NURSES' KNOWLEDGE AND PRACTICES TOWARD PREVENTION OF CATHETER-ASSOCIATED URINARY TRACT INFECTION AT KING ABDULAZIZ UNIVERSITY HOSPITAL
Keywords:
Knowledge, Practices, Catheter-associated Urinary Tract Infection, NursesAbstract
Purpose: Urinary catheterization is one of the most common procedures performed in hospitals especially in intensive care units. The urinary catheter is considered as a single biggest risk factor for acquired urinary tract infections (UTIs), and more than 80% of all acquired UTIs are attributable to catheter use. The purpose of this study was to assess nurses' knowledge and practices toward prevention ofCAUTI at King Abdulaziz University Hospital (KAAUH).
Materials and method: A cross-section, correlational study was conducted with a convenience sample of 137 nurses recruited from medical and intensive care units at KAAUH in Jeddah, Saudi Arabia. Knowledge and Practices Questionnaire was completed by participants. It included two parts: Part I: Socio-Demographic Questionnaire. Part II: Level of Knowledge and Extent of Practices Questionnaire. Data collection was carried out from November 2017 to January 2018. Data were analyzed using the SPSS version 22.
Findings: The study findings revealed that more than half of nurses (62.77%) had a low level of knowledge and 83.94% of nurses had a poor level of practices. While 16.1% of nurses had a good level of practices. There was no significant relation between nurses' knowledge and practice toward CAUTI prevention. While there was a significant relation between nurses' knowledge and age and there was a significant relation between nurses' practices and current unit.
Unique contribution to practice and policy: Further studies need to investigate the barrier affecting nurses' knowledge, attitude and practice regarding CAUTI prevention. Nurses should be trained regularly in CAUTI prevention, also hospital administration in Saudi hospitals should make every effort to include CAUTI prevention in their high priority list.
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References
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Al Nasser, W., El-saed, A., Al-jardani, A., Althaqafi, A., Alansari, H., Alsalman, J, "¦ Balkhy, H. H. (2016). American Journal of Infection Control rates of catheter-associated urinary tract infection in tertiary care hospitals in 3 Arabian Gulf countries"¯: A 6-year surveillance study. American Journal of Infection Control, 44(12), 1589-1594. http://doi.org/10.1016/j.ajic.2016.06.030
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American Association of Colleges of Nursing (AACN). (2014). The impact of education on nursing practice. Retrieved from http://www.aacn.nche.edu/media-relations/fact- sheets/impact-of-education.
Anwar, G., Nawaz, G., Afzal, M., Majeed, I., & Waqas, A. (2017). Assessment of perceptions and practices of the uurses to prevent indwelling catheter associated infection: Jinnah Hospital Lahore, Pakistan. International Journal of Applied Sciences and Biotechnology, 5(2), 150. http://doi.org/10.3126/ijasbt.v5i2.17317
Association for Professionals in Infection Control. (2014). Guide to Preventing Catheter-Associated Urinary Tract Infections. Retrieved from http://apic.org/Resource_/EliminationGuideForm/0ff6ae59-0a3a-4640-97b5-eee38b8bed5b/File/CAUTI_06.pdf
Banks, H., Abdella, R., & Willmann, Y. (2016). Nursing Interventions Aimed at Reducing the Incidence of Hospital Acquired Catheter-Associated Urinary Tract Infections. http://www.theseus.fi/handle/10024/112505
Desta, M., Ayenew, T., Sitotaw, N., Tegegne, N., Dires, M., & Getie, M. (2018). Knowledge, practice and associated factors of infection prevention among healthcare workers in Debre Markos referral hospital, Northwest Ethiopia. BMC health services research, 18(1), 465.
Gaid, E., Assiri, A., McNabb, S., & Banjar, W. (2017). Device-associated nosocomial infection in general hospitals, Kingdom of Saudi Arabia, 2013-2016. Journal Epidemiology and Global Health, 1589-1594. http://doi.org/10.1016/j.jegh.2017.10.008
Gesmundo, M. (2016). Managing indwelling urinary catheters. Kai Tiaki Nursing New Zealand, 22(6), 14-15.
