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Knowledge and Practice of Nurses in Preventing Catheter Associate Urinary Tract Infection (CAUTI) in ICU: A Cross Sectional Study
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Ata Karami    , Mohammad azad Majedi , Naser Kamyari , Salam Vatandost * |
| School of Nursing and Midwifery, Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran , vatandost1366@gmail.com |
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Abstract: (77 Views) |
Background & aim: Urinary tract infection is one of the most common hospital associate infections in the intensive care unit (ICU). The way nurses care for urinary tract catheters is one of the most important factors affecting the prevalence of urinary tract infection. Therefore, the present study was conducted to determine the knowledge and performance of nurses in preventing catheter associate urinary tract infection (CAUTI) in ICU.
Methods: The study was conducted cross-sectional. Number of 105 ICU nurses were enrolled in the study using a complete census method. Nurses' knowledge and performance in preventing CAUTI were collected using standard questionnaires in a self-report manner. The knowledge questionnaire consists of 27 questions that are reported with correct and incorrect answers. The average percentage of correct answers of 80 and above is interpreted as good knowledge. The performance questionnaire consists of 23 questions with four-choice Likert-type responses ranging from completely agree (score 4) to completely disagree (score 1). An average score of 3 and above is considered good performance.
Results: The mean age of the participants were 27.3 ± 3.03 years. Only 16.2% had a history of participating in a UTI prevention workshop. The results showed that only 38.1% of the knowledge and 33.3% of the performance of nurses in preventing CAUTI were at a good level. The highest incorrect response in the knowledge section was observed in the question "Does the placement of a urinary catheter help to heal bedsores in female patients with bedsores" (68.6%) and in the performance section was observed in the question "While caring for a female patient, I wash the perineum from back to front" (1.68 ± 0.68).
Conclusion: The majority of nurses had poor knowledge and performance in preventing catheter-related urinary tract infection. Also, the majority of nurses did not have experience in specific training on UTI prevention in refresher courses. Given the importance of nurses' role in preventing catheter-related urinary tract infections, it is necessary to improve nurses' knowledge and performance based on standard protocols in academic training and refresher courses.
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| Keywords: Urinary Tract Infection, Urinary Catheter, Nurse, Knowledge, Performance |
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Full-Text [PDF 1155 kb]
(34 Downloads)
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Type of Study: Research |
Subject:
Special
Received: 2025/02/18 | Accepted: 2025/04/16 | Published: 2025/04/22
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