INTRODUCTION • CAUTI are preventable • Early removal is essential • Nursing staff provides catheter care • Focusing on prevention in the early stages of catheter use has potential to drastically reduce CAUTI rates. STATEMENT OF THE PROBLEM • There is a significant gap of understanding regarding catheter care among nurses. • Although UPHM does have nurse driven protocols in place, many of the staff nurses are unaware of their existence or unfamiliar with the specifics. PICO
•In the Inpatient setting, how does
catheter-associated urinary tract infection (CAUTI) education impact knowledge of Nursing staff in an inpatient setting. THEORETICAL FRAMEWORK • Planning would begin with discussing the •Importance of CAUTI •CAUTI data
importance of CAUTI reduction. It would also reduction
•Outline strategy •EBP analysis
include a strategy on how the project would
be conducted. • The do section would include the work of data collection. This is important to get a baseline of current knowledge and statistics. Plan Do • Study is analyzing the data that has been collected. I would also look at EBP during this section. • Act section is implementation of my interventions targeted at CAUTI reduction. • If the actions are not effective, the cycle can Act Study begin again with the planning phase. •Implement plan •Analysis of CAUTI data •Conduct study •Analysis of EBP data •Education day •Pretest •Lecture •Post test REVIEW OF THE LITERATURE: Monina Gesmundo, RN, BSN Parker, et al. Richards, et al. 1. Sample: 14 nurses from two 1. Sample: 4 hospitals 1. Sample: 18 bed unit postoperative wards 2. Design: A prospective, interventional 2. Design: multiple pre-post control design 2. Design: A multi-phased mixed- intervention design using a 3. Statistical tests: standardized infection method approach phased mixed method approach ratio 3. Statistical tests: paired t-test 4. Intervention: 3. Statistical tests: Proposed study 1. Daily chart audits 4. Intervention: Educational lecture 1. A mixed methods analysis 2. Root cause analysis 3. Education during staff 5. Limitations 4. Intervention: education, 5. Limitations 1. Small sample size (14) monitoring and feedback, 1. Performed at a single center 2. CAUTI rates unknown resources, and facilitation 2. Staff perceptions not formally investigated 3. Subjective interpretation of 3. atheoretical approach was used qualitative data 5. Limitations Proposed study 6. Major findings: reduction of CAUTI 1. 2012: 40 6. Major findings 6. Major findings Proposed study 2. 2013: 38 1. Improvement in test scores 3. 2014: 15 2. (p < .05) METHODOLOGY • Pre and posttest design • Learning objectives • Convenience sampling • Identification of CAUTI and its risk factors • Demographics questionnaire • Increased knowledge of the Adult • Educational lecture Nursing Urinary Catheter Removal Protocol. • Handouts • Increased competence in catheter • Adult Nursing Urinary Catheter care Removal Protocol. • Quick reference guide that can be attached to nametag • DATA COLLECTION/ANALYSIS • Data will be collected and compared using statistical analysis comparing pretest to post test scores. • Pre and posttest will be analyzed using a paired t-test. • What the expected result from using the t-test should show is a significant variation in the test after the variable is applied RELIABILITY AND VALIDITY • Convenience sampling • Represent the general nursing population at UPHM • Test questions • Adult Nursing Urinary Catheter Removal Protocol • Policy and Procedure manual. • The same test will be given twice to insure reliability in the results • prior to and immediately after the education is delivered. PROTECTION OF HUMAN SUBJECTS • Informed consent • May opt out • Educational lecture • CNEs will be given. • Two copies of the same test • Numbered • Stored in locked cabinet • Data computer encrypted DISCUSSION/CONCLUSION • Significance of CAUTI cannot be understated • Impacts all patients with IDCs • Nursing has an impact • Nurse driven protocols • EBP • Education is crucial • A solid impact can be made to reduce CAUTI, improve patient outcomes and reduce the cost of healthcare.