The Journal of hospital infection · 2026
Implementing multi-modal nursing strategies to reduce catheter-associated urinary tract infections in adult inpatients: a scoping review.
СтатьяScoping ReviewНазвание и аннотация: Перевод пока не подготовлен
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Lan S, Wang H, Huang J, Li H, Qu F, Wang X, Cao Y, Wang J, Gu C
Аннотация
BACKGROUND: Catheter-associated urinary tract infections (CAUTIs) represent a leading cause of preventable healthcare-associated infections. Despite established risks such as catheter insertion and prolonged dwell time, the consistent implementation of prevention guidelines in clinical practice remains a global challenge.
AIM: The aim of this study was to synthesize available evidence on the effectiveness of multi-modal nursing strategies, compared with single interventions, for reducing CAUTIs in adult inpatients.
METHODS: Following the Arksey and O'Malley's framework, a scoping review of literature published between 2019 and 2024 was conducted across nine databases (PubMed, Web of Science, Cochrane Library, Embase, EBSCO-CINAHL, CBM, Wanfang, CNKI and CQVIP). Studies reporting CAUTI-related outcomes in adult inpatients were systematically screened, and interventions were categorized accordingly.
FINDINGS: A total of 26 studies were included. Eight core nurse-driven intervention components were identified: training and education (N = 22), monitoring and feedback (N = 20), daily assessment (N = 17), communication and reminder (N = 10), resource adjustment (N = 10), implementation of a catheter care bundle (N = 7), implementing best practices (N = 7) and setting incentives and disincentives (N = 4). Ten outcome indicators were summarized across 26 articles, with CAUTI-related metrics showing consistent improvement following multi-modal quality improvement initiatives.
CONCLUSION: Nurse-driven multi-modal strategies, particularly those integrating daily catheter assessment, structured training, care bundles and continuous monitoring, have proven effective in preventing CAUTI risk. This review synthesizes core intervention components into an actionable framework adaptable to diverse clinical settings while underscoring the importance of contextual implementation and the necessity for further rigorous, especially resource-sensitive, evidence.
AIM: The aim of this study was to synthesize available evidence on the effectiveness of multi-modal nursing strategies, compared with single interventions, for reducing CAUTIs in adult inpatients.
METHODS: Following the Arksey and O'Malley's framework, a scoping review of literature published between 2019 and 2024 was conducted across nine databases (PubMed, Web of Science, Cochrane Library, Embase, EBSCO-CINAHL, CBM, Wanfang, CNKI and CQVIP). Studies reporting CAUTI-related outcomes in adult inpatients were systematically screened, and interventions were categorized accordingly.
FINDINGS: A total of 26 studies were included. Eight core nurse-driven intervention components were identified: training and education (N = 22), monitoring and feedback (N = 20), daily assessment (N = 17), communication and reminder (N = 10), resource adjustment (N = 10), implementation of a catheter care bundle (N = 7), implementing best practices (N = 7) and setting incentives and disincentives (N = 4). Ten outcome indicators were summarized across 26 articles, with CAUTI-related metrics showing consistent improvement following multi-modal quality improvement initiatives.
CONCLUSION: Nurse-driven multi-modal strategies, particularly those integrating daily catheter assessment, structured training, care bundles and continuous monitoring, have proven effective in preventing CAUTI risk. This review synthesizes core intervention components into an actionable framework adaptable to diverse clinical settings while underscoring the importance of contextual implementation and the necessity for further rigorous, especially resource-sensitive, evidence.