Lissa Vazhayil Joseph, Joyce Sb Koh, Juriyah Yatim, Dr Mamun Kaysar, Cristina C Hendrix
{"title":"髋部骨折术后老年患者成功拔除导尿管的护士驱动流程：质量改进项目。","authors":"Lissa Vazhayil Joseph, Joyce Sb Koh, Juriyah Yatim, Dr Mamun Kaysar, Cristina C Hendrix","doi":"10.1097/NCQ.0000000000000799","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Hip fracture is a major health concern and the use of an indwelling urinary catheter (IUC) constitutes a significant burden on elderly patients undergoing hip fracture surgery.</p><p><strong>Local problem: </strong>The institution had a high rate of urinary tract infection (UTI) and IUC reinsertion after hip fracture surgery.</p><p><strong>Methods: </strong>A pre/post-implementation design was used for this quality improvement initiative.</p><p><strong>Interventions: </strong>A nurse-driven process was developed and implemented to improve the successful removal of IUC among patients after hip fracture surgery.</p><p><strong>Results: </strong>There was a significant reduction in post-operative urinary retention (P = .042), UTI rate (P = .047), and IUC reinsertion (P = .042) in the post-implementation group. IUC duration decreased by 1.1 days, however this was not significant (P = .206). Nurse compliance with following the new process was 93.3%.</p><p><strong>Conclusion: </strong>The nurse-driven process designed for elderly patients following hip fracture surgery presents a promising approach to reducing IUC reinsertion rates and UTI.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Nurse-Driven Process for the Successful Removal of Urinary Catheters Among Elderly Patients After Hip Fracture Surgery: A Quality Improvement Project.\",\"authors\":\"Lissa Vazhayil Joseph, Joyce Sb Koh, Juriyah Yatim, Dr Mamun Kaysar, Cristina C Hendrix\",\"doi\":\"10.1097/NCQ.0000000000000799\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Hip fracture is a major health concern and the use of an indwelling urinary catheter (IUC) constitutes a significant burden on elderly patients undergoing hip fracture surgery.</p><p><strong>Local problem: </strong>The institution had a high rate of urinary tract infection (UTI) and IUC reinsertion after hip fracture surgery.</p><p><strong>Methods: </strong>A pre/post-implementation design was used for this quality improvement initiative.</p><p><strong>Interventions: </strong>A nurse-driven process was developed and implemented to improve the successful removal of IUC among patients after hip fracture surgery.</p><p><strong>Results: </strong>There was a significant reduction in post-operative urinary retention (P = .042), UTI rate (P = .047), and IUC reinsertion (P = .042) in the post-implementation group. IUC duration decreased by 1.1 days, however this was not significant (P = .206). Nurse compliance with following the new process was 93.3%.</p><p><strong>Conclusion: </strong>The nurse-driven process designed for elderly patients following hip fracture surgery presents a promising approach to reducing IUC reinsertion rates and UTI.</p>\",\"PeriodicalId\":16931,\"journal\":{\"name\":\"Journal of nursing care quality\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2024-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of nursing care quality\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/NCQ.0000000000000799\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of nursing care quality","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NCQ.0000000000000799","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
Nurse-Driven Process for the Successful Removal of Urinary Catheters Among Elderly Patients After Hip Fracture Surgery: A Quality Improvement Project.
Background: Hip fracture is a major health concern and the use of an indwelling urinary catheter (IUC) constitutes a significant burden on elderly patients undergoing hip fracture surgery.
Local problem: The institution had a high rate of urinary tract infection (UTI) and IUC reinsertion after hip fracture surgery.
Methods: A pre/post-implementation design was used for this quality improvement initiative.
Interventions: A nurse-driven process was developed and implemented to improve the successful removal of IUC among patients after hip fracture surgery.
Results: There was a significant reduction in post-operative urinary retention (P = .042), UTI rate (P = .047), and IUC reinsertion (P = .042) in the post-implementation group. IUC duration decreased by 1.1 days, however this was not significant (P = .206). Nurse compliance with following the new process was 93.3%.
Conclusion: The nurse-driven process designed for elderly patients following hip fracture surgery presents a promising approach to reducing IUC reinsertion rates and UTI.
期刊介绍：
Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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