Development of Guidelines for Preventing Catheter Associated Urinary Tract Infections in Stroke Patients at Chumphon Khet Udomsakdi Hospital

Abstract

Abstract: This developmental research aimed to develop and study the outcomes of using the guidelines for preventing catheter associated urinary tract infections (CAUTIs) in stroke patients at Chumporn Khet Udomsakdi Hospital from May to July 2024. The samples were 1) 14 professional nurses who used the guidelines, and 2) 34 patients with indwelling catheters in the stroke ward. The research instruments were the guidelines for preventing CAUTIs from indwelling catheters in stroke patients, which the researcher developed from review literature, the developed of innovations in preventing CAUTIs, the knowledge assessment form for professional nurses in using the guidelines, the observation record form for nursing behavior, the satisfaction questionnaire for professional nurses on the the guidelines development, and the observation record form for CAUTIs. The content validity was checked with a criterion between 0.90-1.00. The data were analyzed using descriptive statistics, chi-square statistics, and Paired t-tests. The findings showed that professional nurses had achieved 100% of knowledge score after using the guidelines and the average knowledge score was significantly statistically increased than before. Professional nurses followed the guidelines after promoting the correct use at 100 percent. The CAUTIs rate after using the guidelines decreased from 12.41 to 1.96: 1,000 retained catheter days and has shown significantly difference (p<.001). Nurses were satisfied with the overall guidelines at a high level. It is recommended to promote effective use and ensure sustainable use of guidelines by continuous supervision, listening to problems and obstacles, and evaluating for further quality improvement.