Gould, C.V., Umscheid, C.A., Agarwal, R.K., Kuntz, G., Pegues, D. A., & Healthcare Infection Control Practices Advisory Committee. (2017). Guideline for prevention of catheter-associated urinary tract infections 2009. Infection Control and Hospital Epidemiology, 31(4), 319-26. doi: 10.1086/651091.
Grove, S.K., Burns, N., & Gray, J. (2014). Understanding nursing research: Building an evidence-based practice. Elsevier Health Sciences: USA."
Ismail, S.I.A. (2017). Impact of an educational program on nurses' knowledge and practice of urethral catheterization. (Doctoral dissertation). Retrieved from http://medicine.ribat.edu.sd/public/uploads/upload/repository/cover%20_7457524645.pdf
Kalantarzadeh, M., Mohammadnejad, E., Ehsani, S.R., & Tamizi, Z. (2014). Knowledge and practice of nurses about the control and prevention of nosocomial infections in emergency departments. Archives of clinical infectious diseases, 9(4).
Kose, Y., Leblebici, Y., Akdere, S.S., Cakmakci, H., & Otunctemur, S., Egici, M.T., & Bektemür, G. (2016). Level of knowledge of the nurses work in a public hospital about the prevention of catheter-associated urinary tract infections. The Medical Bulletin of Sisli Etfal Hospital, 50(1), 70-79. http://doi.org/10.5350/SEMB.20151216103044
Launiala, A. (2009). How much can a KAP survey tell us about people's knowledge, attitudes and practices"¯? Some observations from medical anthropology on malaria in pregnancy in Malawi Background: KAP surveys. Anthropology Matters Journal, 11(1), 1-13.
Lo, E., Nicolle, L.E., Mph, S.E.C., Gould, C., Mph, L.L. M., Meddings, J., "¦ Gould, C. (2016). Strategies to prevent catheter-associated urinary tract infections in acute care hospitals: 2014 update. Infection Control & Hospital Epidemiology, 35(5), 464-479. http://doi.org/10.1086/675718
Loveday, H.P., Wilson, J.A., Pratt, R.J., Golsorkhi, M., Tingle, A., Bak, A., "¦ Wilcox, M. (2014). National Evidence-Based Guidelines for preventing healthcare-associated infections in NHS Hospitals in England. Journal of Hospital Infection, 86(S1), S1-S70. doi: 10.1016/S0195-6701(13)60012-2.
Ministry of Health (MOH). (2016). Kingdom of Saudi Arabia statistical year book. Retrieved from https://www.moh.gov.sa/en/Ministry/Statistics/Book/Pages/default.aspx.
Mitchell, B., Ware, C., McGregor, A., Brown, S., Wells, A., Stuart, R.L., ... Mason, M. (2011). ASID (HICSIG)/AICA position statement: Preventing catheter-associated urinary tract infections in patients. Healthcare Infection, 16(2), 45-52.
Mukakamanzi, J. (2017). Knowledge, attitude and practices of nurses towards the prevention of catheter-associated urinary tract infection in selected Referral Hospitals in Rwanda. (Doctoral dissertation). Retrieved from http://dr.ur.ac.rw/bitstream/handle/123456789/324/MUKAKAMANZI%20Jacqueline.pdf?sequence=1&isAllowed=y
Nicolle, L.E. (2014). Catheter associated urinary tract infections. Antimicrobial resistance and infection control, 3(1), 23.
Niederhauser, A., Züllig, S., Marschall, J., & Schwappach, D. (2018). Nurses' and physicians' perceptions of indwelling urinary catheter practices and culture in their institutions. Journal of patient safety, 0(0), 1-8. http://doi.org/10.1097/PTS.0000000000000502
Opina, M.L.F., & Oducado, R.M.F. (2014). Infection control in the use of urethral catheters"¯: Knowledge and practices of nurses in a private hospital in Iloilo city, Asia Pacific Journal of Education, Arts and Sciences, 1(5), 93-100.
