Dissertation
Decrease catheter associated urinary tract infections with leader rounding using a checklist
Doctor of Nursing Practice (D.N.P.), Drexel University
2017
DOI:
https://doi.org/10.17918/etd-7754
Abstract
It has been estimated that each year, more than 13,000 deaths are associated with CAUTI's (Magill et al., 2014). Decreasing use of indwelling catheters through removal when no longer clinically indicated is the key to decreasing or eliminating CAUTI. Approximately 12%-16% of adult hospitalized inpatients will have an indwelling urinary catheter at some time during their inpatient admission. Each day the indwelling urinary catheter remains, a patient has a 3% to 7% increased risk of acquiring a CAUTI (Burton, Edwards, Srinivasan, Fridkin, & Gould, 2011). The purpose of this project was to determine if nurse leader rounding using a checklist to prompt removal when indwelling urinary catheters are no longer clinically indicated would decrease catheter days and CAUTI infections compared to nurse leaders not rounding. The study site was a 722- bed licensed academic medical center located in a major city in Pennsylvania. A Focused PDCA approach was used for a six-week performance improvement project. Data was collected from the daily patient census in two intensive care units. No demographic information was collected. Patients were assigned control numbers and the nurse leader completed the checklist during daily rounds. A Fisher's exact test (Polit &Beck, 2017) was conducted and demonstrated no correlation between the use of a checklist and leader rounding versus no leader rounding or use of a checklist. Outcomes of this study were shared with the study site and CAUTI committee.
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Details
- Title
- Decrease catheter associated urinary tract infections with leader rounding using a checklist
- Creators
- Elizabeth Menschner - DU
- Contributors
- Al Rundio (Advisor) - Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- 41 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 7754; 991014632323404721