Journal of nursing care quality · 2024
Nurse-Driven Process for the Successful Removal of Urinary Catheters Among Elderly Patients After Hip Fracture Surgery: A Quality Improvement Project.
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Joseph Lissa Vazhayil, Sb Koh Joyce, Yatim Juriyah, Kaysar Dr Mamun, Hendrix Cristina C
Аннотация
BACKGROUND: Hip fracture is a major health concern and the use of an indwelling urinary catheter (IUC) constitutes a significant burden on elderly patients undergoing hip fracture surgery.
LOCAL PROBLEM: The institution had a high rate of urinary tract infection (UTI) and IUC reinsertion after hip fracture surgery.
METHODS: A pre/post-implementation design was used for this quality improvement initiative.
INTERVENTIONS: A nurse-driven process was developed and implemented to improve the successful removal of IUC among patients after hip fracture surgery.
RESULTS: There was a significant reduction in post-operative urinary retention ( P = .042), UTI rate ( P = .047), and IUC reinsertion ( P = .042) in the post-implementation group. IUC duration decreased by 1.1 days, however this was not significant ( P = .206). Nurse compliance with following the new process was 93.3%.
CONCLUSION: The nurse-driven process designed for elderly patients following hip fracture surgery presents a promising approach to reducing IUC reinsertion rates and UTI.
LOCAL PROBLEM: The institution had a high rate of urinary tract infection (UTI) and IUC reinsertion after hip fracture surgery.
METHODS: A pre/post-implementation design was used for this quality improvement initiative.
INTERVENTIONS: A nurse-driven process was developed and implemented to improve the successful removal of IUC among patients after hip fracture surgery.
RESULTS: There was a significant reduction in post-operative urinary retention ( P = .042), UTI rate ( P = .047), and IUC reinsertion ( P = .042) in the post-implementation group. IUC duration decreased by 1.1 days, however this was not significant ( P = .206). Nurse compliance with following the new process was 93.3%.
CONCLUSION: The nurse-driven process designed for elderly patients following hip fracture surgery presents a promising approach to reducing IUC reinsertion rates and UTI.