Open Access Open Access  Restricted Access Subscription or Fee Access

A Study to Assess the Effectiveness of Structured Teaching Programme (STP) on Knowledge and Practice Regarding Indwelling Catheter Associated Urinary Tract Infection Among the Staff Nurses at J.K. Hospital And Research Center, Bhopal (M.P.)

Jicy Shahji

Abstract


Background: Catheter-associated urinary tract infections (CAUTIs) are the most common type of nosocomial infection that represents major health concern due to its frequent recurrence and complexity associated with it. Method: Preexperimental research strategy using the one group pre-test, post-test design was adopted for the present study. In this one group pre-test and post-test design only one group was observed before and after the manipulation or intervention. Results: The result indicate that pretest mean knowledge score of staff nurses on regarding indwelling catheter associated urinary tract infection 9.93 and posttest mean knowledge score was 22.03. The demographic variables age, education. Total year of clinical of experience, attained any in-service education, type of institute from which studied and indwelling catheterization perform daily were associated with knowledge score. Pretest mean practice score of Staff Nurses regarding indwelling catheter associated urinary tract infection was 14.5 and posttest mean practice score was 36.13. The demographic variables like education, total year of clinical of experience, catheterization performed daily were associated with practice. Conclusion: It indicates that the staff nurses knowledge on CAUTIs was not adequate however the practice was there and both improved through STP.

Full Text:

PDF

References


Siegel J.D., Rhineheart E., Jackson M., et al. “Management of multidrug-resistant organisms in healthcare settings Healthcare Infection Control Practices Advisory Committee. 2006; 234–45p.

Saint S. Clinical and economic consequences of nosocomial catheter-related bacteriuria, Division of General Medicine, University of Michigan Department of Internal Medicine, Ann Arbor MI; 2002, 48109-0376.

Smith P.W., et al. Infection prevention and control in the long-term care facility, Am J Infect Control 2008; 36(7): 504–35p.

Hartstein A. I., Garber S.B., Ward T.T., et al. Nosocomial urinary tract

infection: a prospective evaluation of 108 catheterized patients. Infect Control. 1981; 2: 380–6p.

Allison C., Lai H.C., Hughes C. Co-ordinate expression of virulence genes during swarm-cell differentiation and population migration of Proteus mirabilis, Mol Microbiol. 1992; 6: 1583–91p.

Apisarnthanarak A., Rutjanawech S., Wichansawakun S., et al.Initial inappropriate urinary catheters use in a tertiary-care center: incidence, risk factors, and outcomes, Am J Infect Control. 2007; 35(9): 594–9p.

Apisarnthanarak A., Thongphubeth K., Sirinvaravong S., et al. Effectiveness of multifaceted hospitalwide quality improvement programs featuring an intervention to remove unnecessary urinary catheters at a tertiary care center in Thailand, Infect Control Hosp Epidemiol. 2007; 28: 791–8p.

Kaufman S.R. et al. Condom versus indwelling urinary catheters: a randomized trial”, J Am Geriatr Soc. 2006; 54(7): 1055–61p.

Appelgren P., Hellström I., Weitzberg E., et al.Risk factors for nosocomial intensive care infection: a long-term prospective analysis. Acta Anaesthesiol Scand. 2001; 45(6): 710–19p.

Brosnahan J., Jull A., Tracy C. Types of urethral catheters for management of short-term voiding problems in hospitalised adults, Centre Evidence Based Nurs Aotear. 2009; 36(2): 137–54p.

Bahrani-Mougeot F.K., Buckles E.L., Lockatell C.V., et al. Type 1 fimbriae and extracellular polysaccharides are preeminent uropathogenic Escherichia coli virulence determinants in the murine urinary tract, Mol Microbiol. 2002; 45: 1079–93p.

Bertrand X., Venier A.G., Badoz M., et al. Control of the duration of urinary catheterization: impact on catheter-associated urinary tract infection, J Hosp Infect. 2007; 67(3): 253–7p.

Centers for Disease Control and Prevention. Public health focus: surveillance, prevention, and control of nosocomial infections, Morb Mortal Wkly Rep. 1992; 41: 783–7p.

