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Thesis/Dissertation Information
- Degree Disciplines:
- Nursing
Notes
- Abstract:
- Background: Catheter associated urinary tract infection (CAUTI) is the most common nosocomial infection that increases healthcare costs. Studies have shown that avoiding catheterization and timely removal of unnecessary urinary catheters is associated with a reduction of CAUTI. Currently, the nurses are unable to insert or discontinue urinary catheters unless an order is written on the chart. Purpose: To develop, implement, and evaluate a nurse-initiated protocol modeled from evidence-based guidelines to remove unnecessary urinary catheters. Theoretical Framework. Donabedian’s triad model of structure, process, and outcome. Methods. This was a four-phase capstone project with specific outcome objectives for each phase. In phase 1, an education plan for nurses was developed. In phase 2, nurses were educated on the use of evidence-based protocol to remove unnecessary urinary catheters. In phase 3, the protocol was implemented by staff nurses. In phase 4, the protocol was evaluated using feedback forms and focus groups. Results: Twenty urinary catheters were removed per protocol. Fifteen patients voided spontaneously within four hours while five patients required some interventions. Nurses implemented the protocol after providing education. Both feedback forms responders and focus group participants offered the following suggestions: decrease frequency of incomplete bladder emptying and intake and output monitoring; decrease the number of instruction box; and provide specific instruction for post void residual less than 250cc. Conclusion: The findings suggest that a nurse-initiated protocol for urinary catheter removal may be successfully implemented in a medical-surgical unit and may have implications for decreased morbidity and mortality.
- Thesis:
- Thesis (D.N.P.)--Barry University, 2010.
- Bibliography:
- Includes bibliographical references (leaves 79-84).
Record Information
- Source Institution:
- Barry University
- Holding Location:
- Barry University Archives and Special Collections
- Rights Management:
- Copyright Annabelle D. Scott. Permission granted to Barry University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder.
- Resource Identifier:
- RT42.S36 2010_ScottAnnabelle ( BU-Local )
- Classification:
- RT42.S36 2010 ( lcc )
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