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Rehabilitation Nurses’ Knowledge, Attitudes, and Behaviors for Preventing Urinary Tract Infections From Intermittent Catheterization

Dawa, Tenzin, APRN, NP1; Randolph, Mary, MA, RN1; Moyers, Penelope, EdD, OT, OT/L, FAOTA2; Finch Guthrie, Patricia, PhD, RN2; Frie, Brenda, MA, OTR/L, CHT2; Filer, Debra, PhD, RN, CNE2

doi: 10.1097/rnj.0000000000000125
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Purpose The aim of this study was to develop and examine the reliability of a survey to assess knowledge, attitudes, and behaviors (KAB) of rehabilitation nurses for preventing urinary tract infections in persons requiring intermittent catheterization.

Design Cross-sectional survey with principal component analysis.

Methods Survey development and administration based on national guidelines.

Findings Principal component analysis produced three reliable components of KAB explaining 54.5% of response variance. Results indicate that nurses report adequate knowledge and training. Although the facility had an evidence-based online catheterization procedure, staff reported that the procedure was not helpful nor useable. Twenty-eight percent incorrectly identified the root cause of urinary tract infection, and 45% reported that other nurses always washed their hands. Barriers to using standard intermittent catheterization technique were staff, time, and patient variables.

Conclusion The modified survey is a reliable measure of KAB.

Clinical Relevance The survey assists with identifying knowledge gaps, customizing education, and changing practice.

1 Courage Kenny Rehabilitation Institute, Minneapolis, MN, USA

2 Henrietta Schmoll School of Health, St. Catherine’s University, St. Paul, MN, USA

Correspondence: Tenzin Dawa, Courage Kenny Rehabilitation Institute, 800 E 28th Street, Mailstop 12201, Minneapolis, MN 55407, USA. E-mail: tenzin.dawa@allina.com

Cite this article as: Dawa, T., Randolph, M., Moyers, P., Finch-Guthrie, P., Frie, B., & Filer, D. (2019). Rehabilitation nurses’ knowledge, attitudes, and behaviors for preventing urinary tract infections from intermittent catheterization. Rehabilitation Nursing, 44(3), 171–180. doi: 10.1097/rnj.0000000000000125

© 2019 Association of Rehabilitation Nurses.
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