Improving Nurses’ Knowledge about Prevention of Catheter Acquired Urinary Tract Infections in Intensive Care Units

Alshaimaa Mohamed Abdelmoaty; Eman O. Abdelghany; Mona Soliman; Ahmed M. Kenawy; Doa’a A. Saleh

doi:10.3889/oamjms.2022.8674

Authors

Alshaimaa Mohamed Abdelmoaty Department of Public Health, Cairo University, Cairo, Egypt
Eman O. Abdelghany Department of Public Health https://orcid.org/0000-0002-6512-1319
Mona Soliman Department of Public Health, Cairo University, Giza, Egypt
Ahmed M. Kenawy Department of Public Health, Cairo University, Cairo, Egypt
Doa’a A. Saleh Department of Public Health, Cairo University, Cairo, Egypt https://orcid.org/0000-0002-8559-9934

DOI:

https://doi.org/10.3889/oamjms.2022.8674

Keywords:

Egypt, Urinary catheterization, Infection control, Nursing, Intensive care units, Education

Abstract

BACKGROUND: Lack of knowledge about causes and strategies to prevent catheter-acquired urinary tract infections (CAUTIs) requires an intervention that focuses on providing all evidence-based information to decrease the incidence of CAUTIs in admitted intensive care units (ICU) patients. Improving the nurses’ knowledge will eventually help in the reduction of CAUTIs.

AIM: We aimed to investigate the improving nurses’ knowledge about prevention of catheter acquired urinary tract infections in intensive care units.

METHODS: The present study is a h ealth system-operational research, pre-test–post-test design with a control arm study. The study was conducted in two ICU units in one of the University hospitals, Cairo, Egypt, involving a total sample of 42 nurses. Self-administered questionnaires were used to assess nurses’ knowledge about CAUTIs. The intervention was implemented through on job educational training sessions to nursing staff. Cochran Q was used to test the effect of the intervention on a satisfactory level of knowledge.

RESULTS: Knowledge score improved from 61.4 ± 14.1 in pre-test to 90.5 in the early post-test (EP) test done after 1 week to 91.3 in late post-test ( LP) done after 1 month among nurses of the intervention ICU (p < 0.001). The percentage of nurses reporting a satisfactory level of knowledge significantly increased from 13.3% in the pre-test to 90% and 93.3% in follow-up (EP and LP, respectively) in the intervention ICU (p < 0.05)

CONCLUSION: The implemented training and education strategy used were effectively improved ICU nurses’ knowledge concerning CAUTI.

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