Parker, V., Giles, M., Graham, L., Suthers, B., Watts, W., O'Brien, T., & Searles, A. (2017). Avoiding inappropriate urinary catheter use and catheter-associated urinary tract infection (CAUTI): A pre-post control intervention study. BMC Health Services Research, 17(1), 314. http://doi.org/10.1186/s12913-017-2268-2
Pieper, B., & Zulkowski, K. (2014). The pieper-zulkowski pressure ulcer knowledge test. Advances in Skin & Wound Care, 27(9), 413-9. doi: 10.1097/01.ASW.0000453210.21330.00.
Prasanna, K., & Radhika, M. (2015). Knowledge regarding catheter care among staff nurses. International Journal of Applied Research, 1(8), 182-186.
Selim, S.M., El-Seoud, A.R.A., Mohamed, A.A.H., & Ibrahim, S.A.A.R. (2018). Effect of infection control program on catheter-associated urinary tract infection in intensive care units at Zagazig University Hospital. Zagazig University Medical Journal, 24(5). 420-436.
Shah, M., Wahab, F., Ullah, F., Gul, U., Aziz, A., & Ullah, Z. (2017). Infection control in the use of urethral catheter: Knowledge and practices of nurses. American Journal of Advanced Drug Delivery, 5(1), 1-8.
Shehab, M.S. (2017). Impact of protocol of care of patients undergoing urinary catheterization. International Journal of Caring Sciences, 10(2), 1013-1021.
Shehzadi, A., Ali, A., Bhatti, R., & yaseen, I. (2018). Knowledge and attitude of nurses towards the prevention of catheter-associated urinary Tract Infection in ICU, S of A Public Hospital Lahore. Saudi Journal of Nursing and Health Care, 7921, 119-124.
Sobeih, H.S., & Nasr, M.H. (2015). Indwelling urinary catheter management: Effect of an interactive workshop on nurses' practice and perception. New York Science Journal, 8(5), 117-126.
Talaat, M., El-Shokry, M., El-Kholy, J., Ismail, G., Kotb, S., Hafez, S., "¦ Lessa, F. C. (2016). National surveillance of health care-associated infections in Egypt: Developing a sustainable program in a resource-limited country. American Journal of Infection Control, 44(11), 1296-1301. http://doi.org/10.1016/j.ajic.2016.04.212
Tenke, P., Mezei, T., Bőde, I., & Köves, B. (2017). Catheter-associated urinary tract infections. European Urology, Supplements, 16(4), 138-143. http://doi.org/10.1016/j.eursup.2016.10.001
Zachariah, C.A. (2016). Effectiveness of SIM on knowledge and practice among nurses regarding prevention of UTI in patients with indwelling catheter, 5(8), 2013-2016.
Al Nasser, W., El-saed, A., Al-jardani, A., Althaqafi, A., Alansari, H., Alsalman, J, "¦ Balkhy, H. H. (2016). American Journal of Infection Control rates of catheter-associated urinary tract infection in tertiary care hospitals in 3 Arabian Gulf countries"¯: A 6-year surveillance study. American Journal of Infection Control, 44(12), 1589-1594. http://doi.org/10.1016/j.ajic.2016.06.030
Alsaqri, S.H. (2014). A survey of intention to leave, job stress, burnout and job satisfaction among nurses employed in the Ha'il region's hospitals in Saudi Arabia. (Doctoral dissertation). Retrieved from https://researchbank.rmit.edu.au/eserv/rmit:160699/Alsaqri.pdf
Altun, İ., & Karakoç, A. (2010). The impact of an interactive workshop on the management of urinary catheterization on nurses. International Journal of Urological Nursing, 4(3), 125-132.
American Association of Colleges of Nursing (AACN). (2014). The impact of education on nursing practice. Retrieved from http://www.aacn.nche.edu/media-relations/fact- sheets/impact-of-education.
