Annotated Bibliography: Reducing the number of Catheter Associated Urinary Tract Infections
Bernard, M., Hunter, K., Moore, K. (2012). A Review of Strategies to Decrease the Duration of Indwelling Uretheral Catheters and Potentially Reduce the Incidence of Catheter- Associated Urinary Tract Infections. Urologic Nursing, 32(1), 29-37 9p.
This articles reviews evidence on the prevention of catheter-associated urinary tract infections. It also discusses how the duration of the indwelling catheter directly effects the incidence rate of developing a urinary tract infection. The authors use current evidence to support the use of nurse-led and informatics-led interventions to help reduce the length of urinary catheter use and the occurrences of catheter associated urinary tract infections. The nurse-led interventions include assessing for necessity and removing urinary catheters when possible. The informatics-led interventions include chart reminders and computerized interventions, specifically in regards to orders and documentation. Based off of the current research studies that were reviewed, nurse and informatics-led interventions are successful in reducing the rate of catheter-associated urinary tract infections in the hospitalized patient. The authors of this article are highly credentialed medical professionals who used current research related to catheter associated urinary tract infections, interventions, and prevention. The content of this article is directly related to the topic.
Buckley, C., Clements, C., Hopper, A. (2015). Reducing inappropriate urinary catheter use: quality care initiatives. British Journal of Nursing, 24:S16-22.
This article discusses the multiple interventions to reduce hospital acquired urinary tract infections related to urinary catheter use, including changing the expectations and habits of nurses and medical professionals. Inappropriate catheter use is common and is a difficult practice to break. A working group was set up to evaluate urinary catheter use and aimed to reduce harm to patients from urinary catheters. A urinary catheter device record was designed in an attempt to reduce the use of unnecessary catheters, prompting nursing staff to question catheter placement or remove catheter as soon as possible. The interventions the article discusses mainly focus on improving awareness of appropriate use of urinary catheters and prompt removal once the patient is medically stable. The authors are highly credentialed and use many peer-reviewed articles to support their research. The content of this article is directly related to the selected topic.
Carter, N., Reitmeier, L., Goodloe, L. (2014). An Evidence-Based Approach To the Prevention of Catheter-Associated Urinary Tract Infections. Urologic Nursing, 34(5), 238-245 8p. doi:10.7257/1053-816X.2014.34.5.238
This article, presented by advanced degree nurses, discusses multiple interventions that can significantly reduce the number of catheter-associated urinary tract infections. These interventions are evidence-based, have been instituted in a 28 bed facility and there has been a significant reduction in catheter associated urinary tract infections. The advanced degree nurses use current best evidence found in literature to implement a multi-step procedure to reduce the use of indwelling urinary catheters and catheter associated urinary tract infections. This multi-step approach includes (1) verification of appropriate circumstances to insert (2) use of aseptic technique (3) proper maintenance and foley care (4) early removal and (5) competent training for all staff on this new approach. Implementing this multi-step procedure based on evidence-based research showed a significant decrease in the number of catheter associated urinary tract infections. This approach is nurse driven and requires further education and full participation of the staff. The authors of this article are credentialed faculty and the content deals directly with the topic selected.
Dailly, S. (2012). Auditing urinary catheter care. Nursing Standard, 26(20), 35-40 6p.
This article, presented by a lead nurse of infection prevention and control, discusses an audit that was performed to make sure staff is carrying out the best practice and policies and procedures are being followed. The audit reviewed urinary catheter insertion care bundle, ongoing catheter care, documentation, and staff knowledge. The results showed poor compliance, specifically, of documentation and delayed removal of the catheter. Based on the results of the audit, an assessment and monitoring form was created. After implementation of this new form, it was found that there were significantly less patients with urinary catheters and there was improvement in documentation. The form became a reminder for staff to properly document and keep to evidence based practice. This article is peer-reviewed and the content is directly related to the subject focused on.
