{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T03:50:36Z","timestamp":1784778636050,"version":"3.55.0"},"reference-count":13,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2015,1,2]],"date-time":"2015-01-02T00:00:00Z","timestamp":1420156800000},"content-version":"unspecified","delay-in-days":2314,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2008,9]]},"abstract":"<jats:sec id=\"S0195941700048876_abs1\"><jats:title>Objective.<\/jats:title><jats:p>To determine the effect of nurse-led multidisciplinary rounds on reducing the unnecessary use of urinary catheters (UCs).<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700048876_abs2\"><jats:title>Design.<\/jats:title><jats:p>Quasi-experimental study with a control group, in 3 phases: preintervention, intervention, and postintervention.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700048876_abs3\"><jats:title>Setting.<\/jats:title><jats:p>Twelve medical-surgical units within a 608-bed teaching hospital, from May 2006 through April 2007.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700048876_abs4\"><jats:title>Intervention.<\/jats:title><jats:p>A nurse trained in the indications for UC utilization participated in daily multidisciplinary rounds on 10 medical-surgical units. If no appropriate indication for a patient's UC was found, the patient's nurse was asked to contact the physician to request discontinuation. Data were collected before the intervention (for 5 days), during the intervention (for 10 days), and 4 weeks after the intervention (for 5 days). Two units served as controls.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700048876_abs5\"><jats:title>Results.<\/jats:title><jats:p>Of 4,963 patient-days observed, a UC was present in 885 (for a total of 885 \u201cUC-days\u201d). There was a significant reduction in the rate of UC utilization from 203 UC-days per 1,000 patient-days in the preintervention phase to 162 UC-days per 1,000 patient-days in the intervention phase (<jats:italic>P<\/jats:italic> = .002). The postintervention rate of 187 UC-days per 1,000 patient-days was higher than the rate during the intervention (<jats:italic>P<\/jats:italic> = .05) but not significantly different from the preintervention rate (<jats:italic>P<\/jats:italic> = .32). The rate of unnecessary use of UCs also decreased from 102 UC-days per 1,000 patient-days in the preintervention phase to 64 UC-days per 1,000 patient-days during the intervention phase (<jats:italic>P<\/jats:italic> &lt; .001); and, significantly, the rate rose to 91 UC-days per 1,000 patient-days in the postintervention phase (<jats:italic>P<\/jats:italic> = .01). The rate of discontinuation of unnecessary UCs in the intervention phase was 73 (45%) of 162.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700048876_abs6\"><jats:title>Conclusions.<\/jats:title><jats:p>A nurse-led multidisciplinary approach to evaluate the need for UCs was associated with a reduction of unnecessary UC use. Efforts to sustain the intervention-induced reduction may be successful when trained advocates continue this effort with each team.<\/jats:p><\/jats:sec>","DOI":"10.1086\/589584","type":"journal-article","created":{"date-parts":[[2008,8,13]],"date-time":"2008-08-13T17:02:37Z","timestamp":1218646957000},"page":"815-819","source":"Crossref","is-referenced-by-count":81,"title":["Effect Of Nurse-Led Multidisciplinary Rounds On Reducing the Unnecessary Use Of Urinary Catheterization in Hospitalized Patients"],"prefix":"10.1017","volume":"29","author":[{"given":"Mohamad G.","family":"Fakih","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cathleen","family":"Dueweke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Meisner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorine","family":"Berriel-Cass","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Savoy-Moore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Brach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janice","family":"Rey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Desantis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis D.","family":"Saravolatz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2015,1,2]]},"reference":[{"key":"S0195941700048876_ref007","doi-asserted-by":"publisher","DOI":"10.1086\/502329"},{"key":"S0195941700048876_ref002","doi-asserted-by":"publisher","DOI":"10.1086\/501964"},{"key":"S0195941700048876_ref005","volume-title":"Program and abstracts of the 16th Annual Meeting of the Society for Healthcare Epidemiology of America","author":"Fakih","year":"2006"},{"key":"S0195941700048876_ref011","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2003.08.007"},{"key":"S0195941700048876_ref001","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-6553(00)90015-4"},{"key":"S0195941700048876_ref003","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-137-2-200207160-00012"},{"key":"S0195941700048876_ref013","doi-asserted-by":"publisher","DOI":"10.1086\/529589"},{"key":"S0195941700048876_ref009","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(02)01568-1"},{"key":"S0195941700048876_ref010","doi-asserted-by":"publisher","DOI":"10.1086\/501837"},{"key":"S0195941700048876_ref004","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/61.7.749"},{"key":"S0195941700048876_ref012","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(00)00531-3"},{"key":"S0195941700048876_ref006","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-6553(83)80012-1"},{"key":"S0195941700048876_ref008","doi-asserted-by":"publisher","DOI":"10.1177\/1062860605276074"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0195941700048876","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,30]],"date-time":"2019-04-30T18:36:29Z","timestamp":1556649389000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0195941700048876\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,9]]},"references-count":13,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2008,9]]}},"alternative-id":["S0195941700048876"],"URL":"https:\/\/doi.org\/10.1086\/589584","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,9]]}}}