The effect of a short educational intervention on the use of urinary catheters: a prospective cohort study.
To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Files To assess the effectiveness of implementation of evidence-based recommendations to reduce catheter-associated urinary tr...
Published in: | International Journal for Quality in Health Care |
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Main Authors: | , , , , , , , |
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Format: | Article in Journal/Newspaper |
Language: | English |
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2017
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Online Access: | http://hdl.handle.net/2336/620238 https://doi.org/10.1093/intqhc/mzw108 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/620238 |
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record_format |
openpolar |
institution |
Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
English |
topic |
Þvagleggir Þvagfærasjúkdómar Gagnreynd heilbrigðisvísindi Gagnreynd hjúkrun Námskeið PER12 RAN12 ONC12 CAD12 NAA12 Catheter-Related Infections Evidence-Based Practice Inservice Training |
spellingShingle |
Þvagleggir Þvagfærasjúkdómar Gagnreynd heilbrigðisvísindi Gagnreynd hjúkrun Námskeið PER12 RAN12 ONC12 CAD12 NAA12 Catheter-Related Infections Evidence-Based Practice Inservice Training Blondal, Katrin Ingadottir, Brynja Einarsdottir, Hildur Bergs, Dorothea Steingrimsdottir, Ingunn Steindorsdottir, Sigrun Gudmundsdottir, Gudbjorg Hafsteinsdottir, Elin The effect of a short educational intervention on the use of urinary catheters: a prospective cohort study. |
topic_facet |
Þvagleggir Þvagfærasjúkdómar Gagnreynd heilbrigðisvísindi Gagnreynd hjúkrun Námskeið PER12 RAN12 ONC12 CAD12 NAA12 Catheter-Related Infections Evidence-Based Practice Inservice Training |
description |
To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Files To assess the effectiveness of implementation of evidence-based recommendations to reduce catheter-associated urinary tract infections (CAUTIs). Prospective cohort study, conducted in 2010-12, with a before and after design. A major referral university hospital. Data were collected before (n = 244) and 1 year after (n = 255) the intervention for patients who received urinary catheters. The intervention comprised two elements: (i) aligning doctors' and nurses' knowledge of indications for the use of catheters and (ii) an educational effort consisting of three 30- to 45-minute sessions on evidence-based practice regarding catheter usage for nursing personnel on 17 medical and surgical wards. The main outcome measures were the proportion of (i) admitted patients receiving urinary catheters during hospitalization, (ii) catheters inserted without indication, (iii) inpatient days with catheter and (iv) the incidence of CAUTIs per 1000 catheter days. Secondary outcome measures were the proportion of (i) catheter days without appropriate indication and (ii) patients discharged with a catheter. There was a reduction in the proportion of inpatient days with a catheter, from 44% to 41% (P = 0.006). There was also a reduction in the proportion of catheter days without appropriate indication (P < 0.001) and patients discharged with a catheter (P = 0.029). The majority of catheters were inserted outside the study wards. A short educational intervention was feasible and resulted in significant practice improvements in catheter usage but no reduction of CAUTIs. Other measures than CAUTI may be more sensitive to detecting important practice changes. Icelandic Nurses' Association Research Fund Landspitali University Hospital Research Fund Ministry of Welfare in Iceland |
author2 |
