Kontakt 2022, 24(3):240-245 | DOI: 10.32725/kont.2022.021
Quality management as part of the prevention of healthcare associated urinary tract infectionSocial Sciences in Health - Original article
- 1 University of South Bohemia in České Budějovice, Faculty of Health and Social Sciences, České Budějovice, Czech Republic
- 2 University of West Bohemia, Faculty of Health Care Studies, Department of Nursing and Midwifery, Pilsen, Czech Republic
Goal: The objective of this research was to determine whether hospitals have implemented risk management, including the monitoring of quality indicators related to the issue of prevention catheter-associated urinary tract infection. The monitoring of results and process-related quality indicators is one of many steps that should be taken to increase quality and safety in patient care.
Methods: This quantitative research was conducted in the form of a questionnaire survey.
Results: Result indicator monitoring or recording the number of cases of catheter-associated urinary tract infection, is performed in 33.3% of hospitals, and records of the number of catheter-days are kept in only one quarter of hospitals. We also demonstrated a statistically significant relationship between the above and an increase in qualifications in correct catheterisation procedures, care for patients with urinary catheters, and possibilities of catheter-associated urinary tract infection prevention (p < 0.001; χ2 = 18.473).
Conclusions: Quality management and risk identification are the responsibility of the management of healthcare providers, while it is the responsibility of the healthcare workers to provide competent care according to approved procedures.
Keywords: Audit; Nursing; Prevention; Quality indicator; Standard procedure; Urinary tract infection
Conflicts of interest:
The authors declare that there are no conflict of interests.
Received: February 20, 2022; Revised: May 27, 2022; Accepted: June 28, 2022; Prepublished online: July 1, 2022; Published: October 5, 2022 Show citation
References
- Alexaitis I, Broome B (2014). Implementation of a nurse-driven protocol to prevent catheter-associated urinary tract infections. J Nurs Care Qual 29(3): 245-252. DOI: 10.1097/NCQ.0000000000000041.
Go to original source...
Go to PubMed...
- Andreessen L, Wilde MH, Herendeen P (2012). Preventing catheter-associated urinary tract infections in acute care: the bundle approach. J Nurs Care Qual 27(3): 209-217. DOI: 10.1097/NCQ.0b013e318248b0b1.
Go to original source...
Go to PubMed...
- Aufseeser-Weiss MR, Ondeck DA (2001). Medication use risk management: hospital meets home care. J Nurs Care Qual 15(2): 50-57. DOI: 10.1097/00001786-200115020-00006.
Go to original source...
Go to PubMed...
- Brabcova I, Bártlová S, et al. (2015). Management v ošetřovatelské praxi. Praha: NLN, 287 p.
- Burston S, Chaboyer W, Gillespie B (2014). Nurse-sensitive indicators suitable to reflect nursing care quality: a review and discussion of issues. J Clin Nurs 23(13-14): 1785-1795. DOI: 10.1111/jocn.12337.
Go to original source...
Go to PubMed...
- Carter NM, Reitneier L, Goodloe LR (2014). An evidence-based approach to the prevention of catheter-associated urinary tract infections. Urol Nurs 34(5): 238-245.
Go to original source...
Go to PubMed...
- CDC (2009). Guideline for prevention of catheter-associated urinary tract infections. HICPAC. [online] [cit. 2021-12-21]. Available from: https://www.cdc.gov/infectioncontrol/pdf/guidelines/cauti-guidelines-H.pdf
- Conway LJ, Larson EL (2012). Guidelines to prevent catheter-associated urinary tract infection:1980 to 2010. Heart Lung 41(3): 271-283. DOI: 10.1016/j.hrtlng.2011.08.001.
Go to original source...
Go to PubMed...
- Jain M, Dogra V, Mishra B, Thakur A, Loomba PS (2015). Knowledge and attitude of doctors and nurses regarding indication for catheterization and prevention of catheter-associated urinary tract infection in a tertiary care hospital. Indian J Crit Care Med 19(2): 76-81. DOI: 10.4103/0972-5229.151014.
Go to original source...
Go to PubMed...