Cochrane Database System Rev. Types of indwelling urinary catheters for long-term bladder drainage in adults. 2007; 18(3): CD004997. PMID: 18951451,Pub Med – indexed for MEDLINE.

Dumigan D.G., Kohan C.A., Reed C.R., et al. Utilizing National Nosocomial Infection Surveillance System data to improve urinary tract infection rates in three intensive care units, Clin Perform Qual Health Care. 1998; 6(4): 172–8p.

Edward S., Wong, M.D., et al. Virginia Commonwealth University, Medical College of Virginia Richmond”, Virginia, Hunter Holmes McGuire Veterans Affairs Medical Center Richmond, Virginia, Med. 2004; 329: 1328–34p.

Elpern E.H., MSN, APN, CCNS at all 2009 “Reducing Use of indwelling Urinary Catheters and Associated Urinary Tract Infections”f. Am J Crit Care. 2009; 18–20p.

Ersser S.J., Getliffe K., Voegeli D., et al. A critical review of the inter-relationship between skin vulnerability and urinary incontinence and related nursing interventions, Int J Nurs Stud. 2005; 42(7): 823–35p.

Goetz A.M., Kedzuf S., Wagener M., et al. Feedback to nursing staff as an intervention to reduce catheter-associated urinary tract infections, Am J Infect Control. 1999; 402–4p.

Graves N., Tong E., Morton A., et al. Factors associated with health care-acquired urinary tract infection, Am J Infect Control. 2007; 35: 387–92p.

Gray M. Incontinence-related skin damage, essential knowledge, Ostomy

Wound Manage. 2007; 53(12): 28–32p.

Horan T.C., Andrus M., Dudeck. surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting, Am J Infect Control. 2008; 36: 309–32p.

Huang W., Wann S., Lin S., et al. Catheter-associated urinary tract infections in intensive care units can be reduced by prompting physicians to remove unnecessary catheters, Infect Control Hosp Epidemiol. 2004; 25: 974–8p.

Interventions in Acute and Long-Term Care Settings, Am J Infect Control. 2008; 36(7): 504–35p.

Jahn P., Preuss M., Kernig A., et al. German Center for Evidence-based Nursing, Institute of Health and Nursing Sciences, Martin-Luther-University Halle, 3421–45p.

Jain P., Parada J.P., David A. Smith L.G. Overuse of the indwelling urinary tract catheter in hospitalized medical patients. Arch Intern Med. 1995; 155: 1425–9p.

Jain P., Parada J.P., David A., et al. Overuse of the indwelling urinary tract catheter in hospitalized medical patients, Arch Intern Med. 1995; 155: 1425–9p.

Klevens R.M., Edwards J.R., Richards C.L. Jr., et al. Estimating health care-associated infections and deaths in U.S. hospitals, Public Health Rep. 2002–2007; 122(2): 160–6p.

Klevens R.M., Edwards J.R., Richards C.L., et al. Estimating health care-associated infections and deaths in US hospitals, Pub Health Rep. 2007; 122(2): 160–6p.

Kunin. Urinary Tract Infections Detection, Prevention, and Management. 5th Edn., Baltimore: William; 2005, 234–45p.

Kunin C.M., Douthitt S., Dancing J., et al. The association between the use of urinary catheters and morbidity and mortality among elderly patients in nursing homes, Am J Epidemiol. 1992; 135: 291–301p.

Kunin C.M. Urinary Tract Infections: Detection, Prevention, and Management. 5th ed. Baltimore: Williams and Wilkins; 1997, 3213–56p.

Kurtzmann E. A Summary of the Impact of Reforms to the Hospital Inpatient Prospective Payment System (IPPS) on Nursing Services. Robert Wood Johnson Foundation, 2009.

Leone M., Garnier F., Dubuc M., et al. Prevention of nosocomial urinary tract infection in ICU patients”. Chest. 2001; 120: 220–4p.

Greene L. Guide to the Elimination of Catheter-Associated Urinary Tract Infections (CAUTIs)”, Developing and Applying Facility-Based Prevention. 2008.

Maki D.G., Tambyah P.A. Engineering out the risk for infection with urinary catheters, Emerg Infect Dis. 2001; (2): 342–7p.

