Changing Behavior among Nurses to Track Indwelling Urinary Catheters in Hospitalized Patients

Catheter-associated urinary tract infections (CAUTIs) are preventable complications of hospitalization. An interdisciplinary team developed a curriculum to increase awareness of the presence of indwelling urinary catheters (IUCs) in hospitalized patients, addressed practical, primarily nurse-control...

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Main Authors: Bona Yoon, Samantha D. McIntosh, Leslie Rodriguez, Alma Holley, Charles J. Faselis, Angelike P. Liappis
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Interdisciplinary Perspectives on Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2013/405041
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author Bona Yoon
Samantha D. McIntosh
Leslie Rodriguez
Alma Holley
Charles J. Faselis
Angelike P. Liappis
author_facet Bona Yoon
Samantha D. McIntosh
Leslie Rodriguez
Alma Holley
Charles J. Faselis
Angelike P. Liappis
author_sort Bona Yoon
collection DOAJ
description Catheter-associated urinary tract infections (CAUTIs) are preventable complications of hospitalization. An interdisciplinary team developed a curriculum to increase awareness of the presence of indwelling urinary catheters (IUCs) in hospitalized patients, addressed practical, primarily nurse-controlled inpatient risk-reduction interventions, and promoted the use of the IUC labels (“tags”). Five thirty-minute educational sessions were cycled over three daily nursing shifts on two inpatient medical floors over a 1-year period; participants were surveyed (n=152) to elicit feedback and provide real-time insight on the learning objectives. Nurse self-reported IUC tagging was early and sustained; after the IUC tag was introduced, there was a significant increase in tagging reported by the end of the block of educational sessions (from 46.2% to 84.6%, P=0.001). Early engagement combined with a targeted educational initiative led to increased knowledge, changes in behavior, and renewed CAUTI awareness in hospitalized patients with IUCs. The processes employed in this small-scale project can be applied to broader, hospitalwide initiatives and to large-scale initiatives for healthcare interventions. As first-line providers with responsibility for the placement and daily maintenance of IUCs, nurses are ideally positioned to implement efforts addressing CAUTIs in the hospital setting.
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series Interdisciplinary Perspectives on Infectious Diseases
spelling doaj-art-0416fd7fed454f208ce22226e7e4c2852025-08-20T03:54:15ZengWileyInterdisciplinary Perspectives on Infectious Diseases1687-708X1687-70982013-01-01201310.1155/2013/405041405041Changing Behavior among Nurses to Track Indwelling Urinary Catheters in Hospitalized PatientsBona Yoon0Samantha D. McIntosh1Leslie Rodriguez2Alma Holley3Charles J. Faselis4Angelike P. Liappis5Medical Service, Veterans Affairs Medical Center, 50 Irving Street, NW 4A155, Washington, DC 20422, USAMedical Service, Veterans Affairs Medical Center, 50 Irving Street, NW 4A155, Washington, DC 20422, USANursing Services, Veterans Affairs Medical Center, Washington, DC 20422, USANursing Services, Veterans Affairs Medical Center, Washington, DC 20422, USAMedical Service, Veterans Affairs Medical Center, 50 Irving Street, NW 4A155, Washington, DC 20422, USAMedical Service, Veterans Affairs Medical Center, 50 Irving Street, NW 4A155, Washington, DC 20422, USACatheter-associated urinary tract infections (CAUTIs) are preventable complications of hospitalization. An interdisciplinary team developed a curriculum to increase awareness of the presence of indwelling urinary catheters (IUCs) in hospitalized patients, addressed practical, primarily nurse-controlled inpatient risk-reduction interventions, and promoted the use of the IUC labels (“tags”). Five thirty-minute educational sessions were cycled over three daily nursing shifts on two inpatient medical floors over a 1-year period; participants were surveyed (n=152) to elicit feedback and provide real-time insight on the learning objectives. Nurse self-reported IUC tagging was early and sustained; after the IUC tag was introduced, there was a significant increase in tagging reported by the end of the block of educational sessions (from 46.2% to 84.6%, P=0.001). Early engagement combined with a targeted educational initiative led to increased knowledge, changes in behavior, and renewed CAUTI awareness in hospitalized patients with IUCs. The processes employed in this small-scale project can be applied to broader, hospitalwide initiatives and to large-scale initiatives for healthcare interventions. As first-line providers with responsibility for the placement and daily maintenance of IUCs, nurses are ideally positioned to implement efforts addressing CAUTIs in the hospital setting.http://dx.doi.org/10.1155/2013/405041
spellingShingle Bona Yoon
Samantha D. McIntosh
Leslie Rodriguez
Alma Holley
Charles J. Faselis
Angelike P. Liappis
Changing Behavior among Nurses to Track Indwelling Urinary Catheters in Hospitalized Patients
Interdisciplinary Perspectives on Infectious Diseases
title Changing Behavior among Nurses to Track Indwelling Urinary Catheters in Hospitalized Patients
title_full Changing Behavior among Nurses to Track Indwelling Urinary Catheters in Hospitalized Patients
title_fullStr Changing Behavior among Nurses to Track Indwelling Urinary Catheters in Hospitalized Patients
title_full_unstemmed Changing Behavior among Nurses to Track Indwelling Urinary Catheters in Hospitalized Patients
title_short Changing Behavior among Nurses to Track Indwelling Urinary Catheters in Hospitalized Patients
title_sort changing behavior among nurses to track indwelling urinary catheters in hospitalized patients
url http://dx.doi.org/10.1155/2013/405041
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