(1) Sixty-minute education sessions, held multiple times to facilitate
attendance, were provided by the research nurse scientists
and unit nurse educator to address the following topics:
(a) A focused journal club session reviewing an article that
highlighted risk factors associated with indwelling catheters
and recommended prevention interventions10;
(b) discussion of the scope of the problem and dissemination of
the nursing and patient-centered interventions; and
(c) competency-based training on the use of bladder scanners
for postresidual volumes for high-risk and older adult
patients and proper urinalysis/culture collection procedure.
(2) Increased availability of bedside commodes (in multiple sizes)
to promote patient adherence to postcatheter voiding safely.
(3) Purchase of a bladder scanner to accurately assess postvoid
residuals.
(4) Four translating research into practice (TRIP) fliers covering
catheter care, the change in IUC products, use of bladder
scanners, and early removal (Fig 1). The TRIP fliers were posted
on various sites on the nursing units.
(5) Charge nurse catheter care rounds incorporated into daily
rounds where reminders for early catheter removal were made.
(6) Partnered with patients and families to promote involvement
in their care. This intervention consisted of the development of
educational (English and Spanish) materials describing catheter
care guidelines that could be given to patients and families
encouraging communication with nursing staff to question
whether continued use of the catheter was necessary.