Factors Related to Catheter–Associated Urinary Tract Infection Prevention Practices of Nurses in a Secondary Hospital
Keywords:
Catheter-associated Urinary Tract Infection, practices, factors related, nurses, secondary hospitalAbstract
Catheter-associated Urinary Tract Infection (CAUTI) is one of the most common infections. Nurses have significant roles in CAUTI prevention. This descriptive correlational study aimed to determine practices and factors related to CAUTI prevention practices of nurses. The sample consisted of 160 nurses working in inpatient departments in a secondary hospital. Data were collected in April 2023. The instruments used in this study consisted of two parts: 1) the Practices in CAUTI Prevention questionnaire, and 2) the factors related to CAUTI prevention practices questionnaire, consisting of demographic data, knowledge of CAUTI prevention, attitudes towards CAUTI prevention, job training received, feedback received, and equipment support received. All instruments were validated by six experts and tested for reliability among 10 non-sample nurses. Data were analyzed using descriptive statistics and Spearman’s correlation coefficient.
The results found that the samples had a high level of CAUTI prevention practices (95.62%). Factors significantly related to CAUTI prevention practices included; attitudes towards CAUTI prevention, experience in caring for patients with urinary catheter, feedback received and equipment support received were positively correlated with practices in CAUTI prevention at a low level (r = .227, .283, .164, and .215, respectively, p < .05), job training received was positively correlated with practices in CAUTI prevention at a moderate level (r = .398, p < .05). However, knowledge was not correlated with CAUTI prevention practices.
The findings can be used to promote practices regrading CAUTI prevention, particularly regarding low levels of practices, for example, consideration of alternatives to urethral catheterization and reminding when patients hold the urinary catheter longer than necessary. Furthermore, practices promotion should emphasize factors related to CAUTI prevention practices.
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