Anwar, G., Nawaz, G., Afzal, M., Majeed, I., & Waqas, A. (2017). Assessment of perceptions and practices of the uurses to prevent indwelling catheter associated infection: Jinnah Hospital Lahore, Pakistan. International Journal of Applied Sciences and Biotechnology, 5(2), 150. http://doi.org/10.3126/ijasbt.v5i2.17317
Association for Professionals in Infection Control. (2014). Guide to Preventing Catheter-Associated Urinary Tract Infections. Retrieved from http://apic.org/Resource_/EliminationGuideForm/0ff6ae59-0a3a-4640-97b5-eee38b8bed5b/File/CAUTI_06.pdf
Banks, H., Abdella, R., & Willmann, Y. (2016). Nursing Interventions Aimed at Reducing the Incidence of Hospital Acquired Catheter-Associated Urinary Tract Infections. http://www.theseus.fi/handle/10024/112505
Desta, M., Ayenew, T., Sitotaw, N., Tegegne, N., Dires, M., & Getie, M. (2018). Knowledge, practice and associated factors of infection prevention among healthcare workers in Debre Markos referral hospital, Northwest Ethiopia. BMC health services research, 18(1), 465.
Gaid, E., Assiri, A., McNabb, S., & Banjar, W. (2017). Device-associated nosocomial infection in general hospitals, Kingdom of Saudi Arabia, 2013-2016. Journal Epidemiology and Global Health, 1589-1594. http://doi.org/10.1016/j.jegh.2017.10.008
Gesmundo, M. (2016). Managing indwelling urinary catheters. Kai Tiaki Nursing New Zealand, 22(6), 14-15.
Gould, C.V., Umscheid, C.A., Agarwal, R.K., Kuntz, G., Pegues, D. A., & Healthcare Infection Control Practices Advisory Committee. (2017). Guideline for prevention of catheter-associated urinary tract infections 2009. Infection Control and Hospital Epidemiology, 31(4), 319-26. doi: 10.1086/651091.
Grove, S.K., Burns, N., & Gray, J. (2014). Understanding nursing research: Building an evidence-based practice. Elsevier Health Sciences: USA."
Ismail, S.I.A. (2017). Impact of an educational program on nurses' knowledge and practice of urethral catheterization. (Doctoral dissertation). Retrieved from http://medicine.ribat.edu.sd/public/uploads/upload/repository/cover%20_7457524645.pdf
Kalantarzadeh, M., Mohammadnejad, E., Ehsani, S.R., & Tamizi, Z. (2014). Knowledge and practice of nurses about the control and prevention of nosocomial infections in emergency departments. Archives of clinical infectious diseases, 9(4).
Kose, Y., Leblebici, Y., Akdere, S.S., Cakmakci, H., & Otunctemur, S., Egici, M.T., & Bektemür, G. (2016). Level of knowledge of the nurses work in a public hospital about the prevention of catheter-associated urinary tract infections. The Medical Bulletin of Sisli Etfal Hospital, 50(1), 70-79. http://doi.org/10.5350/SEMB.20151216103044
Launiala, A. (2009). How much can a KAP survey tell us about people's knowledge, attitudes and practices"¯? Some observations from medical anthropology on malaria in pregnancy in Malawi Background: KAP surveys. Anthropology Matters Journal, 11(1), 1-13.
Lo, E., Nicolle, L.E., Mph, S.E.C., Gould, C., Mph, L.L. M., Meddings, J., "¦ Gould, C. (2016). Strategies to prevent catheter-associated urinary tract infections in acute care hospitals: 2014 update. Infection Control & Hospital Epidemiology, 35(5), 464-479. http://doi.org/10.1086/675718
Loveday, H.P., Wilson, J.A., Pratt, R.J., Golsorkhi, M., Tingle, A., Bak, A., "¦ Wilcox, M. (2014). National Evidence-Based Guidelines for preventing healthcare-associated infections in NHS Hospitals in England. Journal of Hospital Infection, 86(S1), S1-S70. doi: 10.1016/S0195-6701(13)60012-2.
Ministry of Health (MOH). (2016). Kingdom of Saudi Arabia statistical year book. Retrieved from https://www.moh.gov.sa/en/Ministry/Statistics/Book/Pages/default.aspx.
Mitchell, B., Ware, C., McGregor, A., Brown, S., Wells, A., Stuart, R.L., ... Mason, M. (2011). ASID (HICSIG)/AICA position statement: Preventing catheter-associated urinary tract infections in patients. Healthcare Infection, 16(2), 45-52.
