Date of Conferral



Doctor of Nursing Practice (DNP)




Catherine Garner


The incidence of catheter-associated urinary tract infections (CAUTI) in long-term care settings ranges from 1.5 to 3.3 per 1,000 catheter days for adult. Over 380,000 nursing home residents are hospitalized due to infections each year. Staff education using Agency for Healthcare Research and Quality (AHRQ) practice guidelines showed knowledge gained. The use of an evidence-based practice guideline developed AHRQ has been shown to significantly reduce the rate of CAUTI in the long-term care residents. The clinical practice problem was a CAUTI rate higher than the national average in the long-term care facility of interest due, in part to inconsistent nursing practice. The practice focused question addressed whether an educational program regarding evidence-based clinical practice guidelines for CAUTI would improve the knowledge of the nursing staff. The educational program on catheter insertion, maintenance, and removal was provided to 48 staff nurses by nurse educator. The validated AHRQ knowledge scale results were analyzed using paired sample t-test showing a statistically significant increase in knowledge from pretest (M=73.15, SD 11.65) to post-test (M=90.41, SD = 5.35), t (8) = -2.345, P=0.006. The expected positive social change is that increased knowledge on the use of AHRQ best clinical practice guidelines for preventing catheter-associated urinary tract infection will result in reduced rate of infection among residents, better health outcomes, and improved quality of life. Other long-term care facilities can replicate this project, enhancing transferability of this education to improve the quality of geriatric nursing care practices.

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