Effects of a clinical nursing practice guideline for catheter-associated urinary tract infection on selected outcomes in Khonkaen Hospital
Abstract
Abstract
This quasi-experimental design aims to assess effects of a clinical nursing practice guideline for CAUTI prevention (CAUTI-CNPG) among 114 patients newly indwelled with urinary catheters in the medical department. Fifty seven patients were assigned to an experimental group and received care using CAUTI-CNPG while the other 57 were in a comparison group which received routine urinary care. Data collection took place before urinary care for each group and again 4 days after receiving the care. Results indicated that CAUTI occurred 65.9 times/1000 catheter-day in the comparison group but only 29.2 times/1000 catheter-day in the experimental group. When compared to the comparison group, the experimental group was 0.41 times less likely to develop CAUTI (RR= 0.41; 95% CI 0.19-0.92). Nurses who used the CAUTI-CNPG reported a high to highest level of satisfaction with the CNPG and expressed a 100% adherence to the CNPG protocol
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