Date of Conferral

2-26-2024

Date of Award

February 2024

Degree

Ph.D.

School

Nursing

Advisor

Mary Martin

Abstract

Urinary tract infection (UTI) accounts for up to 31% of sepsis diagnoses and is the fourth leading cause of infections in long-term care (LTC) facilities. Timed and prompted toileting programs are used by LTCs to reduce incontinence episodes, but there is a lack of information regarding the effectiveness of timed and prompted voiding incontinence management programs on the rate of UTIs. The purpose of this study, guided by Donabedian’s conceptual model of quality improvement, was to determine if there is a difference in the rate of UTIs in Georgia LTC facilities that have a timed and prompted voiding program and Georgia LTC facilities that do not have a timed and prompted voiding program. There were 26 directors of nursing in Georgia CMS-regulated LTC facilities. Of the respondents, 69% answered yes to having policies and procedures for timed and prompted voiding, and 31% answered no. The data were analyzed with an independent t-test, which revealed there was a significantly lower UTI rate in LTCs that had timed and prompted voiding programs than LTCs that did not (p=.002). The effect size to determine my study was large; Cohen's d= 3.20072, Hedges's correction =3.20072, and Glass's delta =3.64887. Applying evidence-based incontinence management programs for older adults in LTC facilities can reduce UTI rates, which effects positive social change.

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