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.
|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|
|Keywords:||Catheter-associated urinary tract infection, NDRP-HOUDINI, Nurse-directed removal protocol|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be