Situational Analysis of Catheter-associated Urinary Tract Infections of Ranong Hospital

Abstract

This descriptive research objective was to study the situation of managing, including the problems, obstacles, and suggestions for managing the infection that occurred from urinary catheter placement. Ranong hospital from urinary catheter placement by review of the medical records of 10 infected patients in 2023. Structured interviews with 52 personnel caring for patients. Knowledge assessment and practice questions with 52 professional nurses. So, the data were analyzed using descriptive statistics and content analysis.The finding show that: 1The incidence of infection from urinary catheter placement is estimated to be 1.59 times/1000 catheter days. 2.Problems and obstacles in preventing infection from Urinary catheters are as follows: 1. Structure aspect: There are clear guidelines for preventing infection from inserting a urinary catheter but it's hard to reach. The manpower is not enough. Also training and development personnel regarding prevention of infection from urinary catheter use, but the agency still lacks a review of the cause of the infection. Then still lacks communication within the agency. 2. Regarding the process, the agency has not continuously assessed the necessity or indication for inserting a urinary catheter, which causes some patients to have no indication for inserting a urinary catheter, resulting in the catheter not being removed. There is still a lack of nursing records. There is a hasty hand washing that does not complete the 5 moment principle, especially the steps before touching the patient, fixing the urinary catheter, pouring urine, and cleaning the organs before inserting the urinary catheter. 3. Results include: the  agency does not know the incidence of infections from urinary catheters and did not clearly use the data for quality development activities. The agency does not estimate rates. Following guidelines for preventing infection from urinary catheter placement. Then the agency is aware of the impact of infections from urinary catheters but does not follow the CAUTI BUNDLE guidelines. 1.Suggestions for preventing infections from urinary catheter placement are as follows: 1. Structural aspects include setting a policy and communicating the policy to departments throughout the organization. Want to improve the guidelines to make them easier to understand. Personnel should be arranged appropriately according to the criteria for patients with urinary catheters who want to organize training or create a project to reduce the incidence of infections from urinary catheters only at the unit or create other media and support personnel to have more knowledge. Every department should have a monthly review to find the cause of infection. There should also be supervision and supervision by the dormitory supervisor and additional equipment should be supported as well 2. Process aspects include: There should be a performance evaluation where the department head or shift supervisor needs an alcohol hanger on the bed for easy access, they need lotion to prevent dry hands, they need an expert to help determine guidelines for disconnecting the urine tube, and they want to have adequate tools or equipment. 3. Results include presentation of incident data to those involved. The head of the department should participate in evaluating and monitoring compliance with the guidelines and presenting information on the impacts to those involved.The results in this research for nursing executives, quality development teams, and infection prevention and control committees in hospitals, they can use this information to improve quality and reduce the incidence of urinary catheter infections. It is especially important to develop knowledge and promote correct practice. Also include providing and supporting adequate equipment and including supervision and control so that infection can be reduced to a minimum.