- Jindrák V, Hedlová D, Urbášková P, et al. (2014). Antibiotická politika a prevence infekcí v nemocnici. Praha: Mladá fronta, 709 p.
- Krocová J, Prokešová R, (2022). Aspects of Prevention of Urinary Tract Infections Associated with Urinary Bladder Catheterisation and Their Implementation in Nursing Practice. Healthcare 10(1): 152. DOI: 10.3390/healthcare10010152.
Go to original source...
Go to PubMed...
- McNeill L (2017). Back to basics: how evidence-based nursing practice can prevent catheter-associated urinary tract infections. Urol Nurs 37(4): 204-206. DOI: 10.7257/1053-816X.2017.37.4.204
Go to original source...
- Oman KS, Makic MB, Fink R, Sreader N, Hulett T, Keech T, Wald H (2012). Nurse-directed interventions to reduce catheter-associated urinary tract infections. Am J Infect Control 40(6): 548-553. DOI: 10.1016/j.ajic.2011.07.018.
Go to original source...
Go to PubMed...
- Peter S, Devi ES, Nayak SG (2018). Effectiveness of clinical practice guidelines on prevention of catheter-associated urinary tract infections in selected hospitals. J Krishna Inst Med Sci Univ 7(1): 55-66.
- Purvis S, Gion T, Kennedy G, Rees S, Safdar N, VanDenBergh S, Weber J (2014). Catheter-associated urinary tract infection: a successful prevention effort employing a multipronged initiative at an academic medical center. J Nurs Care Qual 29(2): 141-148. DOI: 10.1097/NCQ.0000000000000037.
Go to original source...
Go to PubMed...
- Quinn M, Ameling JM, Forman J, Krein SL, Manojlovich M, Fowler KE, et al. (2020). Persistent barriers to timely catheter removal identified from clinical observations and interviews. Jt Comm J Qual Patient Saf 46(2): 99-108. DOI: 10.1016/j.jcjq.2019.10.004.
Go to original source...
Go to PubMed...
- SAK o.p.s. (2013). Akreditační standardy pro nemocnice [Joint accreditation commission accreditation standards for hospitals]. [online] [cit. 2021-12-21]. Available from: https://www.sakcr.cz/files/2e6e410b84857cf84cf734275644446f/nemsak-standardy-nemocnice-2014.pdf
- Savitz LA, Jones CB, Bernard S, Henriksen K, Battles JB, Marks ES, Lewin DI (Eds) (2005). Quality indicators sensitive to nurse staffing in acute care settings. In advances in patient safety: from research to implementation programs, tools, and products. Agency for healthcare research and quality (US): Rockville. 2005.
- Sujijantararat R, Booth RZ, Davis LL (2005). Nosocomial urinary tract infection: nursing-sensitive quality indicator in a Thai hospital. J Nurs Care Qual 20(2): 134-139. DOI: 10.1097/00001786-200504000-00008.
Go to original source...
Go to PubMed...
- Šupšáková P (2017). Řízení rizik při poskytování zdravotních služeb: manuál pro praxi. Praha: Grada Publishing, 260 p.
- Sysel D, et al. (2011). Teorie a praxe ošetřovatelského procesu. Brno: Tribun EU, 280 p.
- Tenke P, Kovacs B, Bjerklund Johansen TE, Matsumoto T, Tambyah PA, Naber KG (2008). European and Asian guidelines on management and prevention of catheter-associated urinary tract infections. Int J Antimicrob Agents 31(1): 68-78. DOI: 10.1016/j.ijantimicag.2007.07.033.
Go to original source...
Go to PubMed...
- Tóthová V, et al. (2014). Ošetřovatelský proces a jeho realizace. Praha: Triton, 225 p.
- Underwood L (2015). The effect of implementing a comprehensive unit-based safety program on urinary catheter use. Urol Nurs 35(6): 271-279.
Go to original source...
Go to PubMed...
- Yatim J, Wong KS, Ling ML, Tan SB, Tan KY, Hockenberry MA (2016). Nurse-driven process for timely removal of urinary catheters. Int J Urol Nurs 10(3): 167-172. DOI: 10.1111/ijun.12113.
Go to original source...
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.