الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
SUMMARY
Urinary catheter is a commonly used device for different
patients in various healthcare settings. Their use may put patients at
increased risk of urinary tract infection, urinary catheter as a foreign
body, allows bacteria to colonize and enter the body. The rate of
acquisition of bacteriuria is approximately 5% per day with an
indwelling urinary catheter (Phipps et al., 2009). The uses of
indwelling urinary catheter increase the risk of developing catheterassociated urinary tract infections (CAUTIs). CAUTIs account for a
significant proportion (up to 30-40%) of healthcare-associated
infections which in turn may have great financial impact to the
healthcare system. (Burke & Piley, 2004) The Nurses can be very
proactive for patients with indwelling catheters, whether short- or
long-term. The nurse must follow general guidelines for controlling
infection and use program according to hospital policy. In addition,
parrier protection must be used by nurse to prevent occurrence of
infection for patient and themselves (Potter & Perry, 2005).
Despite infection control policies and procedures, catheter
associated urinary tract infection (CAUTI) rates remain a significant
problem in the hospitals especially in the intensive care units (ICUs)
according to statistical reports derived from microbiology
department in Mansoura university at 2010 indicated that (CAUTI)
17.97% among healthcare-associated infections. Therefore, this
study will clarify the relation between critical nurse level of
knowledge and level of practice in the care for patients with urinary
catheter.
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92
The present study aims at assessing the performance of nurses
regarding infection control for patients with indwelling urinary
catheter through: 1-Assess nurses’ knowledge regarding care for
female patients with indwelling urinary catheter. 2-Assess nurses’
practice regarding care for female patients with indwelling urinary
catheter.
Study sample
All available nurses were involved in the study composed of
seventy (70) nurses working at the intensive care units with the
inclusion criteria of being provide direct care to female catheterized
patients and they have no previous training regarding urinary
catheter care.
Data were collected by the usage of two Tools:
Tool (I) self -administered questionnaire sheet used to assess level
of nurses’ knowledge. It was developed by the researcher
and guided by the review of literature.
Tool (II) A Standardized Observational Checklist used to assess
nurses’ practice regarding indwelling urinary catheter’s
care for female patients. This checklist is adopted from
(Robinson, 2008)
Data collection phase
The researcher have met nurses and obtained their agreement
to participate in the study, the researcher explained what is needed to
be done and filled in the questionnaire sheet. All of the study
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93
subjects were given the same instructions, the researcher has
personally met each of them, and each interview lasted for 30-45
minutes. The researcher met about 4-6 nurses every time in intensive
care units from 10.00 am to 2.00 pm. This time was suitable because
the most nursing activates are done in this time. The researcher
observed each nurse during her actual practice of urinary catheter
(insertion, care, removal, and\or obtaining sterile urine sample)
without here attention. The researcher was available with nurses in
ICU 3 days weekly. The time which is taken for the total numbers
(70 nurses) to complete data collection was 6 months; from July to
December 2011.
Summary of the result
1. The personal characteristics of the studied nurses revealed that
(68.6%) of the studied sample age was less than 30 years, with
mean 27 years. As for nursing qualification; (41.4%) of the
studied samples have bachelor degree. However (72.8%) of
the studied sample had less than ten years of experience. with
mean 7.39 years of experience.
2. Slightly more than tow thirds (67.19%) of the studied nurses
have satisfactory knowledge regarding infection control.
3. More than the half (54.68%) of the studied nurses have
satisfactory knowledge regarding indwelling urinary catheter.
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4. Nurse’s levels of total knowledge (60.9%) of the studied nurses
have satisfactory level of total knowledge as regarding
indwelling urinary catheter and its related infection.
5. Nurse’s level of total practice (18.6%) of the studied nurses
have Competent level of total practice as regarding indwelling
urinary catheter, and the majority (81.4%) of nurses have
Incompetent levels of total practice regard indwelling urinary
catheter.
6. There is statistically significant relation between nurse’s level
of knowledge about indwelling urinary catheter and its
infection control measures and their age. P<0.05.
7. There is a high statistically significant relation between nurse’s
level of knowledge about indwelling urinary catheter and its
infection control measures and nursing qualification. (F =
20.8, 13.9) respectively at P<0.0001.
8. There is a statistically significant relation between nurse’s level
of knowledge about indwelling urinary catheter and its
infection control measures and their years of experience. (F =
3.9, 8.3) respectively at P<0.05.
9. There is no significant relation between nurse’s level of
practice during insertion of indwelling urinary catheter,
ongoing care, collecting sterile urine sample, or removal of
indwelling urinary catheter and their age P >0.05.
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95
10. There is a high statistically significant difference between
nurse’s level of practice during insertion of indwelling urinary
catheter, ongoing care, collecting sterile urine sample, and
removal of indwelling urinary catheter and their
qualification. (F = 27.3, 18.3, 15.3, 17.4) respectively at
P<0.0001.
11. There is no significant relation between nurse’s level of
practice during insertion of indwelling urinary catheter,
ongoing care, collecting sterile urine sample, or removal of
indwelling urinary catheter and their years of experiences P
>0.05.
12. There is a weak positive correlation between nurse’s level of
knowledge and level of practice regarding infection control
measures for female patients with indwelling urinary catheter
from the result of the present study, it could be concluded that:
More than half of nurses had satisfactory level of knowledge
about indwelling urinary catheter and its related infection and the
majority of the studied nurse had incompetent level of performance
regarding indwelling urinary catheter care. Also the current study
found that there is a high statistically significant relation between
nurse’s level of knowledge and the practice regarding indwelling
urinary catheter infection control measures and their qualification
and years of experiences. And there is a weak positive correlation
between nurse’s level of knowledge and level of practice regarding
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96
infection control measures for female patients with indwelling
urinary catheter.
Based on these findings, the following recommendations are
suggested:
1- All health care providers should have routine educational
updates about prevention of nosocomial infection especially
CAUTI.
2- Hand book about CAUTI prevention or nosocomial infection
control measures should be available to nurses to give them
knowledge at any time.
3- Educational program concerning invasive devices and their
management should be applied regularly.
4- Posters about infection control program and protocol of nurse’s
role regarding indwelling urinary catheters care must be
available at the intensive care units.
5- Before inserting indwelling urinary catheters, the benefits of
its use should be weighted against its hazards.