Nurse-directed catheter removal protocols to prevent catheter-associated urinary tract infection: Strategies for implementation

摘要

The translation of evidence-based practices to the bedside requires flexibility to change traditional ways of practice. The paradigm shift of responsibility for reducing health care-associated infections (HAIs) from the infection control professionals to the multidisciplinary patient care team has facilitated the adoption of interventions, with evidence suggesting a clinical benefit. This shift in accountability to clinicians has led to the implementation of HAI prevention strategies that are timely, sustainable, and successful. Recent publications on reducing unnecessary urinary catheter use illustrate the impact that team-led initiatives can achieve by leveraging technology and the quality improvement methodology of rapid-cycle change and implementation science.