Table 2.
Healthcare workers' (nurses and nurse aides) knowledge of CDC† recommendations for urinary catheter use and care practices, hand hygiene, and catheter care
| Question | All HCWs (Correct) | Nurses N (%) Correct | Aides N (%) Correct | ORa (95% CI) | P value |
|---|---|---|---|---|---|
| Long-term use of Urinary catheters (such as foley or suprapubic) is appropriate for the following conditions: | |||||
| Urinary retention that can not managed by intermittent catherization (indicated) | 276 (78) | 99 (88) | 164 (75) | 1.6 (0.6,4.3)* | 0.35 |
| Large pressure ulcers (indicated) | 252 (71) | 93 (83) | 159 (60) | 1.6 (0.5,0.7) | 0.38 |
| Terminal illness that makes bed clothing changes uncomfortable for the resident (indicated) | 246 (69) | 83 (74) | 152 (70) | 1.2 (0.8,1.8) | 0.46 |
| Following questions concern personal hygiene when caring for residents with indwelling urinary catheters. | |||||
| I cleanse my hands with soap and water or alcohol-based handrub before UC‡ manipulation (recommended) | 317 (97) | 99 (93) | 218 (98) | 0.2 (0.1,0.6)* | 0.008 |
| I cleanse my hands with soap and water or alcohol-based handrub after UC manipulation (recommended) | 315 (96) | 99 (93) | 216 (97) | 0.4 (0.1,1.9) | 0.26 |
| It is not necessary to cleanse hands after casual contact (such as taking pulse or adjusting their position) with residents with UC (recommended) | 218 (61) | 64 (59) | 154 (69) | 0.6 (0.3,1.0) | 0.06 |
| If my hands are not soiled, hand hygiene with alcohol-based handrub is adequate after manipulation of catheter site (recommended) | 106 (32) | 29 (27) | 70 (32) | 0.7 (0.3,1.5) | 0.38 |
| Following measures should be taken for care of residents with an indwelling urinary catheter. | |||||
| Area around UC cleaned at least once a day (recommended) | 302 (85) | 98 (94) | 204 (91) | 1.2 (0.3,5.1) | 0.84 |
| Catheter should be changed once a month | 54 (16) | 27 (22) | 27 (12) | 2.7 (1.4,5.3) | 0.003 |
| Catheter and its bag can be temporarily disconnected (not recommended) | 122 (34) | 59 (57) | 63 (29) | 3.6 (2.4,5.3) | < 0.001 |
| Catheter should be irrigated once per week (not recommended) | 68 (19) | 50 (48) | 18 (8) | 10.0 (5.2,16.8) | < 0.001 |
†
CDC = Centers for Disease Control and Prevention
‡
UC = Urinary Catheters (indwelling)