Evidence for a nurse-led protocol for removing urinary catheters: A scoping review

Jones, Angela E., Nagle, Cate, Ahern, Tracey, and Smyth, Wendy (2022) Evidence for a nurse-led protocol for removing urinary catheters: A scoping review. Collegian, 30 (1). pp. 190-197.

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Background: Catheter-associated urinary tract infections significantly contribute to hospital acquired complications globally, with adverse implications for patient outcomes, healthcare, and fiscal resources. Nurse-led protocols for early removal of urinary catheters to reduce the incidence of catheter-associated urinary tract infections have been trialled.

Aim: To report the evidence for nurse-led practices of removing urinary catheters within the acute healthcare setting.

Methods: Five databases (CINAHL, MEDLINE, SCOPUS, EMCARE, and INFORMIT) were systematically searched in a scoping review of all peer reviewed publications up to 12/03/2021.

Findings: Thirteen studies met the inclusion criteria. Eleven studies described a reduction in catheter-associated urinary tract infections regardless of the type of intervention, one study did not demonstrate a change and one study reported an increase in catheter-associated urinary tract infections. Settings, study duration and sample size varied substantially between the included studies. Interventions were exclusive nurse-led protocol for removal of urinary catheters, computerised reminder systems, bundle approaches or comprehensive packages. Outcome measures and definitions of catheter-associated urinary tract infections were varied or absent.

Discussion: The quality of evidence of included studies in this review was low, attributed to by a number of methodological issues related to sample size and statistical analyses. Whilst the introduction of nurse-led protocols showed some improvements, the methodological inconsistencies make it difficult to highlight a specific protocol.

Conclusion: Given the quality of existing evidence, caution is required in translating these findings to policy and practice.

Item ID: 76005
Item Type: Article (Research - C1)
ISSN: 1876-7575
Copyright Information: © 2022 Australian College of Nursing Ltd. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license ( http://creativecommons.org/licenses/by-nc-nd/4.0/ )
Date Deposited: 13 Sep 2022 22:07
FoR Codes: 42 HEALTH SCIENCES > 4205 Nursing > 420501 Acute care @ 100%
SEO Codes: 20 HEALTH > 2003 Provision of health and support services > 200307 Nursing @ 100%
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