Date

Fall 2023

Document Type

Scholarly Project

Department

College of Nursing

First Advisor

Alicia Ribar

Abstract

Introduction: Studies have shown a relationship between management and use of indwelling urinary catheters on catheter days and catheter-associated urinary tract infections (CAUTIs), in adult patients in intensive care units (ICUs). Globally, increases in catheter days and CAUTI rates have led to poor patient outcomes, increased lengths of hospital stay, and increased hospital costs. In efforts to inhibit these adverse effects, institutions have developed protocols specific to reducing CAUTIs in hospitalized patients. This paper argues that a multifaceted nurse driven indwelling urinary catheter protocol will positively influence number of catheter days and change in practice, in the proposed institutional settings.

Methods: This quality improvement project evaluated the impact of a multifaceted nurse driven urinary catheter protocol (UCP) on number of catheter days, in an adult Trauma ICU, Neuro ICU, and two medical surgical units, at a Level 1 trauma center.

Inclusion Criteria: All adult patients admitted to any of the project units during April, May, and June 2023; and all full-time, part-time, as needed (PRN), and contract registered nurses, that were either employed in the project setting or part of the float pool from February through March 2023.

Analysis: Mean, SD, frequencies, percentages, ANOVA/Kruskal Wallis, were used to analyze the preintervention survey and the unit interventional outcome measures, including catheter days, patient days, and the SUR, at three time intervals.

Implications for Practice: A nurse-driven protocol that includes a set of evidence-based indications for urinary catheterization, may reduce catheter days and improve patient outcomes.

Rights

© 2023, Jamie H Dagenhart

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