1 Surgical Division, Landspitali - The National University Hospital of Iceland, 13A, 101 Reykjavik, Iceland. 2 Faculty of Nursing, University of Iceland, Eiriksgotu 34, 101 Reykjavik, Iceland. 3 Medical Division, Landspitali - The National University Hospital of Iceland, Eiriksgata 19, 101 Reykjavik, Iceland. 4 Medical Division, Landspitali - The National University Hospital of Iceland, Eiriksgata 19, 101 Reykjavik, Iceland. 5 Department of Infection Control, Landspitali - The National University Hospital of Iceland, Eiríksgata 29, 101 Reykjavik, Iceland. 6 Department of Urology, Landspitali - The National University Hospital of Iceland, 11A, 101 Reykjavik, Iceland. 7 Department of Quality Improvement, Landspitali - The National University Hospital of Iceland, Eiríksgata 5, 101 Reykjavik, Iceland. |
format |
Article in Journal/Newspaper |
author |
Blondal, Katrin Ingadottir, Brynja Einarsdottir, Hildur Bergs, Dorothea Steingrimsdottir, Ingunn Steindorsdottir, Sigrun Gudmundsdottir, Gudbjorg Hafsteinsdottir, Elin |
author_facet |
Blondal, Katrin Ingadottir, Brynja Einarsdottir, Hildur Bergs, Dorothea Steingrimsdottir, Ingunn Steindorsdottir, Sigrun Gudmundsdottir, Gudbjorg Hafsteinsdottir, Elin |
author_sort |
Blondal, Katrin |
title |
The effect of a short educational intervention on the use of urinary catheters: a prospective cohort study. |
title_short |
The effect of a short educational intervention on the use of urinary catheters: a prospective cohort study. |
title_full |
The effect of a short educational intervention on the use of urinary catheters: a prospective cohort study. |
title_fullStr |
The effect of a short educational intervention on the use of urinary catheters: a prospective cohort study. |
title_full_unstemmed |
The effect of a short educational intervention on the use of urinary catheters: a prospective cohort study. |
title_sort |
effect of a short educational intervention on the use of urinary catheters: a prospective cohort study. |
publishDate |
2017 |
url |
http://hdl.handle.net/2336/620238 https://doi.org/10.1093/intqhc/mzw108 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
https://oup.silverchair-cdn.com/oup/backfile/Content_public/Journal/intqhc/28/6/10.1093_intqhc_mzw108/3/mzw108.pdf?Expires=1498826280&Signature=JAoHYRsjr7QFMnTeGhCuDxV8224yBfaa-JWwVqXiMo9AhJp2URFSH23~nnDyn~wa0DCzzSpkjSokSIZvLxNmsPS4Iqg7lb3yYjuWLsxcAKe7ioWJGxpsoWfecRUjsBLXx6lMzLjWtvFFKbxEwcLiole3CP70zeyFsGgHAV7NO-gxZiOsWvWy8ZDxyx~-VoqmVStVE-~Y4TUmWkqIy9OS07j5sqZHKKEUjskcfs3v90ufpdLoOMQhu-ub5Px44tmT3kPv3cyFLmoGve5ItOZZo5lEFuJX~SDy-Z4IHopJCidct9Q7SJ93ELqp0jxFQ-MG91lQUvmBUoPP~zID2l5Dkw__&Key-Pair-Id=APKAIUCZBIA4LVPAVW3Q The effect of a short educational intervention on the use of urinary catheters: a prospective cohort study. 2016, 28 (6):742-748 Int J Qual Health Care 1464-3677 27664821 doi:10.1093/intqhc/mzw108 http://hdl.handle.net/2336/620238 International journal for quality in health care : journal of the International Society for Quality in Health Care |
op_rights |
Archived with thanks to International journal for quality in health care : journal of the International Society for Quality in Health Care Open Access - Opinn aðgangur |
op_doi |
https://doi.org/10.1093/intqhc/mzw108 |
container_title |
International Journal for Quality in Health Care |
_version_ |
1766042512384851968 |
spelling |
ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/620238 2023-05-15T16:52:20+02:00 The effect of a short educational intervention on the use of urinary catheters: a prospective cohort study. Blondal, Katrin Ingadottir, Brynja Einarsdottir, Hildur Bergs, Dorothea Steingrimsdottir, Ingunn Steindorsdottir, Sigrun Gudmundsdottir, Gudbjorg Hafsteinsdottir, Elin 1 Surgical Division, Landspitali - The National University Hospital of Iceland, 13A, 101 Reykjavik, Iceland. 2 Faculty of Nursing, University of Iceland, Eiriksgotu 34, 101 Reykjavik, Iceland. 3 Medical Division, Landspitali - The National University Hospital of Iceland, Eiriksgata 19, 101 Reykjavik, Iceland. 