Abstract

Catheter-associated urinary tract (CAUTI) infections can be a serious complication during a hospital stay. The project site noted a lack of an evidence based intervention for CAUTI prevention and a solution was sought. The purpose of this quantitative quasi-experimental quality improvement project was to determine if the implementation of the translation of the research by Gould et al. using the Center for Disease Control and Prevention's Guideline for Prevention of Catheter-Associated Urinary Tract Infections would impact the number of CAUTIs among hospitalized adult patients. The project took place in an acute care hospital intensive care unit in urban California over four weeks. Hildegard Peplau's theory of interpersonal relations and Kurt Lewin's change theory provided the theoretical underpinnings of the project. Data was extracted from the Electronic Health Record on a total sample size of 113 with n = 59 in the comparison group and n = 54 in the implementation group. A Chi square test was performed and indicated that χ2 (1, N = 113) = .004, p = .950, showing no statistical significance in the reduction of CAUTIs. However, clinical significance was supported with a reduction in catheter use from 72% in the comparison group to 62% in the implementation group. Recommendations are to continue the use of the Center for Disease Control and Prevention's Guideline for Prevention of Catheter-Associated Urinary Tract Infections over a longer period of time and with a larger sample.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 29257747; ProQuest document ID: 2695013235. The author still retains copyright.

Author Details

Barbara Mauger, DNP, MSN

Sigma Membership

Nu Upsilon

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Quantitative Research

Keywords:

Urinary Catheters, Infections, Infection Prevention, Change Theory

Advisor

Ginelle Hunsberger

Second Advisor

Christopher Atkins

Degree

DNP

Degree Grantor

Grand Canyon University

Degree Year

2022

Rights Holder

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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

2023-08-21

Full Text of Presentation

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