Date of Award/Publication
M.S. in Advanced Practice Nursing
Heather McGrane Minton
Background: Indwelling urinary catheters serve a purpose in critical care; however, they can also pose a risk for patients. With increased catheter use, there is an increased risk of developing a catheter associated urinary tract infection (CAUTI). CAUTIs lead to longer length of stay for patients, antibiotic treatment, and have a financial burden to the institution. The objective of this study was to determine if a nurse driven catheter removal protocol could reduce CAUTIs in critical care units.
Methods: Retrospective review of CAUTI data from the National Healthcare Safety Network (NHSN) was observed three months prior to the protocol implementation and three months post implementation.
Results: There were seven CAUTIs reported prior to the protocol implementation and five post implementation. There was also an increase noted in catheter days post implantation. There was a 29% reduction in CAUTI rate (p = 0.5736).
Discussion: While the rate reduction from pre to post protocol implementation was not statistically significant, we propose that given the reduction in CAUTIs, it is clinically significant.
Conclusion: Implementation of catheter removal protocols could be a useful tool in CAUTI reduction. Further research would be beneficial in determining the association between the tool and CAUTI rate reduction.
Eckert-Davis, Laura, "The Impact of a Nurse-Driven Foley Catheter Removal Protocol on Catheter Associated Urinary Tract Rates in Critical Care Areas" (2017). Nursing Masters. Paper 48.
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Available for download on Friday, December 14, 2018