Dissertation/Thesis Abstract

Improving Patient Outcomes through Implementation of a Nurse-Directed Protocol for Urinary Catheter Removal
by Campbell, Barbara Jean, D.N.P., Grand Canyon University, 2020, 109; 27741911
Abstract (Summary)

One of the most common infections acquired in the acute care setting is a catheter associated urinary tract infection (CAUTI) resulting from medical treatment that requires an indwelling urinary catheter (IUC). The number of IUC device days is the most important determinant of bacteria collection on the device. The purpose of this quantitative, quasi-experimental practice improvement project was to determine to what degree a relationship exists between a nurse-directed protocol for IUC removal and device days at the project site, a rural hospital in southeastern North Carolina. Theoretical foundations used for this project were Lewin’s change theory and Tanner’s model of clinical judgment. The project used a quantitative methodology and a quasi-experimental design to analyze data from the electronic health record (EHR). A convenience sample (N = 110) was chosen for this project from patients admitted to the medical-surgical floors with an IUC for 4-weeks before and 4-weeks after the implementation of a nurse-directed removal protocol (NDRP). Data was collected from the EHR and used to analyze IUC device days. Raw data for IUC device days in the 4-week post-intervention group decreased by 9 days. Though not statistically significant (p = .224), the practice site plans to continue the implementation of the NDRP to reduce IUC device days and improve patient outcomes by reducing the risk for CAUTIs by reducing IUC device days. Future projects should include the use of the NDRP to reduce IUC device days and collect data over an extended time. Keywords: Catheter-associated urinary tract infection (CAUTI), nurse-directed removal protocol (NDRP), NDRP-HOUDINI.

Indexing (document details)
Advisor: Morrison, Joyce
Commitee: Phillips, Jan
School: Grand Canyon University
Department: College of Nursing and Health Care Professions
School Location: United States -- Arizona
Source: DAI-B 81/9(E), Dissertation Abstracts International
Subjects: Nursing
Keywords: Catheter-associated urinary tract infection, NDRP-HOUDINI, Nurse-directed removal protocol
Publication Number: 27741911
ISBN: 9781658485678
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