Evidence for a nurse-led protocol for removing urinary catheters: A scoping review
Journal Publication ResearchOnline@JCUAbstract
Background: Catheter-associated urinary tract infections significantly contribute to hospital acquired complications globally, with adverse implications for patient outcomes, healthcare, and fiscal resources. Nurse-led protocols for early removal of urinary catheters to reduce the incidence of catheter-associated urinary tract infections have been trialled. Aim: To report the evidence for nurse-led practices of removing urinary catheters within the acute healthcare setting. Methods: Five databases (CINAHL, MEDLINE, SCOPUS, EMCARE, and INFORMIT) were systematically searched in a scoping review of all peer reviewed publications up to 12/03/2021. Findings: Thirteen studies met the inclusion criteria. Eleven studies described a reduction in catheter-associated urinary tract infections regardless of the type of intervention, one study did not demonstrate a change and one study reported an increase in catheter-associated urinary tract infections. Settings, study duration and sample size varied substantially between the included studies. Interventions were exclusive nurse-led protocol for removal of urinary catheters, computerised reminder systems, bundle approaches or comprehensive packages. Outcome measures and definitions of catheter-associated urinary tract infections were varied or absent. Discussion: The quality of evidence of included studies in this review was low, attributed to by a number of methodological issues related to sample size and statistical analyses. Whilst the introduction of nurse-led protocols showed some improvements, the methodological inconsistencies make it difficult to highlight a specific protocol. Conclusion: Given the quality of existing evidence, caution is required in translating these findings to policy and practice.
Journal
Collegian
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Volume
30
ISBN/ISSN
1876-7575
Edition
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Issue
1
Pages Count
8
Location
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Publisher
Elsevier
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Publisher Location
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Publish Date
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Date
N/A
EISSN
N/A
DOI
10.1016/j.colegn.2022.08.008