Marklew A. Urinary catheter care in the intensive care unit, Nurs Crit Care. 2004; (1): 21–7p.

Graves N. Nosocomial Infection, the Deficit Reduction Act, and Incentives for Hospitals, Cochrane Database Syst Rev. 2008; (3): CD004012.

Niel-Weise B.S., van den Broek P.J. Urinary catheter policies for long-term bladder drainage, Cochrane Database Syst Rev. 2005; CD004201.

Ouslander J.G., Green gold B., Chen S. Complications of chronic indwelling urinary catheters among male nursing home patients: a prospective study, Veterans Administration Medical Center, Sepulveda, California, Med. 2007; 91: 65S–71Sp.

Platt R., Polk B.F., Murdock B., et al. Reduction of mortality associated with

nosocomial urinary tract infection, Lancet. 1983; 1: 893–7p.

Platt R., Polk B.F., Murdock B., et al. Mortality associated with nosocomial urinary-tract infection, New Engl J Med. 1982; 307: 637–42p.

Reilly L., Sullivan P., Ninni S., et al. Reducing Foley catheter device days in an intensive care unit, AACN Adv Crit Care. 2006; 17(3): 272–83p.

Orenstein R.D.O., et al. Urinary Tract Infections in Adults. Virginia Commonwealth University, Medical College of Virginia Richmond, Virginia; 2004: 1234–56p.

Robert Orenstein D.O. Reducing Use of Indwelling Urinary Catheters and Associated Urinary Tract Infections, Urinary Tract Infections in Adults, Virginia Commonwealth University, Medical College of Virginia; 1999; 674–56p.

Cook S.W., Mody N., Valle J., et al. Molecular cloning of Proteus mirabilis uroepithelial cell adherence (uca) genes, Infect Immun.1995; 63: 2082–6p.

Hagen S., Sinclair L., Cross S., et al. Washout Policies in Long-Term Indwelling Urinary Catheterization in Adults. Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UK; 2008, G4 0BA.

Cotterill S.L. Catheter-Associated Urinary Tract Infection Therapy by Bladder Irrigation “JMT Barford Medical Microbiology”, Centre for Infection, Division of Cellular and Molecular Medicine, St George's, University of London; 1999: CD004201.

Saint S., Chenoweth C.E. Biofilms and catheter-associated urinary tract infections, Infect Dis Clin North Am. 2003; 17(2): 411–32p.

Saint S., Kaufman S.R., Rogers M.A., et al.

Saint S., Kaufman S.R., Thompson M., et al. A reminder reduces urinary catheterization in hospitalized patients, Commun J Quali Patient Saf. 2005; 31(8): 455–62p.

Saint S., Veenstra D.L., Sullivan S.D., et al. The potential clinical and economic benefits of silver alloy urinary catheters in preventing urinary tract infection, Arch Int Med J. 2000; 160: 2670–5p.

Saint S., Wiese J., Amory J.K., et al. Are physicians aware of which of their patients have indwelling urinary catheters?” Am J Med. 2000; 109: 476–80p.

Saint S. Clinical and economic consequences of nosocomial catheter-related bacteriuria, Am J Infect Control. 2000; 28: 68–75p.

Stamm W.E. Catheter-associated urinary tract infections: epidemiology”, pathogenesis, and

prevention, Am J Nurs Med. 1991; 91: 65S–71Sp.

Stamm W.E., Hooton T.M. Management of urinary tract infections in adults, N Engl J Med. 329: 1328–34p.

Stickler D.J., Zimakoff J. Complications of urinary tract infections associated with devices used for long-term bladder management, J Hosp Infect. 1994; 28: 177–94p.

Tsuchida T., et al. Relationship Between Catheter Care and Catheter-Associated Urinary Tract Infection, Japanese general hospitals Department of Nursing, Osaka University, Suita city, Osaka, Japan. 2008; 45(3): 352–61p.

Tambyah P.A., Maki D.G. Catheter-associated urinary tract infection is rarely symptomatic: a prospective study of 1,497 catheterized patients, Arch Int Med J. 2000; 160: 678–82p.


Refbacks

  • There are currently no refbacks.