Nursing interventions for the prevention of catheter associated urinary tract infections
Withanagamage, Asanthi (2020)
Withanagamage, Asanthi
2020
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2020121327934
https://urn.fi/URN:NBN:fi:amk-2020121327934
Tiivistelmä
Catheter associated urinary tract infections (CAUTIs) are one of major global health concerns, which places a huge burden on the health care system. Nurses are expected to play a significant role in preventing CAUTIs. Nevertheless, standard of care and clinical competence of the nurses have been reported fallen short of the expected standards as empirical evidence suggest. Thus, this thesis initially intends to identify the risk factors for catheter associated urinary tract infections and examine the types of nursing interventions which could potentially reinforce the skills and knowledge of the nurses in preventing catheter associated urinary tract infections. Nola Pander’s health promotion model and Ajzen’s theory of planned behavior, are used in this study as theoretical framework. The study is literature review with qualitative inductive data analysis method. Eleven related research articles were analyzed to find the common themes and those themes were summarized into categories and subcategories. The study found
that there are two main types of risk factors for CAUTIs, patient related risk factors and care related risk factors. In that, use of long-term urinary catheters and prolongation are discovered as the core in the acquisition of CAUTIs in most of the patients of every care setting. The findings of the study show that many nursing interventions that emphasize on the protocol based nursing, clinical skill development and multidisciplinary have been significant for lowering use and prolongation of urinary catheter use. Avoiding unnecessary catheterization and reducing the duration of the catheterization are the main the focuses of the CAUTI prevention. In average, the consequences of the application of the interventions into the practice have demonstrated substantial progress in reducing CAUTI rates within all care settings the study address. However, the expedition of the nurse in implementing precise practice as assigned by the respective unit is essential. The study is restricted within its capacity since the study has not been capable of analyzing the context of the research that is specific to other healthcare settings other than being limited to a few healthcare settings. Meanwhile, the study recommends new researched to be carried out in the basis of researching approaches how the asepsis conduct of the nurse be evolved in a prolific manner.
that there are two main types of risk factors for CAUTIs, patient related risk factors and care related risk factors. In that, use of long-term urinary catheters and prolongation are discovered as the core in the acquisition of CAUTIs in most of the patients of every care setting. The findings of the study show that many nursing interventions that emphasize on the protocol based nursing, clinical skill development and multidisciplinary have been significant for lowering use and prolongation of urinary catheter use. Avoiding unnecessary catheterization and reducing the duration of the catheterization are the main the focuses of the CAUTI prevention. In average, the consequences of the application of the interventions into the practice have demonstrated substantial progress in reducing CAUTI rates within all care settings the study address. However, the expedition of the nurse in implementing precise practice as assigned by the respective unit is essential. The study is restricted within its capacity since the study has not been capable of analyzing the context of the research that is specific to other healthcare settings other than being limited to a few healthcare settings. Meanwhile, the study recommends new researched to be carried out in the basis of researching approaches how the asepsis conduct of the nurse be evolved in a prolific manner.