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...

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Main Authors: Chantal Backman, Krista R. Wooller, Delvina Hasimja‐Saraqini, Melissa Demery Varin, Michelle Crick, Danielle Cho‐Young, Lisa Freeman, Lori Delaney, Janet E. Squires
Format: Article
Language:English
Published: Wiley 2022-03-01
Series:Nursing Open
Subjects:
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.
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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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