{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T03:32:23Z","timestamp":1771471943333,"version":"3.50.1"},"reference-count":43,"publisher":"Wiley","issue":"5-6","license":[{"start":{"date-parts":[[2020,1,2]],"date-time":"2020-01-02T00:00:00Z","timestamp":1577923200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>This study aimed to reduce indwelling urinary catheter (IDC) use and duration through implementation of a multifaceted \u201cbundled\u201d care intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Indwelling urinary catheters present a risk for patients through the potential development of catheter\u2010associated urinary tract infection (CAUTI), with duration of IDC a key risk factor. Catheter\u2010associated urinary tract infection is considered preventable yet accounts for over a third of all hospital\u2010acquired infections. The most effective CAUTI reduction strategy is to avoid IDC use where ever possible and to remove the IDC as early as appropriate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A cluster\u2010controlled pre\u2010 and poststudy at a facility level with a phased intervention implementation approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A multifaceted intervention involving a \u201cNo CAUTI\u201d catheter care bundle was implemented, in 4 acute\u2010care hospitals, 2 in metropolitan and 2 in rural locations, in New South Wales, Australia. Indwelling urinary catheter point prevalence and duration data were collected at the bedside on 1,630 adult inpatients at preintervention and 1,677 and 1,551 at 4 and 9\u00a0months postintervention. This study is presented in line with the StaRI checklist (see Appendix S1).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A nonsignificant trend towards reduction in IDC prevalence was identified, from 12% preintervention to 10% of all inpatients at 4 and 9\u00a0months. Variability in preintervention IDC prevalence existed across hospitals (8%\u201316%). Variability in reduction was evident across hospitals at 4\u00a0months (between \u22122% and 4%) and 9\u00a0months (between 0%\u20138%). Hospitals with higher preintervention prevalence showed larger decreases, up to 50% when preintervention prevalence was 16%. Indwelling urinary catheter duration increased as more of the short\u2010term IDC placements were avoided.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Implementation of a multifaceted intervention resulted in reduced IDC use in four acute\u2010care hospitals in Australia. This result was not statistically significant but did reflect a positive trend of reduction. There was a significant reduction in short\u2010term IDC use at 9\u00a0months postintervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Clinical nurse leaders can effectively implement change strategies that influence patient outcomes. Implementation of the evidence\u2010based \u201cNo CAUTI\u201d bundle increased awareness of appropriate indications and provided nurses with the tools to inform decision\u2010making related to insertion and removal of IDCs in acute inpatient settings. Working in partnership with inpatients and the multidisciplinary team is essential in minimising acute\u2010care IDC use.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15142","type":"journal-article","created":{"date-parts":[[2019,12,19]],"date-time":"2019-12-19T17:06:18Z","timestamp":1576775178000},"page":"872-886","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Implementation of a multifaceted nurse\u2010led intervention to reduce indwelling urinary catheter use in four Australian hospitals: A pre\u2010 and postintervention study"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8611-7941","authenticated-orcid":false,"given":"Michelle","family":"Giles","sequence":"first","affiliation":[{"name":"Hunter New England Local Health District Newcastle NSW Australia"},{"name":"University of Newcastle Callaghan NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Graham","sequence":"additional","affiliation":[{"name":"Hunter New England Local Health District Newcastle NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5402-6415","authenticated-orcid":false,"given":"Jean","family":"Ball","sequence":"additional","affiliation":[{"name":"Hunter New England Local Health District Newcastle NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennie","family":"King","sequence":"additional","affiliation":[{"name":"University of Newcastle Callaghan NSW Australia"},{"name":"Central Coast Local Health District Gosford NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendy","family":"Watts","sequence":"additional","affiliation":[{"name":"Hunter New England Local Health District Newcastle NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Harris","sequence":"additional","affiliation":[{"name":"Central Coast Local Health District Gosford NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Oldmeadow","sequence":"additional","affiliation":[{"name":"Hunter Medical Research Institute New Lambton Heights NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rod","family":"Ling","sequence":"additional","affiliation":[{"name":"Hunter Medical Research Institute New Lambton Heights NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Paul","sequence":"additional","affiliation":[{"name":"Hunter New England Local Health District Newcastle NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"O\u2019Brien","sequence":"additional","affiliation":[{"name":"University of Newcastle Callaghan NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicki","family":"Parker","sequence":"additional","affiliation":[{"name":"Hunter New England Local Health District Newcastle NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Wiggers","sequence":"additional","affiliation":[{"name":"Hunter New England Local Health District Newcastle NSW Australia"},{"name":"University of Newcastle Callaghan NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maralyn","family":"Foureur","sequence":"additional","affiliation":[{"name":"Hunter New England Local Health District Newcastle NSW Australia"},{"name":"University of Newcastle Callaghan NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,1,2]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Preventing Catheter\u2010Associated Urinary Tract Infections","author":"Agency for Clinical Innovation","year":"2016"},{"key":"e_1_2_12_3_1","volume-title":"Guide to preventing catheter\u2010associated urinary tract infections","author":"Association for Professionals in Infection Control and Epidemiology","year":"2014"},{"key":"e_1_2_12_4_1","volume-title":"Admitted patient care 2016\u201317: Australian hospital statistics (Cat. no. 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