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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Barbara Hobbs


Catheter associated urinary tract infections (CAUTIs) are considered a preventable hospital acquired infection and hospitals are no longer reimbursed by Centers for Medicare and Medicaid Services for additional costs resulting from a CAUTI. The objective of this Practice Improvement Project (PIP) was to reduce the number of CAUTIs and urinary catheter (UC) device days for patients on an orthopedic, neurologic, surgical unit (ONS) unit. The design of the study was a nonrandomized time-sequenced intervention study. The setting was a 329-bed, level II acute care hospital. All adult patients (>19 years of age) admitted to the ONS unit who had a UC placed sometime during their hospital stay were considered for this study. The intervention of this PIP was daily nurse rounding. Every day a urinary catheter rounding nurse (UCRN) assessed all patients with a UC to determine if the standard of care for continuation set forth by the hospital was met. If not, the staff nurse would contact the provider for an order to discontinue it. The CAUTI rate decreased between the pre- intervention phase (3.56) to the intervention phase (0.00), although this was not significant (p = 0.163). The total UC device days significantly decreased between the pre-intervention phase (562) to the intervention phase (415), p < 0.001. In addition, the mean catheter utilization ratio significantly decreased from the pre-intervention phase to the intervention phase from 19.45 to 15.29, p < 0.001. In conclusion, the study results demonstrate a decrease in UC device days and catheter utilization ratio during the daily nurse rounding intervention phase of this study.

Library of Congress Subject Headings

Urinary tract infections -- Prevention
Urinary catheterization -- Complication -- Prevention


Includes bibliographical references (pages 52-56)



Number of Pages



South Dakota State University


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