Abstract:
BACKGROUND:Hospital-acquired infection, including catheter-associated urinary tract infection (CAUTI), is common. Although CAUTI is usually preventable, hospital units may struggle to reduce CAUTI rates. The CAUTI guide to patient safety (GPS) was developed to assess a unit's CAUTI prevention activities. Our aim was to qualitatively validate the GPS. METHODS:We interviewed participants from 2 units in each of 4 hospitals. Each unit's nurse manager completed the GPS and then discussed their answers with a trained research assistant. Semistructured interviews were conducted with unit nurses and physicians. We compared the nurse managers' answers to the unit physicians' and nurses' responses and assessed agreement. RESULTS:A total of 49 participants from 4 medical intensive care units and 4 medical-surgical units were interviewed. Nurse managers found the GPS helpful and complete. There was higher agreement between nurse managers and unit nurses than with physicians. Some questions generated more disagreement than others. Our findings suggest that the GPS is comprehensive and may be best used to stimulate discussions between stakeholders to address key issues. CONCLUSIONS:Using the GPS to assess several stakeholders' views could allow a given unit to move its CAUTI prevention efforts forward in a more informed manner.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Fletcher KE,Tyszka JT,Harrod M,Fowler KE,Saint S,Krein SLdoi
10.1016/j.ajic.2016.03.051subject
Has Abstractpub_date
2016-10-01 00:00:00pages
1102-1109issue
10eissn
0196-6553issn
1527-3296pii
S0196-6553(16)30293-0journal_volume
44pub_type
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