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318220

Barriers to Implementation of a Urinary Catheter Care Bundle for Critically Ill Patients with Cerebrovascular Stroke

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Last updated: 05 Jan 2025

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Abstract

Background: Catheter-associated urinary tract infections (CAUTIs) are the most prevalent healthcare-associated infection in the ICU. Patients with indwelling urinary catheters are more prone to CAUTIs due to the increased risk of post-stroke infections brought on by stroke-induced immunosuppression. Therefore, it is imperative to focus on the barriers related to knowledge deficit, health care organization and nursing practice to overcome bad consequences of developing CAUTIs. Objective: to identify barriers to implementation of a urinary catheter care bundle for critically ill patients with cerebrovascular stroke. Setting: the study was carried out in five ICUs of Health Affairs Directorate hospitals in Alexandria governorate. Subjects: A convenient samples of 130 nurses of both genders who are assigned in the direct care of the newly admitted patients with cerebrovascular stroke in the previously mentioned units. Tools: two tools were used. Tool one: “Urinary catheter care bundle barriers questionnaire tool ". Tool two: “Nurses' knowledge about urinary catheter care bundle for critically ill patients with cerebrovascular stroke questionnaire". Results: The study showed that there was a significant relationship between socio-demographic data and mean score of UCCB implementation overall barriers regarding gender, age, education level and years of experience (P=0.011, P=0.001, P=0.001 and P=0.001 respectively). Furthermore, the study groups exhibited significant relationship between socio-demographic data and percent score of knowledge level about UCCB of studied CCNs regarding gender, age, education level and years of experience (P=0.114, P=0.004, P=0.001 and P=0.002 consequently). Conclusion: the implementation of urinary catheter care bundle was highly effective as it reduced CAUTI rate for critically ill patients with cerebrovascular stroke. Recommendations: critical care nurses should implement a UCCB approach that is tailored to the critically ill patients with cerebrovascular stroke. Hospital administration should establish educational program and workshops about the UCCB approach for critically ill patients with cerebrovascular stroke to critical care nurses.

DOI

10.21608/asalexu.2023.318220

Keywords

Urinary catheter, Urinary tract infection, cerebrovascular stroke patients, Intensive Care Units

Authors

First Name

Haitham

Last Name

Mohamed Abdallah

MiddleName

Mokhtar

Affiliation

Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University.

Email

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City

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Orcid

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First Name

Mahmoud

Last Name

Abdelhamid Hamad

MiddleName

Hamdi

Affiliation

Nursing inspector, Directorate of Health Affairs, Alexandria

Email

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City

-

Orcid

-

First Name

Nadia

Last Name

Mohamed

MiddleName

Taha

Affiliation

Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University.

Email

nadia.mohamed@alexu.edu.eg

City

-

Orcid

-

First Name

Suad

Last Name

Elsaman

MiddleName

Elsayed

Affiliation

Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University.

Email

suad.elsaman@alexu.edu.eg

City

-

Orcid

0000-0001-6409-4171

Volume

25

Article Issue

2

Related Issue

43594

Issue Date

2023-06-01

Receive Date

2023-09-21

Publish Date

2023-06-01

Page Start

74

Page End

84

Print ISSN

1687-3858

Link

https://asalexu.journals.ekb.eg/article_318220.html

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https://asalexu.journals.ekb.eg/service?article_code=318220

Order

318,220

Publication Type

Journal

Publication Title

Alexandria Scientific Nursing Journal

Publication Link

https://asalexu.journals.ekb.eg/

MainTitle

Barriers to Implementation of a Urinary Catheter Care Bundle for Critically Ill Patients with Cerebrovascular Stroke

Details

Type

Article

Created At

28 Dec 2024