Effect of Applying Teaching Program for Nurses on Catheter Associated Urinary Tract Infection
Abstract
The Bundle of Catheter Associated Urinary Tract Infection (CAUTI) prevention is composed of several measures which primarily focused on the process of reducing urinary tract infection. Education and training of healthcare personnel can result in significant reduction in CAUTI rate. Aims: assess nurses` knowledge related to the care of Foley-catheterized patients, assess nurses` practice for Foley catheterized patients, and identify the effect of the teaching program for nurses on the incidence rate of CAUTI. Information were gathered from 55 nurses giving direct care to Foley-Catheterized patients and from 100 Foley-catheterized patients divided into two groups: group I (Control) and group II was considered as Experimental. Tools: Five tools were used: “Nurses` CAUTI Knowledge Assessment Questionnaire”, “Foley-Catheterized Patients Nursing Practices Assessment Checklist”, ” Urinary Tract Infection Patient Assessment Sheet”, ” Nurses Teaching Program for CAUTI Prevention”, and “Nurses` Feedback Evaluation for The Teaching Program”. Method: Phase (I): Nurses` practice was assessed during caring for Foley-catheterized patients in group (I), meanwhile, patients in group I were assessed for signs of CAUTI within 24 and after 48 hours of Foley catheter insertion. Phase II: Nurses` knowledge for CAUTI prevention measures was assessed in the conference room, and then they were asked to attend the teaching program for nurses for CAUTI prevention. Phase III: After three months nurses` knowledge and practices in caring for group II of catheterized patients were assessed, and patients were assessed within 24 and after 48 hours of catheterization for CAUTI. The collected data were fed to SPSS; descriptive statistics were analyzed using numbers, percentage, arithmetic mean, standard deviation, and t test was done. Results: The study showed significant improvement in nurses` knowledge and practices after attending the teaching program on CAUTI prevention, as well as it showed a significant decrease in CAUTI incidence from 26% of patients in group I reaching 14% of patients in group II. Conclusion: Conducting nurses teaching program for CAUTI prevention had a positive effect on nurses` knowledge and practice as it showed a positive effect on the reduction of CAUTIs among catheterized patients.
Student(s)
Rabih Fayez Nasser
Supervisor(s)
Dr. Nesrine Ezzat Abdel Karim