Determining the Knowledge and Attitudes of Nurses about Catheter Associated Urinary Tract Infections
Yıl: 2022 Cilt: 13 Sayı: 2 Sayfa Aralığı: 286 - 291 Metin Dili: İngilizce DOI: 10.31067/acusaglik.957326 İndeks Tarihi: 07-09-2022
Determining the Knowledge and Attitudes of Nurses about Catheter Associated Urinary Tract Infections
Öz: Aim: The aim of this study is to evaluate the knowledge and attitudes of nurses about the urinary catheter associated urinary tract infections. Material method: This research is a descriptive study. The study was conducted between April and May 2021 in a medical faculty hospital. The sample of the study consisted of 220 nurses working in the medical faculty hospital. The data were collected online through an introductory information form and “Catheter Associated Urinary Tract Infections Control Precautions Scale” (CAUTICPS). Findings: The CAUTICPS mean score of nurses was 64.01 ± 8.09 and their knowledge and attitudes were high. It was determined that the difference between the variables of receiving education about infections associated with urinary catheter, knowing about the surveillance rate of the institution and the employed unit and the total mean score of CAUTICPS was statistically significant (p<0.05). It was determined that the knowledge levels of the nurses who received training, knew about the surveillance speed and were employed in the intensive care unit were higher. While there was a positive, weak significant correlation was found between the age and mean scores of CAUTICPS (p<0.05), there was no significant correlation between the duration of employment and total scale score (p>0.05). Conclusion and recommendations: It was determined that the knowledge levels of the nurses about preventing the catheter associated urinary tract infections were high. It is recommended to provide nurses having insufficient knowledge with in-service training. In addition, nurses should play an active role in taking the infection control measures concerning the healthcare of institutions and their surveillance follow-up.
Anahtar Kelime: Hemşirelerin Kateter İlişkili Üriner Sistem Enfeksiyonlarına Yönelik Bilgi ve Tutumlarının Belirlenmesi
Öz: Amaç: Bu araştırma hemşirelerin üriner kateter ilişkili üriner sistem enfeksiyonlarına yönelik bilgi ve tutumlarının değerlendirilmesi amacıyla yapılmıştır. Materyal metod: Araştırma tanımlayıcı türdedir. Araştırma bir tıp fakültesi hastanesinde Nisan –Mayıs 2021 tarihleri arasında yürütülmüştür. Araştırmanın örneklemini tıp fakültesi hastanesinde görev yapan 220 hemşire oluşturmuştur. Veriler tanıtıcı bilgi formu ve “Kateter İlişkili Üriner Sistem Enfeksiyonları Kontrol Önlemleri Ölçeği (KİÜSEKÖÖ)” ile online olarak toplanmıştır. Bulgular: Hemşirelerin KİÜSEKÖÖ’ den aldıkları ortalama puan 64.01 ± 8.09 olup bilgi ve tutumları yüksektir. Üriner kateter ilişkili enfeksiyonlar hakkında eğitim alma durumu, kurumun sürveyans hızını bilme ve çalışılan birim değişkenleri ile KİÜSEKÖÖ toplam puan ortalaması arasındaki farkın istatistiksel açıdan anlamlı olduğu belirlendi (p<0.05). Eğitim alan, sürveyans hızını bilen ve yoğun bakımlarda görev yapan hemşirelerin bilgi seviyelerinin daha yüksek olduğu belirlendi. Yaş ile KİÜSEKÖÖ puan ortalaması arasında pozitif yönde, zayıf düzeyde anlamlı ilişki olduğu belirlenirken (p<0.05), görev süresi ile ölçek toplam puanı arasında anlamlı bir ilişki olmadığı belirlendi (p>0.05). Sonuç ve öneriler: Hemşirelerin kateter ilişkili üriner sistem enfeksiyonlarının önlenmesine yönelik bilgi seviyelerinin yüksek olduğu belirlendi. Bilgi yetersizliği olan hemşirelere hizmet içi eğitimlerin verilmesi önerilir. Ayrıca, kurumlarda sağlık bakımı ile ilişkili enfeksiyon kontrol önlemlerinin alınmasında ve surveyans takiplerinde hemşireler aktif rol almalıdır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Haque M, Sartelli M, McKimm J, Abu Bakar M. Health care-associated infections-an overview. Infect Drug Resist. 2018;11:2321- 33.
- 2. Trubiano JA, Padiglione AA. Nosocomial infections in the intensive care unit. Anaesthesia & Intensive Care Medicine. 2015;16(12):598-602.
