Abstract

Despite national efforts to reduce catheter-associated urinary tract infections (CAUTIs), healthcare facilities continue to report CAUTI events. The project site reported CAUTI rates above local and national benchmarks even though a CAUTI bundle was in use. The purpose of this quantitative quasi-experimental quality improvement project was to determine if the implementation of daily rounding by organizational CAUTI champions, using the Agency for Healthcare Research and Quality (AHRQ) Comprehensive Unitbased Safety Program (CUSP), would impact CAUTI rates among adult residents in a rehabilitation facility in Northern California for four weeks. Lewin's change theory and the IOWA evidence-based practice model were the theoretical and conceptual models used for the project. CAUTI data was obtained from the medical record for the total sample size of 32 patients with indwelling urinary catheters (IUC) and measured against the National Healthcare Safety Network (NHSN) criteria. A paired t-test showed a statistical and clinically significant improvement in CAUTI rates (M=5.18; SD=.02; p=.000). Based on the results, daily rounding by organizational CAUTI champions, using the AHRQ CUSP may reduce CAUTIs in rehabilitation facilities. Recommendations include continuation of the intervention and a repetition of the project at another clinical site over a more extended monitoring period using a larger sample size.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 28318954; ProQuest document ID: 2503422952. The author still retains copyright.

Author Details

Folashade Oluwafunmi, DNP, MSN-Ed, MS, RN, PHN, EBP-C, CPHQ

Sigma Membership

Non-member

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Quasi-Experimental Study, Other

Research Approach

Quantitative Research

Keywords:

Urinary Tract Infections, Catheters, Rounding

Advisor

Katherine Fetter

Second Advisor

Linda Price

Third Advisor

Christine Johns

Degree

DNP

Degree Grantor

Grand Canyon University

Degree Year

2021

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2022-12-15

Full Text of Presentation

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