Impact of Catheter-associated Urinary Tract Infection (CAUTI) Education Package on Nurses’ Knowledge and Practices

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dc.contributor.advisor King, A en
dc.contributor.advisor Stewart, L en
dc.contributor.author Gesmundo, Monina en
dc.date.accessioned 2016-02-28T23:01:47Z en
dc.date.issued 2016 en
dc.identifier.citation 2016 en
dc.identifier.uri http://hdl.handle.net/2292/28310 en
dc.description.abstract Objectives: The purpose of this study was to determine the impact of a catheter-associated urinary tract infection (CAUTI) education package on the knowledge and indwelling catheter management practices of nurses. Specific objectives include: to identify baseline data on nurses’ attitude, knowledge and catheter management practices and to develop an educational intervention aimed at addressing knowledge or care management deficits. Methods: The study was conducted at two post-operative wards of a tertiary public hospital. A multi-phased mixed methods approach utilising focus group discussions, pre-test and posttest and document analysis of catheter maintenance checklists was conducted. The first phase was exploratory and focus groups were utilised to identify existing attitude associated with catheter management. Following this, an education session focusing on evidence-based guidelines was developed to address deficits from phase one. After the education session, pretest and post-test was conducted to compare the nurses' level of knowledge on CAUTI prevention. Document analysis of checklists was conducted post-intervention to evaluate how knowledge gained translated into practice. Findings: Focus groups revealed that nurses had diverse training, and had feelings of inadequacy and lack of confidence related to catheter management skills, hence the diversity in practices. Diversity in practice can be addressed by standardising organisational policies. Nurses feel responsible for catheter care and expressed the need for empowerment to make catheter care decisions. Fourteen participants completed the pre and post-test. Statistical analyses utilising paired t-test indicate a significant difference (p < 0.0001) in the overall score of participants between the pre and post-test, with a mean difference of 6.64 and 95% CI of (4.96, 8.33). Document analysis of catheter maintenance checklists revealed that while documentation is not optimal, nurses adhered to catheter care evidence-based guidelines. The checklist itself served as procedure prompt and improved care documentation. Conclusion: The introduction of a CAUTI education package had a significant impact on nurse’s knowledge and indwelling catheter management practices. Effective CAUTI prevention education required that all components of catheter care be addressed. Catheter care involves collaborative care, thus, continuous education of nurses and everyone involved in catheter care utilising multi-faceted strategies is essential in CAUTI prevention. en
dc.publisher ResearchSpace@Auckland en
dc.relation.ispartof Masters Thesis - University of Auckland en
dc.relation.isreferencedby UoA99264837913402091 en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Impact of Catheter-associated Urinary Tract Infection (CAUTI) Education Package on Nurses’ Knowledge and Practices en
dc.type Thesis en
thesis.degree.discipline Nursing en
thesis.degree.grantor The University of Auckland en
thesis.degree.level Masters en
dc.rights.holder Copyright: The Author en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.elements-id 523675 en
pubs.record-created-at-source-date 2016-02-29 en


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