- 3. Yenilmez, E., Ülçay, A., Görenek, L., Diktaş, H. Yoğun bakım ünitelerinde gelişen sağlık bakımı ile ilişkili enfeksiyonların güncel tanımları. J Clin Anal Med, 2015; 6: 401-404
- 4. Ulusal Sağlık Hizmeti İlişkili Enfeksiyonlar Sürveyans Rehberi Ankara 2017 uzman matbaacılık https://hsgm.saglik.gov.tr/depo/birimler/ Bulasici-hastaliklar-db/hastaliklar/SHIE/Klavuzlar/Ulusal_Saglik_ Hizmeti_Iliskili_Enfeksiyonlar_Surveyans_Rehberi_Versiyon_1.pdf
- 5. Halk Sağlığı Genel Müdürlüğü (HSGM). (2019).Ulusal sağlık hizmeti ilişkili enfeksiyonlar sürveyans rehberi 2019, Erişim 02.05.2021 https://hsgm.saglik.gov.tr/depo/birimler/Bulasici-hastaliklar-db/ hastaliklar/SHIE/Raporlar/USHESA_Ozet_Raporu_2019.pdf
- 6. Shuman, E. K., & Chenoweth, C. E. Urinary Catheter-Associated Infections. Infectious disease clinics of North America, 2018; 32(4), 885–897. https://doi.org/10.1016/j.idc.2018.07.002
- 7. Özbaş A, Seyhan Ak E. Ortopedi hastalarında üriner sistem enfeksiyonları. Turkiye Klinikleri, J Surg Nurs-Special Topics. 2017;3(1):23-31.
- 8. Association for Professionals in Infection Control and Epidemiology (APIC). (2015). Guide to Preventing Catheter-Associated Urinary Tract Infections, Erişim 15.11.2018, http://apic.org/Resource_/ EliminationGuideForm/0ff6ae59-0a3a-4640-97b5-eee38b8bed5b/ File/CAUTI_06.pdf.
- 9. European Centers for Disease Control and Prevention (ECDC). (2018). Guideline for Prevention of Catheter-Associated Urinary Tract Infections, Erişim 15.05.2021, https://ecdc.europa.eu/en/ publications-data/directory-guidance-prevention-and-control/ healthcare-associated-infections
- 10. Andrade V.L.F., Fernandes F.A.V. Prevention of catheter-associated urinary tract infection: implementation strategies of international guidelines. Revista Latino-Americana De Enfermagem; 2016; 24:e2678
- 11. Hemşirelik Yönetmeliğinde Değişiklik Yapılmasına Dair Yönetmelik https://www.thder.org.tr/list/yonetmelik?page=2 e.t 05.05.2021
- 12. Shehab MS. Impact of Protocol of Care of Patients Undergoing Urinary Catheterization on Nurses’ Knowledge. International Journal of Caring Sciences. 2017;10(2):1013-20.
- 13. Chenoweth, C.E., Gould, C.V., & Saint, S. Diagnosis, management, and prevention of catheter-associated urinary tract infections. Infectious Disease Clinics, 2014; 28(1), 105-119.
- 14. Karadağ Arlı Ş, Bakan A.B. Kateter İlişkili Üriner Sistem Enfeksiyonları Kontrol Önlemlerine Yönelik Hemşirelerin Bilgi ve Tutumlarının Değerlendirilmesi. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi 2020; 7(1): 1-7. DOI: 10.31125/hunhemsire.715021
- 15. Shaver, B., Eyerly-Webb, S. A., Gibney, Z., Silverman, L., Pineda, C., & Solomon, R. J. (2018). Trauma and Intensive Care Nursing Knowledge and Attitude of Foley Catheter Insertion and Maintenance. J Trauma Nurs, 2018; 25(1), 66-72. https://doi.org/10.1097/ JTN.0000000000000344
- 16. Yıldırım Kaptanoğlu, A. (2013). Sağlık Alanında Hipotezden Teze. Beşir Kitabevi. İstanbul.
- 17. Arli SK, Bakan AB. Development of the Catheter- Associated Urinary Tract Infections Control Precautions Scale. J Contin Educ Nurs. 2018; 49(11):507-13.
- 18. Oman K, Makic M, Fink R, et al. Nurse-directed interventions to reduce catheter-associated urinary tract infections. Am J Inf Control. 2012;40(6):548-553
- 19. Gong Y, Zhao L, Wang L, Wang F: The effect of clamping the indwelling urinary catheter before removal in cervical cancer patients after radical hysterectomy. J Clin Nurs 2017; 26: 1131–6.
- 20. Umscheid CA, Mitchell MD, Doshi JA, Agarwal R, Williams K, Brennan PJ. Estimating the proportion of healthcare-associated infections that are reasonably preventable and the related mortality and costs. infection control and hospital epidemiology 2011; 32(2): 101-114.
- 21. Tyson, A. F., Campbell, E. F., Spangler, L. R., Ross, S. W., Reinke, C. E., Passaretti, C. L., & Sing, R. F. (2020). Implementation of a NurseDriven Protocol for Catheter Removal to Decrease CatheterAssociated Urinary Tract Infection Rate in a Surgical Trauma ICU. Journal of intensive care medicine, 35(8), 738–744. https://doi. org/10.1177/0885066618781304
- 22. Seyhan Ak, E. & Özbaş, A. (2018). The effect of education of nurses on preventing catheter associated urinary tract infections in patients who undergo hip fracture surgery. Journal of Clinical Nursing, 27(5- 6), 1078-1088.
