Evaluation of the Utilization of Catheter Associated Urinary Tract Infection Bundle Among Critical Care Nurses - Kenyatta National Hospital

Abstract

Majority if not all patients admitted to the Critical Care Units (CCUs) have indwelling urinary catheters predisposing them to Catheter Associated Urinary Tract Infections (CAUTI). CAUTI bundle was introduced to reduce the infections whose prevalence had been high. Utilization of this bundle is considered standard gold and should be utilized completely by nurses while providing care to the patients. The aim of this study was to determine the utilization of the CAUTI bundle among critical care nurses at Kenyatta National Hospital’s (KNH’s). The study applied a cross-sectional descriptive design with cluster sampling and simple random sampling for each cluster. Ninety five critical care nurses were selected from a total of 136 nurses using Cochran’s formulae. A structured questionnaire and an observation checklist were used to collect data which was analyzed using the Statistical Package for Social Sciences (SPSS) version 21.0. Descriptive statistics was used to summarize the data and inferential statistics (Chi-square test, odds ratio and Pearsons’ correlation) was used to establish relationships between variables. Nurses working at KNH’s CCUs utilized and adhered (49.5%; P >0.005) to the bundle. There was a weak correlation between the observed and reported bundle utilization [r = 0.043; 95% CI 0.16 – 0.24; P = 0.678].