Mukakamanzi, J. (2017). Knowledge, attitude and practices of nurses towards the prevention of catheter-associated urinary tract infection in selected Referral Hospitals in Rwanda. (Doctoral dissertation). Retrieved from http://dr.ur.ac.rw/bitstream/handle/123456789/324/MUKAKAMANZI%20Jacqueline.pdf?sequence=1&isAllowed=y
Nicolle, L.E. (2014). Catheter associated urinary tract infections. Antimicrobial resistance and infection control, 3(1), 23.
Niederhauser, A., Züllig, S., Marschall, J., & Schwappach, D. (2018). Nurses' and physicians' perceptions of indwelling urinary catheter practices and culture in their institutions. Journal of patient safety, 0(0), 1-8. http://doi.org/10.1097/PTS.0000000000000502
Opina, M.L.F., & Oducado, R.M.F. (2014). Infection control in the use of urethral catheters"¯: Knowledge and practices of nurses in a private hospital in Iloilo city, Asia Pacific Journal of Education, Arts and Sciences, 1(5), 93-100.
Parker, V., Giles, M., Graham, L., Suthers, B., Watts, W., O'Brien, T., & Searles, A. (2017). Avoiding inappropriate urinary catheter use and catheter-associated urinary tract infection (CAUTI): A pre-post control intervention study. BMC Health Services Research, 17(1), 314. http://doi.org/10.1186/s12913-017-2268-2
Pieper, B., & Zulkowski, K. (2014). The pieper-zulkowski pressure ulcer knowledge test. Advances in Skin & Wound Care, 27(9), 413-9. doi: 10.1097/01.ASW.0000453210.21330.00.
Prasanna, K., & Radhika, M. (2015). Knowledge regarding catheter care among staff nurses. International Journal of Applied Research, 1(8), 182-186.
Selim, S.M., El-Seoud, A.R.A., Mohamed, A.A.H., & Ibrahim, S.A.A.R. (2018). Effect of infection control program on catheter-associated urinary tract infection in intensive care units at Zagazig University Hospital. Zagazig University Medical Journal, 24(5). 420-436.
Shah, M., Wahab, F., Ullah, F., Gul, U., Aziz, A., & Ullah, Z. (2017). Infection control in the use of urethral catheter: Knowledge and practices of nurses. American Journal of Advanced Drug Delivery, 5(1), 1-8.
Shehab, M.S. (2017). Impact of protocol of care of patients undergoing urinary catheterization. International Journal of Caring Sciences, 10(2), 1013-1021.
Shehzadi, A., Ali, A., Bhatti, R., & yaseen, I. (2018). Knowledge and attitude of nurses towards the prevention of catheter-associated urinary Tract Infection in ICU, S of A Public Hospital Lahore. Saudi Journal of Nursing and Health Care, 7921, 119-124.
Sobeih, H.S., & Nasr, M.H. (2015). Indwelling urinary catheter management: Effect of an interactive workshop on nurses' practice and perception. New York Science Journal, 8(5), 117-126.
Talaat, M., El-Shokry, M., El-Kholy, J., Ismail, G., Kotb, S., Hafez, S., "¦ Lessa, F. C. (2016). National surveillance of health care-associated infections in Egypt: Developing a sustainable program in a resource-limited country. American Journal of Infection Control, 44(11), 1296-1301. http://doi.org/10.1016/j.ajic.2016.04.212
Tenke, P., Mezei, T., Bőde, I., & Köves, B. (2017). Catheter-associated urinary tract infections. European Urology, Supplements, 16(4), 138-143. http://doi.org/10.1016/j.eursup.2016.10.001
Zachariah, C.A. (2016). Effectiveness of SIM on knowledge and practice among nurses regarding prevention of UTI in patients with indwelling catheter, 5(8), 2013-2016.
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Published
2019-02-06
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Algarni, S. S., Sofar, D. S. S. S., & Wazqar, D. D. Y. (2019). NURSES’ KNOWLEDGE AND PRACTICES TOWARD PREVENTION OF CATHETER-ASSOCIATED URINARY TRACT INFECTION AT KING ABDULAZIZ UNIVERSITY HOSPITAL. Journal of Health, Medicine and Nursing, 4(1), 50–73. Retrieved from https://iprjb.org/journals/index.php/JHMN/article/view/825
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