Daily rounding to reduce catheter-associated urinary tract infections in a rehabilitation facility
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Folashade Oluwafunmi, DNP, MSN-Ed, MS, RN, PHN, EBP-C, CPHQ
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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.
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.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Quasi-Experimental Study, Other |
Research Approach | Quantitative Research |
Keywords | Urinary Tract Infections; Catheters; Rounding |
Grantor | Grand Canyon University |
Advisor | Fetter, Katherine; Price, Linda; Johns, Christine |
Level | DNP |
Year | 2021 |
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