Aspects of Prevention of Urinary Tract Infections Associated with Urinary Bladder Catheterisation and Their Implementation in Nursing Practice
Abstract
:1. Introduction
2. Materials and Methods
2.1. Material
2.2. Methods
3. Results
3.1. Indication for Catheterisation
3.2. Education
3.3. Increasing the Quality of Care and Care Quality Monitoring
3.4. Risk Management
3.5. Support of IT Technologies in the Process of Quality Improvement and Care Safety and Risk Management
3.6. Documentation of Urinary Bladder Atheterisation
3.7. Consumables and Aids
3.8. Teams of Experts
4. Discussion
5. Conclusions
Study Limitations
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Declaration
References
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Hospital Type | Absolute Frequency | Relative Frequency |
---|---|---|
University | 50 | 26.9% |
Regional I | 36 | 19.4% |
Regional II | 27 | 14.5% |
Municipal | 28 | 15.1% |
Private | 35 | 18.8% |
Other | 10 | 5.4% |
Overall | 186 | 100.0% |
Competence to Assess Indications for Catheterisation and Acceptance of the Nurses Opinion-Assessment of Indications for Cathetrisation | Outright Disagreemen | Disagreement | Partial Agreement | Agreement | Full Agreement |
---|---|---|---|---|---|
Competency of A general nurse to voice HIS OR her opinion ON the indication of catheterisation and… | 4.2% | 3.6% | 25.3% | 37.3% | 29.5% |
the opinion of the general nurse regarding the indication of catheterisation IS RESPECTED by THE physician | 5.4% | 3.0% | 41.0% | 30.7% | 19.9% |
Improving Quality of Care and Monitoring Quality of Care | Yes | No | ||
---|---|---|---|---|
Absolute Frequency | Relative Frequency % | Absolute Frequency | Relative Frequency % | |
There is a special internal calculation for quality improvement | 88 | 47.3 | 98 | 52.7 |
One or more control groups or committees are established | 159 | 85.5 | 27 | 14.5 |
One or more quality/safety managers/coordinators are appointed | 170 | 91.4 | 16 | 8.6 |
Acknowlegments/incentives for quality improvement exist | 74 | 39.8 | 112 | 60.2 |
Increasing the Quality of Care and Care Quality Monitoring | I Disagree | I Mostly Disagree | I Mostly Agree | I Agree |
---|---|---|---|---|
…Provision of feedback to patient care | 2.2% | 17.7% | 30.9% | 49.2% |
…Is supported to report accidents and undesirable events | 0.0% | 9.9% | 28.7% | 61.4% |
…Authorisations for activities are checked by the administrative body | 1.7% | 16.0% | 26.5% | 55.8% |
Healthcare workers are trained in procedures ensuring patient safety | 0.0% | 11.6% | 38.1% | 50.3% |
Existence of a Standard of Care and Regular Audits | Outright Disagreemen | Disagreement | Partial Agreement | Agreement | Full Agreement |
---|---|---|---|---|---|
Existence of standard of care for the procedure of urinary bladder catheterisation | 1.8% | 9.0% | 2.4% | 15.7% | 71.7% |
Regular audits of the procedure of urinary bladder catheterisation | 14.5% | 25.9% | 23.5% | 12.7% | 23.5% |
Introduction of It Technologies in the Process of Increasing the Quality and Safety of Care and Risk Management | Introduced | Not Introduced | ||
---|---|---|---|---|
Absolute Frequency | Relative Frequency % | Absolute Frequency | Relative Frequency % | |
Reminder … in electronic form | 18 | 10.8 | 168 | 89.2 |
Reminder … not in electronic form | 58 | 36.8 | 128 | 63.2 |
Electronic patient medical records | 89 | 49.2 | 97 | 50.8 |
Test results … in electronic form | 62 | 34.3 | 124 | 65.7 |
Electronic drug prescription | 79 | 43.6 | 107 | 56.4 |
Supportive systems (reminders, notes) | 19 | 10.5 | 167 | 89.5 |
Regular Re-Evaluations of the Indication for Urinary Bladder Catheterisation Once in 24 h | X2 Value | p |
---|---|---|
“Reminder” of the evaluation of the indication of catheterisation as part of electronic documentation | 21.096 | <0.001 |
“Reminder” of the evaluation of the indication of catheterisation in other ways than electronically | 37.507 | <0.001 |
Teams of Experts for the Prevention of HAI and Form of HAI Reporting | I Disagree | I Mostly Disagree | I Mostly Agree | I Agree | I Fully Agree |
---|---|---|---|---|---|
Functioning of team of experts for the prevention of hospital infections | 4.9% | 10.2% | 10.8% | 22.8% | 51.3% |
Authorised employee for prevention of infections at of the workplace | 10.8% | 27.7% | 12.1% | 17.5% | 31.9% |
Reporting of the occurrence of HAI in the form of a printed document | 5.4% | 24.7% | 15.1% | 24.7% | 30.1% |
Reporting of the occurrence of HAI in the form of an electronic form | 16.8% | 9.6% | 12.7% | 19.9% | 41.0% |
Employee of the ward/section entrusted with reporting the occurrence of HAI | 8.4% | 12.7% | 8.4% | 32.5% | 38.0% |
Occurrence of HAI is reported by the attending physician | 3.6% | 10.2% | 18.1% | 28.3% | 39.8% |
Regular audits are performed by an expert for HAI prevention | 5.3% | 14.5% | 13.9% | 22.3% | 44.0% |
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Krocová, J.; Prokešová, R. Aspects of Prevention of Urinary Tract Infections Associated with Urinary Bladder Catheterisation and Their Implementation in Nursing Practice. Healthcare 2022, 10, 152. https://doi.org/10.3390/healthcare10010152
Krocová J, Prokešová R. Aspects of Prevention of Urinary Tract Infections Associated with Urinary Bladder Catheterisation and Their Implementation in Nursing Practice. Healthcare. 2022; 10(1):152. https://doi.org/10.3390/healthcare10010152
Chicago/Turabian StyleKrocová, Jitka, and Radka Prokešová. 2022. "Aspects of Prevention of Urinary Tract Infections Associated with Urinary Bladder Catheterisation and Their Implementation in Nursing Practice" Healthcare 10, no. 1: 152. https://doi.org/10.3390/healthcare10010152
APA StyleKrocová, 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. https://doi.org/10.3390/healthcare10010152