Magers, T. L. (2014). An EBP Mentor and Unit-Based EBP Team: A Strategy for Successful
Implementation of a Practice Change to Reduce Catheter-Associated Urinary Tract Infections. Worldviews on Evidence-Based Nursing, 11(5), 341-343 3p. doi:10.1111/wvn.12056
This article discusses an evidence based approach to reduce the number of indwelling urinary catheter days which decreases the incidence of catheter associated urinary tract infections. The article discusses how a nurse-driven protocol can be used to evaluate the daily necessity of urinary catheter use and can significantly reduce the number of catheter days. A systematic review of literature and critical appraisal was completed. An evidence-based practice (EBP) team was formed and implemented a practice change in a hospital setting. The EBP team found that by limiting the number of catheter days does reduce the incidences of catheter associated urinary tract infections. The author of this article is a master’s prepared nurse and the content of the article is directly correlated with the topic.
Mori, C. (2014). A-Voiding Catastrophe: Implementing a Nurse-Driven Protocol. MEDSURG Nursing, 23(1), 15-28 14p.
This article, presented by a clinical nurse specialist, evaluates and discusses a nurse-driven protocol to remove indwelling urinary catheters in an acute care setting. The author uses literature review to research the topic and designs a quality improvement project to evaluate the effectiveness of a nurse-driven protocol. The project shows that a nurse-driven protocol can help reduce the incidence and duration of catheter use, which will reduce the number of catheter associated urinary tract infections. Due to the fact that nurses spend the most time with the patients, it was found that nurses would be the most influential in this process. Despite nurses and doctor’s hesitation to limit the use of catheters, it has been shown to significantly reduce the number of catheter associated urinary tract infections, which in returns reduced a patient’s hospital stay and the cost of healthcare. The author of this article is a credentialed clinical nurse specialist. Peer-reviewed literature was used to support the article and the content is directly related to the topic.
Olson-Sitki, K., Kirkbride, G., & Forbes, G. (2015). Evaluation of a Nurse-Driven Protocol to Remove Urinary Catheters: Nurses’ Perceptions. Urologic Nursing, 35(2), 94-99.
doi:10.7257/1053-816X.2015.35.2.94
Quinn, P. (2015). Chasing Zero: A Nurse-Driven Process for Catheter-Associated Urinary Tract Infection Reduction in a Community Hospital. Nursing Economic$, 33(6), 320-325 6p.
This article discusses the effect a nurse-driven process that was implemented in hospital in New York City and has drastically reduced the number of catheter associated urinary tract infections within 1 year of its implementation. The article outlines the steps taken to implement this process and recommendations for nurse leaders in other facilities who are interested in implementing this process. It provides the criteria that should be met for a Foley and the tactics for catheter associated urinary tract infection reduction, which includes (1) questioning the Foley, (2) MD support, (3) informatics collaboration, (4) Education, and (5) daily monitoring. As stated previously, this nurse-driven process has proven to be successful in significantly reducing the incidence of catheter associated urinary tract infections in the hospitalized patient. The author holds many advanced degrees and credentials. The article uses peer-reviewed literature to support its research and the content deals directly with the topic focused on.
Underwood, L. (2015). The Effect of Implementing a Comprehensive Unit-Based Safety Program on Urinary Catheter Use. Urologic Nursing, 35(6), 271-279 9p.
doi: 10.7257/1053-816X.2015.35.6.271
This article presents a quality improvement study to decrease catheter associated urinary tract infections and urinary catheter use. The purpose of the study was to implement new quality improvement initiatives and evaluate their effectiveness on urinary catheter use and urinary tract infections. The project reviewed the unit’s patient database before implementation of the program and after. Staff education classes were held and proper urinary catheter care and maintenance was reviewed. Daily reminders were posted to ensure review of necessity was being acknowledged. The results of this program did show a decrease in catheter associated urinary tract infections but it was not significant. Further strategies and initiatives should be implemented for greater results. The author of this article is a credentialed faculty member and advanced practicing nurse. The content of this article is directly correlated with the topic.