- 23. Jain, M., Dogra, V., Mishra, B., et al. (2015). Knowledge and attitude of doctors and nurses regarding indication for catheterization and prevention of catheter-associated urinary tract infection in a tertiary care hospital. Indian Journal of Critical Care Medicine: peer-reviewed, official publication of Indian Society of Critical Care Medicine. 19(2), 76.
- 24. Meddings J, Rogers M, Krein S, Fakih M, Olmsted R, Saint S. Reducing unnecessary urinary catheter use and other strategies to prevent catheter-associated urinary tract infection: an integrative review. BMJ Qual Saf. 2014;23(4):277-289.
- 25. Centers for Disease Control and Prevention. Catheter-associated urinary tract infec-tions (CAUTI). Available from:https://www.cdc. gov/hai/ca_uti/uti.html. Access date:15.05.2021
- 26. Gordon, Pamela R., “The Effects of Nursing Education on Decreasing Catheter Associated Urinary Tract Infection Rates” (2015). Walden Dissertations and Doctoral Studies. 583.
- 27. Lo, E., Nicolle, L.E., Coffin, S.E., et al. (2014). Strategies to prevent catheter-associated urinary tract infections in acute care hospitals: 2014 update. Infection Control & Hospital Epidemiology, 35(2), 32-47.
- 28. Aylaz, R., Şahin, F., Yıldırım, H. Hemşirelerin hastane enfeksiyonu konusuna ilişkin bilgi düzeylerinin belirlenmesi. Balikesir Sağlık Bilimleri Dergisi, 2018; 7 (2): 67-73.
- 29. Asadollahi, M., Bostanabad, M.A., Jebraili, M., et al., Nurses’ knowledge regarding hand hygiene and ıts ındividual and organizational predictors. Journal Of Caring Sciences, 2015; 4: 45-53.
| APA | Türkben Polat H, aslan h (2022). Determining the Knowledge and Attitudes of Nurses about Catheter Associated Urinary Tract Infections. , 286 - 291. 10.31067/acusaglik.957326 |
| Chicago | Türkben Polat Hilal,aslan hakime Determining the Knowledge and Attitudes of Nurses about Catheter Associated Urinary Tract Infections. (2022): 286 - 291. 10.31067/acusaglik.957326 |
| MLA | Türkben Polat Hilal,aslan hakime Determining the Knowledge and Attitudes of Nurses about Catheter Associated Urinary Tract Infections. , 2022, ss.286 - 291. 10.31067/acusaglik.957326 |
| AMA | Türkben Polat H,aslan h Determining the Knowledge and Attitudes of Nurses about Catheter Associated Urinary Tract Infections. . 2022; 286 - 291. 10.31067/acusaglik.957326 |
| Vancouver | Türkben Polat H,aslan h Determining the Knowledge and Attitudes of Nurses about Catheter Associated Urinary Tract Infections. . 2022; 286 - 291. 10.31067/acusaglik.957326 |
| IEEE | Türkben Polat H,aslan h "Determining the Knowledge and Attitudes of Nurses about Catheter Associated Urinary Tract Infections." , ss.286 - 291, 2022. 10.31067/acusaglik.957326 |
| ISNAD | Türkben Polat, Hilal - aslan, hakime. "Determining the Knowledge and Attitudes of Nurses about Catheter Associated Urinary Tract Infections". (2022), 286-291. https://doi.org/10.31067/acusaglik.957326 |
| APA | Türkben Polat H, aslan h (2022). Determining the Knowledge and Attitudes of Nurses about Catheter Associated Urinary Tract Infections. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 13(2), 286 - 291. 10.31067/acusaglik.957326 |
| Chicago | Türkben Polat Hilal,aslan hakime Determining the Knowledge and Attitudes of Nurses about Catheter Associated Urinary Tract Infections. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 13, no.2 (2022): 286 - 291. 10.31067/acusaglik.957326 |
| MLA | Türkben Polat Hilal,aslan hakime Determining the Knowledge and Attitudes of Nurses about Catheter Associated Urinary Tract Infections. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, vol.13, no.2, 2022, ss.286 - 291. 10.31067/acusaglik.957326 |
| AMA | Türkben Polat H,aslan h Determining the Knowledge and Attitudes of Nurses about Catheter Associated Urinary Tract Infections. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2022; 13(2): 286 - 291. 10.31067/acusaglik.957326 |
| Vancouver | Türkben Polat H,aslan h Determining the Knowledge and Attitudes of Nurses about Catheter Associated Urinary Tract Infections. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2022; 13(2): 286 - 291. 10.31067/acusaglik.957326 |
| IEEE | Türkben Polat H,aslan h "Determining the Knowledge and Attitudes of Nurses about Catheter Associated Urinary Tract Infections." Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 13, ss.286 - 291, 2022. 10.31067/acusaglik.957326 |
| ISNAD | Türkben Polat, Hilal - aslan, hakime. "Determining the Knowledge and Attitudes of Nurses about Catheter Associated Urinary Tract Infections". Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 13/2 (2022), 286-291. https://doi.org/10.31067/acusaglik.957326 |
