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Exploring Factors Associated With Nurses’ Adoption of an Evidence-Based Practice to Reduce Catheter-Associated Urinary Tract Infections Brian T. Conner,

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Presentation on theme: "Exploring Factors Associated With Nurses’ Adoption of an Evidence-Based Practice to Reduce Catheter-Associated Urinary Tract Infections Brian T. Conner,"— Presentation transcript:

1 Exploring Factors Associated With Nurses’ Adoption of an Evidence-Based Practice to Reduce Catheter-Associated Urinary Tract Infections Brian T. Conner, PhD, RN, CNE Assistant Professor College of Nursing Medical University of South Carolina

2 Problem Identification Risk of hospital-acquired infections (HAIs) remains high Risk of hospital-acquired infections (HAIs) remains high Urinary tract infections are most common HAI (HA-UTI) Urinary tract infections are most common HAI (HA-UTI) 80% of HA-UTIs are related to urinary catheterization (HA-CAUTI) 80% of HA-UTIs are related to urinary catheterization (HA-CAUTI)

3 Explore nurses’ perceptions of EBP in general and specific to the use of a nurse-driven urinary tract infection prevention protocol aimed at reducing duration of catheterization. Specific Aims

4 Rogers’ Diffusion of Innovation Theory Characteristics ConceptDefinition Relative advantageDegree to which the innovation is perceived as an improvement over what it replaces. CompatibilityDegree to which the innovation is seen as being a good fit with the potential adopters. ComplexityDegree to which the innovation is perceived as difficult to understand and use. TrialabilityDegree to which the innovation can be tried prior to adoption. ObservabilityDegree to which the results of the innovation are visible and measurable.

5 Questionnaire Development/Modification EBPQ – 24-item self-report with three subscales: Practice Attitudes Knowledge/skills AECDPQ – 17-item self report with three underlying constructs: Relative advantage/compatibility Complexity Observability

6 Qualitative Data Collection Focus groups of 4-6 nurses from intervention unit Focus groups of 4-6 nurses from intervention unit Two groups to include various shifts Two groups to include various shifts Grounded Theory Grounded Theory

7

8 Responses to AECDPQ

9 Catheter duration

10 Themes developed from qualitative data

11 Conclusion EBP education + practical application of an EBP > increases nurses’ perceptions and attitudes of EBP. EBP education + practical application of an EBP > increases nurses’ perceptions and attitudes of EBP. Nurse-driven protocol seen as having relative advantage and compatibility Nurse-driven protocol seen as having relative advantage and compatibility Need collaboration to test nursedriven protocol in other hospitals around the state Need collaboration to test nursedriven protocol in other hospitals around the state


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