4 Medical Division, Landspitali - The National University Hospital of Iceland, Eiriksgata 19, 101 Reykjavik, Iceland. 5 Department of Infection Control, Landspitali - The National University Hospital of Iceland, Eiríksgata 29, 101 Reykjavik, Iceland. 6 Department of Urology, Landspitali - The National University Hospital of Iceland, 11A, 101 Reykjavik, Iceland. 7 Department of Quality Improvement, Landspitali - The National University Hospital of Iceland, Eiríksgata 5, 101 Reykjavik, Iceland. 2017 http://hdl.handle.net/2336/620238 https://doi.org/10.1093/intqhc/mzw108 en eng https://oup.silverchair-cdn.com/oup/backfile/Content_public/Journal/intqhc/28/6/10.1093_intqhc_mzw108/3/mzw108.pdf?Expires=1498826280&Signature=JAoHYRsjr7QFMnTeGhCuDxV8224yBfaa-JWwVqXiMo9AhJp2URFSH23~nnDyn~wa0DCzzSpkjSokSIZvLxNmsPS4Iqg7lb3yYjuWLsxcAKe7ioWJGxpsoWfecRUjsBLXx6lMzLjWtvFFKbxEwcLiole3CP70zeyFsGgHAV7NO-gxZiOsWvWy8ZDxyx~-VoqmVStVE-~Y4TUmWkqIy9OS07j5sqZHKKEUjskcfs3v90ufpdLoOMQhu-ub5Px44tmT3kPv3cyFLmoGve5ItOZZo5lEFuJX~SDy-Z4IHopJCidct9Q7SJ93ELqp0jxFQ-MG91lQUvmBUoPP~zID2l5Dkw__&Key-Pair-Id=APKAIUCZBIA4LVPAVW3Q The effect of a short educational intervention on the use of urinary catheters: a prospective cohort study. 2016, 28 (6):742-748 Int J Qual Health Care 1464-3677 27664821 doi:10.1093/intqhc/mzw108 http://hdl.handle.net/2336/620238 International journal for quality in health care : journal of the International Society for Quality in Health Care Archived with thanks to International journal for quality in health care : journal of the International Society for Quality in Health Care Open Access - Opinn aðgangur Þvagleggir Þvagfærasjúkdómar Gagnreynd heilbrigðisvísindi Gagnreynd hjúkrun Námskeið PER12 RAN12 ONC12 CAD12 NAA12 Catheter-Related Infections Evidence-Based Practice Inservice Training Article 2017 ftlandspitaliuni https://doi.org/10.1093/intqhc/mzw108 2022-05-29T08:22:15Z To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Files To assess the effectiveness of implementation of evidence-based recommendations to reduce catheter-associated urinary tract infections (CAUTIs). Prospective cohort study, conducted in 2010-12, with a before and after design. A major referral university hospital. Data were collected before (n = 244) and 1 year after (n = 255) the intervention for patients who received urinary catheters. The intervention comprised two elements: (i) aligning doctors' and nurses' knowledge of indications for the use of catheters and (ii) an educational effort consisting of three 30- to 45-minute sessions on evidence-based practice regarding catheter usage for nursing personnel on 17 medical and surgical wards. The main outcome measures were the proportion of (i) admitted patients receiving urinary catheters during hospitalization, (ii) catheters inserted without indication, (iii) inpatient days with catheter and (iv) the incidence of CAUTIs per 1000 catheter days. Secondary outcome measures were the proportion of (i) catheter days without appropriate indication and (ii) patients discharged with a catheter. There was a reduction in the proportion of inpatient days with a catheter, from 44% to 41% (P = 0.006). There was also a reduction in the proportion of catheter days without appropriate indication (P < 0.001) and patients discharged with a catheter (P = 0.029). The majority of catheters were inserted outside the study wards. A short educational intervention was feasible and resulted in significant practice improvements in catheter usage but no reduction of CAUTIs. Other measures than CAUTI may be more sensitive to detecting important practice changes. Icelandic Nurses' Association Research Fund Landspitali University Hospital Research Fund Ministry of Welfare in Iceland Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive International Journal for Quality in Health Care |