{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T12:18:59Z","timestamp":1773922739453,"version":"3.50.1"},"reference-count":22,"publisher":"SLACK, Inc.","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Contin Educ Nurs"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>Catheter-associated urinary tract infections (CAUTIs) are the second most common health care-associated infection. CAUTIs represent a serious threat to chronic critically ill patients in long-term acute care hospitals (LTACHs). Evidence-based guidelines have been shown to reduce the risk of infection in acute care settings but are not well documented in LTACHs.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Method:<\/jats:title>\n            <jats:p>An evidence-based urinary catheter protocol was developed and implemented across three units in a large LTACH. RNs were oriented to the new protocol through online educational modules. During the evaluation period, 120 patients were admitted with a urinary catheter who qualified for chart review for CAUTI incidence. Overall catheter-days and CAUTI rates were compared, and changes in practice were noted.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>\n              After the education intervention, overall urinary catheter-days decreased by 10.1%, and CAUTI incidence decreased by 74% (4.82 CAUTI per 1,000 patient-days to 1.24). The absolute risk reduction was 3.58 infections per 1,000 catheter-days. The findings were statistically significant (\n              <jats:italic>z<\/jats:italic>\n              = 1.00,\n              <jats:italic>p<\/jats:italic>\n              &lt; .03).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion:<\/jats:title>\n            <jats:p>Significant reductions were noted in total catheter-days, and CAUTI rates improved after implementation of an education program and an evidence-based urinary catheter protocol in an LTACH.<\/jats:p>\n            <jats:p>\n              <jats:italic>J Contin Educ Nurs<\/jats:italic>\n              . 2018;49(8):372\u2013377.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.3928\/00220124-20180718-08","type":"journal-article","created":{"date-parts":[[2018,7,27]],"date-time":"2018-07-27T16:43:26Z","timestamp":1532709806000},"page":"372-377","source":"Crossref","is-referenced-by-count":18,"title":["Implementing a Nurse-Driven Protocol to Reduce Catheter-Associated Urinary Tract Infections in a Long-Term Acute Care Hospital"],"prefix":"10.3928","volume":"49","author":[{"given":"Joyce","family":"Zurmehly","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_1","unstructured":"American Nurses Association. (2016). CAUTI toolkit . Retrieved from http:\/\/nursingworld.org\/practice-policy\/work-environment\/health-safety\/infection-prevention\/ana-cauti-prevention-tool\/"},{"key":"e_1_3_1_3_1","unstructured":"Centers for Disease Control and Prevention. (2015a). National Healthcare Safety Network . Retrieved from http:\/\/www.cdc.gov\/nhsn"},{"key":"e_1_3_1_4_1","unstructured":"Centers for Disease Control and Prevention. (2015b). Operational guidance for long term care hospitals to report catheter-associated urinary tract infection (CAUTI) data to CDC's NHSN for the purpose of fulfilling CMS's quality reporting requirements . Retrieved from http:\/\/www.cdc.gov\/nhsn\/PDFs\/LTACH\/8-6-2012-LTCH-CAUTI-Guidance.pdf"},{"key":"e_1_3_1_5_1","unstructured":"Centers for Disease Control and Prevention. (2016). Urinary tract infection (catheter-associate urinary tract infection [CAUTI] and non-catheter-associated urinary tract infection [UTI]) and other urinary system infection [USI]) events . Retrieved from http:\/\/www.cdc.gov\/nhsn\/pdfs\/pscmanual\/7psccauticurrent.pdf"},{"key":"e_1_3_1_6_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2013464"},{"key":"e_1_3_1_7_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2011.20.11.661"},{"issue":"4","key":"e_1_3_1_8_1","first-page":"33","article-title":"Urinary tract infections in older adults residing in long-term care facilities","volume":"20","author":"Genao L.","year":"2012","unstructured":"Genao L., Buhr G. (2012). Urinary tract infections in older adults residing in long-term care facilities. Annals of Long-term Care, 20(4), 33.","journal-title":"Annals of Long-term Care"},{"key":"e_1_3_1_9_1","unstructured":"Gould C. (2010). Catheter-associated urinary tract infection (CAUTI) toolkit . Retrieved from http:\/\/www.cdc.gov\/HAI\/pdfs\/toolkits\/CAUTItoolkit_3_10.pdf"},{"key":"e_1_3_1_10_1","volume-title":"U.S. health work-force chartbook","author":"Health Resources and Services Administration","year":"2013","unstructured":"Health Resources and Services Administration. (2013). U.S. health work-force chartbook. Rockville, MD: Author."},{"key":"e_1_3_1_11_1","unstructured":"Health Resources and Services Administration. (2016). Annual performance plan and report . Retrieved from https:\/\/health.gov\/hcq\/prevent-hai.asp"},{"key":"e_1_3_1_12_1","unstructured":"Institute for Healthcare Improvement. (2011). How-to guide: Prevent catheter-associated urinary tract infection . Retrieved from http:\/\/www.ihi.org\/resources\/Pages\/Tools\/HowtoGuidePreventCatheterAssociatedUrinaryTractInfection.aspx"},{"key":"e_1_3_1_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000000710"},{"key":"e_1_3_1_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0899823X00193845"},{"key":"e_1_3_1_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000430923.07539.a7"},{"key":"e_1_3_1_16_1","doi-asserted-by":"publisher","DOI":"10.1086\/655133"},{"key":"e_1_3_1_17_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2016766"},{"key":"e_1_3_1_18_1","first-page":"15","article-title":"Avoiding catastrophe: Implementing a nurse-driven protocol","volume":"23","author":"Mori C.","year":"2014","unstructured":"Mori C. (2014). Avoiding catastrophe: Implementing a nurse-driven protocol. Medsurg Nursing, 23, 15\u201321, 28.","journal-title":"Medsurg Nursing"},{"key":"e_1_3_1_19_1","unstructured":"National Healthcare Safety Network. (2014). Catheter-associated uri-nary tract infection outcome measure . Retrieved from http:\/\/www.hospitalsafetyscore.org\/media\/file\/CAUTI.pdf"},{"key":"e_1_3_1_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2013.03.296"},{"key":"e_1_3_1_21_1","volume-title":"Fundamentals of biostatistics","author":"Rosner B","year":"2000","unstructured":"Rosner B. (2000). Fundamentals of biostatistics (5th ed.). Pacific Grove, CA: Duxbury Press.","edition":"5"},{"key":"e_1_3_1_22_1","doi-asserted-by":"publisher","DOI":"10.7257\/1053-816X.2015.35.1.11"},{"key":"e_1_3_1_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0899-5885(18)30017-0"}],"container-title":["The Journal of Continuing Education in Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.healio.com\/doiresolver?doi=10.3928\/00220124-20180718-08","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T07:22:29Z","timestamp":1683098549000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/00220124-20180718-08"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8]]},"references-count":22,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2018,8]]}},"alternative-id":["10.3928\/00220124-20180718-08"],"URL":"https:\/\/doi.org\/10.3928\/00220124-20180718-08","relation":{},"ISSN":["0022-0124"],"issn-type":[{"value":"0022-0124","type":"print"}],"subject":[],"published":{"date-parts":[[2018,8]]}}}