Nursing Interventions Aimed at Reducing the Incidence of Hospital Acquired Catheter-Associated Urinary Tract Infections
Banks, Hannah; Abdella, Roun; Willmann, Yasmine (2016)
Banks, Hannah
Abdella, Roun
Willmann, Yasmine
Laurea-ammattikorkeakoulu
2016
All rights reserved
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2016052710297
https://urn.fi/URN:NBN:fi:amk-2016052710297
Tiivistelmä
Background: Urinary tract infections (UTIs) account for 40% of all hospital-acquired infections. Of those, approximately 80% are caused by urinary catheters. Catheter-associated urinary tract infections (CAUTIs) are associated with increased mortality, morbidity, length of hospital stay and cost of care, and place a huge burden on the healthcare system.
Aim: The aim of this thesis is to determine which kind of nursing interventions can be used to reduce the incidence of CAUTI in hospitals.
Methods: The method of this thesis is a literature review, with inductive qualitative data analysis. To gather relevant literature, three databases were searched. These included CINAHL, Laurea FINNA, SAGE journals, resulting in a total of 12 articles selected.
Results: We deduced from the data that the four foundations of CAUTI prevention are the reduction of unnecessary catheter use, timely catheter removal, catheter care and maintenance and education and training. We determined from the findings that there is a huge gap in nurses’ education of CAUTI. There is also a distinct lack of awareness amongst nurses and other healthcare professionals about the consequences of CAUTI. Catheters are frequently inserted for the wrong reasons, and the care and maintenance of catheters is often non evidence-based. We also discovered a lack of consistent documentation of catheter insertion and care.
Conclusions: In conclusion, the effective prevention and reduction in the incidence of CAUTIs in hospitals requires a consistent commitment from different members of staff, in all hospital departments. Nurses have a large part to play, as the majority of day-to-day catheter related care and maintenance is their responsibility. Nurses require further education and training about the prevention of CAUTI. We also recommend that nurses engage in continuous professional development to ensure that their knowledge is kept up to date. The best prevention strategies combine the utilisation of systems-wide innovations, with education and a combination of tactics aimed to reduce catheter insertion and catheter dwell time.
Aim: The aim of this thesis is to determine which kind of nursing interventions can be used to reduce the incidence of CAUTI in hospitals.
Methods: The method of this thesis is a literature review, with inductive qualitative data analysis. To gather relevant literature, three databases were searched. These included CINAHL, Laurea FINNA, SAGE journals, resulting in a total of 12 articles selected.
Results: We deduced from the data that the four foundations of CAUTI prevention are the reduction of unnecessary catheter use, timely catheter removal, catheter care and maintenance and education and training. We determined from the findings that there is a huge gap in nurses’ education of CAUTI. There is also a distinct lack of awareness amongst nurses and other healthcare professionals about the consequences of CAUTI. Catheters are frequently inserted for the wrong reasons, and the care and maintenance of catheters is often non evidence-based. We also discovered a lack of consistent documentation of catheter insertion and care.
Conclusions: In conclusion, the effective prevention and reduction in the incidence of CAUTIs in hospitals requires a consistent commitment from different members of staff, in all hospital departments. Nurses have a large part to play, as the majority of day-to-day catheter related care and maintenance is their responsibility. Nurses require further education and training about the prevention of CAUTI. We also recommend that nurses engage in continuous professional development to ensure that their knowledge is kept up to date. The best prevention strategies combine the utilisation of systems-wide innovations, with education and a combination of tactics aimed to reduce catheter insertion and catheter dwell time.