{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T02:28:51Z","timestamp":1789698531591,"version":"4.0.1"},"reference-count":43,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,10,6]],"date-time":"2024-10-06T00:00:00Z","timestamp":1728172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The aim of this study was to investigate the point prevalence and the rate of adherence to evidence\u2010based guidelines for patients who had indwelling urinary catheters in three Australian acute care hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross\u2010sectional observational design was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A multisite cross\u2010sectional observational design was utilised in three acute hospitals across Australia. Data were collected from each site in a single day directly from observation of the patient, the bedside notes and medical records. The data collected included observations of clinical care and scrutiny of the documentation of the insertion details and catheter care using best practice guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 1730 patients audited, 47% were female. The mean point prevalence of catheters in\u00a0situ across three sites was 12.9%. Correct documentation compliance was reported to be, on average, 40%. Documentation was significantly better when a template was available to guide information recorded: this was regardless of whether it was hard copy or electronic. Overall, clinical care compliance with best practices was 77%. Of note for improvement was the fixing of the urinary catheter to the thigh in highly dependent patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>It was identified that there is a need for improvement across all three sites: specifically regarding securement of the urinary catheter to the patient\u2019s thigh within the ICU. In addition, it was identified that there is a need for documentation of the urine bag change in ward areas. Documentation may be improved by incorporating templates into healthcare documentation systems in the future. Further work is needed to ensure nurses are aware of the adverse effects of urinary catheters and thus, the need to adhere to best practice guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>There has been no patient or public contribution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>We have adhered to the STROBE guidelines for reporting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.17459","type":"journal-article","created":{"date-parts":[[2024,10,6]],"date-time":"2024-10-06T23:33:37Z","timestamp":1728257617000},"page":"2737-2747","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Adherence to Evidence\u2010Based Guidelines and Implications\u00a0When Designing Electronic Documentation for Urinary Catheters"],"prefix":"10.1111","volume":"34","author":[{"given":"Bothe","family":"Janine","sequence":"first","affiliation":[{"name":"Department of Surgery St George Hospital Sydney  Kogarah New South Wales Australia"},{"name":"Curtin University School of Nursing  Bentley Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lagat","family":"Sheena","sequence":"additional","affiliation":[{"name":"Department of Women's Health Royal Prince Alfred Hospital  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Crellin","sequence":"additional","affiliation":[{"name":"Nursing Quality &amp; Safety and Acute Care Research Unit Royal Perth Bentley Group  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly\u2010Ann","family":"Hahn","sequence":"additional","affiliation":[{"name":"Nursing Quality &amp; Safety and Acute Care Research Unit Royal Perth Bentley Group  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patton","family":"Vicki","sequence":"additional","affiliation":[{"name":"Curtin University School of Nursing  Bentley Western Australia Australia"},{"name":"Nursing Quality &amp; Safety and Acute Care Research Unit Royal Perth Bentley Group  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-771X.2009.01067.x"},{"key":"e_1_2_10_3_1","unstructured":"Agency for Healthcare Research and Quality.2015.\u201cTechnical Interventions to Prevent CAUTI.\u201d Rockville MD."},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCQ.0b013e318248b0b1"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000176"},{"key":"e_1_2_10_6_1","unstructured":"Australian Commission on Safety and Quality in Health Care.2018.\u201cHealthcare Associated Infections.\u201dAccessed 3 June 2024.www.safetyandquality.gov.au."},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.22207\/JPAM.15.1.28"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2021.01.006"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2014.03.068"},{"issue":"3","key":"e_1_2_10_10_1","first-page":"167","article-title":"Development and Utility of a Standardized Bedside Audit Tool to Monitor Indwelling Urinary Catheter Use in Patients With Cancer","volume":"38","author":"d'Stere Murphy B. 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