Date of Conferral

4-25-2025

Date of Award

April 2025

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Joan Moon

Abstract

Home healthcare agencies transition patients from the hospital to the home where caregivers may assist in providing care for indwelling Foley catheters. About half of urinary tract infections are in the presence of an indwelling catheter. The agency for which this Doctor of Nursing Practice project was developed does not have an evidence-based clinical practice patient education guideline (CPPEG) for the care of the indwelling catheter to prevent infection. The practice-focused questions were: (a) What evidence-based literature supports the development of a CPPEG for patient education on the care of the Foley catheter in the home and (b) Will the development of the CPPEG achieve a level of 7(100%) upon AGREE II scoring? Evaluated by three content experts using the AGREE II Scoring Instrument, the purpose of the project was to develop an evidence-based CPPEG that the home health agency (HHA) can utilize to standardize the care of indwelling Foley catheter education provided to patients and their caregivers in the home. Descriptive statistics showed a mean score of 6.5(92%) was achieved with accompanying recommendations which were put in place resulting in an acceptable product. The CPPEG has the potential to be shared across other HHAs to provide standardized education for patients and their caregivers. An implication for nursing practice is that the nurses will have clear expectations on the education to provide to patients thus improving their professional practice. Positive social change can be facilitated by improving outcomes of complex patients impacting the family sense of empowerment and well-being. The CPPEG may also lead to decreased health costs for the HHA, family, hospital, and community.

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