Qualitative validation of the CAUTI Guide to Patient Safety assessment tool.

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 Control

authors

Fletcher KE,Tyszka JT,Harrod M,Fowler KE,Saint S,Krein SL

doi

10.1016/j.ajic.2016.03.051

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

1102-1109

issue

10

eissn

0196-6553

issn

1527-3296

pii

S0196-6553(16)30293-0

journal_volume

44

pub_type

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