therapy , family medicine , emergency medicine , surgery , alternative medicine , paleontology , statistics , management , mathematics , pathology , economics , biology
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.