Date on Paper


Document Type

Doctoral Paper

Degree Name




Committee Chair

Shumaker, Shannon

Committee Member

Abusalem, Said

Author's Keywords

catheter-associated urinary tract infection; rounding tool; interdisciplinary communication; multidisciplinary rounding; intensive care unit


Background/Significance: Catheter-associated urinary tract infections (CAUTIs) are avoidable and costly healthcare-associated infections (HAIs) and are associated with high morbidity and mortality. A rise in CAUTIs at the project site, and the need for a standardized CAUTI prevention communication process, prompted this quality improvement project.

Purpose: The purpose of this quality improvement project was to decrease CAUTIs through improved communication and collaboration amongst the critical care team.

Methods: Twelve nurses completed the Collaboration and Satisfaction about Care Decisions (CSACD) questionnaire pre- and post- intervention which, evaluated communication and collaboration. Nurses also assessed IUC indication and removal during interdisciplinary rounds.

Intervention: This project incorporated a rounding tool that addressed IUC maintenance, during interdisciplinary rounding, to improve interdisciplinary communication and collaboration and facilitate early IUC removal, among intensive care unit (ICU) patients.

Results: Fifty percent of participants demonstrated an improvement in CSACD scores from pre- to post-intervention; however, this improvement was not statistically significant (p = 0.118). CAUTI rates remained unchanged; IUC utilization rates increased.

Discussion: Although communication and collaboration scores did not demonstrate a statistically significant improvement, the results demonstrate clinical significance. With rounding tool implementation, nurses were able to identify patients without proper indication for IUCs and discuss removal with the care team.

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