{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T01:44:07Z","timestamp":1792287847757,"version":"4.4.0"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,5,14]],"date-time":"2021-05-14T00:00:00Z","timestamp":1620950400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate an intervention to reduce unnecessary urinary catheter use and prevent catheter\u2010associated urinary\u2010tract infections (CAUTI) in hospitalized patients across an academic health science centre.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a one\u2010group, pretest, posttest study with a theory\u2010based process evaluation. Phase 1 consisted of a pre\/postintervention to test the impact of a CAUTI protocol. Audits on four units were conducted, and data were analysed descriptively. Phase 2 consisted of a theory\u2010based process evaluation to understand the barriers\/enablers to the implementation. Semistructured interviews were conducted and then analysed using a systematic approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In Phase 1, all inpatients with urinary catheters admitted to the units (<jats:italic>N<\/jats:italic>\u00a0=\u00a04) during the study period (<jats:italic>N<\/jats:italic>\u00a0=\u00a099, pre) and (<jats:italic>N<\/jats:italic>\u00a0=\u00a099, post) were included. CAUTI prevalence rate was 18.2% pre versus 14.1% post (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.563). In Phase 2, participants (<jats:italic>N<\/jats:italic>\u00a0=\u00a018) who worked on the units were interviewed, and a total of 13 barriers and 19 enablers were found.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nop2.920","type":"journal-article","created":{"date-parts":[[2021,5,14]],"date-time":"2021-05-14T14:26:35Z","timestamp":1621002395000},"page":"1432-1444","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Intervention to reduce unnecessary urinary catheter use in a large academic health science centre: A one\u2010group, pretest, posttest study with a theory\u2010based process evaluation"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7431-8159","authenticated-orcid":false,"given":"Chantal","family":"Backman","sequence":"first","affiliation":[{"name":"School of Nursing Faculty of Health Sciences University of Ottawa  Ottawa ON Canada"},{"name":"Ottawa Hospital Research Institute  Ottawa ON Canada"},{"name":"Bruy\u00e8re Research Institute  Ottawa ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krista R.","family":"Wooller","sequence":"additional","affiliation":[{"name":"The Ottawa Hospital, Civic Campus  Ottawa ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delvina","family":"Hasimja\u2010Saraqini","sequence":"additional","affiliation":[{"name":"The Ottawa Hospital, General Campus  Ottawa ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Demery Varin","sequence":"additional","affiliation":[{"name":"School of Nursing Faculty of Health Sciences University of Ottawa  Ottawa ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Crick","sequence":"additional","affiliation":[{"name":"School of Nursing Faculty of Health Sciences University of Ottawa  Ottawa ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Cho\u2010Young","sequence":"additional","affiliation":[{"name":"School of Nursing Faculty of Health Sciences University of Ottawa  Ottawa ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Freeman","sequence":"additional","affiliation":[{"name":"The Ottawa Hospital, Civic Campus  Ottawa ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lori","family":"Delaney","sequence":"additional","affiliation":[{"name":"The Ottawa Hospital, Civic Campus  Ottawa ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet E.","family":"Squires","sequence":"additional","affiliation":[{"name":"School of Nursing Faculty of Health Sciences University of Ottawa  Ottawa ON Canada"},{"name":"Ottawa Hospital Research Institute  Ottawa ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,5,14]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010017\u20100605\u20109"},{"key":"e_1_2_16_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20107\u201037"},{"key":"e_1_2_16_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.476"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzs077"},{"key":"e_1_2_16_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20108\u201025"},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2012.04.328"},{"key":"e_1_2_16_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2011.627"},{"key":"e_1_2_16_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2016.03.051"},{"key":"e_1_2_16_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD006559.pub2"},{"key":"e_1_2_16_11_1","doi-asserted-by":"publisher","DOI":"10.1348\/135910708X397025"},{"key":"e_1_2_16_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20107\u201038"},{"key":"e_1_2_16_13_1","unstructured":"Gould C. V. Umscheid C. A. Agarwal R. K. Kuntz G. Pegues D. A. &Healthcare Infection Control Practices Advisory Committee (HICPAC)(2019).Guideline for Prevention of Catheter\u2010Associated Urinary Tract Infections. 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