Intervention 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
Abstract 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 proces...
Main Authors: | , , , , , , , , |
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Format: | Article |
Language: | English |
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Wiley
2022-03-01
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Series: | Nursing Open |
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Online Access: | https://doi.org/10.1002/nop2.920 |
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author | Chantal Backman Krista R. Wooller Delvina Hasimja‐Saraqini Melissa Demery Varin Michelle Crick Danielle Cho‐Young Lisa Freeman Lori Delaney Janet E. Squires |
author_facet | Chantal Backman Krista R. Wooller Delvina Hasimja‐Saraqini Melissa Demery Varin Michelle Crick Danielle Cho‐Young Lisa Freeman Lori Delaney Janet E. Squires |
author_sort | Chantal Backman |
collection | DOAJ |
description | Abstract 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. |
first_indexed | 2024-04-12T06:24:17Z |
format | Article |
id | doaj.art-fee1e490e9264f6ab65d918c08159b2f |
institution | Directory Open Access Journal |
issn | 2054-1058 |
language | English |
last_indexed | 2024-04-12T06:24:17Z |
publishDate | 2022-03-01 |
publisher | Wiley |
record_format | Article |
series | Nursing Open |
spelling | doaj.art-fee1e490e9264f6ab65d918c08159b2f2022-12-22T03:44:14ZengWileyNursing Open2054-10582022-03-01921432144410.1002/nop2.920Intervention to reduce unnecessary urinary catheter use in a large academic health science centre: A one‐group, pretest, posttest study with a theory‐based process evaluationChantal Backman0Krista R. Wooller1Delvina Hasimja‐Saraqini2Melissa Demery Varin3Michelle Crick4Danielle Cho‐Young5Lisa Freeman6Lori Delaney7Janet E. Squires8School of Nursing Faculty of Health Sciences University of Ottawa Ottawa ON CanadaThe Ottawa Hospital, Civic Campus Ottawa ON CanadaThe Ottawa Hospital, General Campus Ottawa ON CanadaSchool of Nursing Faculty of Health Sciences University of Ottawa Ottawa ON CanadaSchool of Nursing Faculty of Health Sciences University of Ottawa Ottawa ON CanadaSchool of Nursing Faculty of Health Sciences University of Ottawa Ottawa ON CanadaThe Ottawa Hospital, Civic Campus Ottawa ON CanadaThe Ottawa Hospital, Civic Campus Ottawa ON CanadaSchool of Nursing Faculty of Health Sciences University of Ottawa Ottawa ON CanadaAbstract 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.https://doi.org/10.1002/nop2.920patient safetyquality improvementurinary catheterurinary tract infections |
spellingShingle | Chantal Backman Krista R. Wooller Delvina Hasimja‐Saraqini Melissa Demery Varin Michelle Crick Danielle Cho‐Young Lisa Freeman Lori Delaney Janet E. Squires Intervention 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 Nursing Open patient safety quality improvement urinary catheter urinary tract infections |
title | Intervention 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 |
title_full | Intervention 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 |
title_fullStr | Intervention 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 |
title_full_unstemmed | Intervention 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 |
title_short | Intervention 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 |
title_sort | intervention 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 |
topic | patient safety quality improvement urinary catheter urinary tract infections |
url | https://doi.org/10.1002/nop2.920 |
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