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

Rehabilitation Nursing Journal: May/June 2019 - Volume 44 - Issue 3 - p E9
doi: 10.1097/RNJ.0000000000000230
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Back to Top | Article Outline


Purpose: To present a survey designed to describe rehabilitation nurses’ knowledge, attitudes, and behaviors (KAB) for preventing urinary tract infections (UTIs) in patients with neurogenic bladders using intermittent catheterization (IC).

Learning Objectives/Outcomes: After completing this continuing education activity, you should be able to:

1. Summarize the use of IC in patients with neurogenic bladders.

2. Specify the design and results of the survey.

3. Identify recommendations for preventing UTI in patients with neurogenic bladders receiving IC.

  1. Along with the risk of developing UTI, another risk of ongoing IC is developing
    1. cancer.
    2. neurogenic bladder.
    3. vascular clots.
  2. In addition to a positive urine culture, the diagnosis of symptomatic UTI in a patient with neurogenic bladder includes symptoms such as
    1. dysuria.
    2. urgency.
    3. increased incontinence.
  3. In the study of spinal cord patients using IC by Massa et al. (2009), which urine characteristic had the highest accuracy for predicting UTI?
    1. leukocytes in the urine
    2. cloudy urine
    3. increased odor
  4. What did Girard et al. (2015) identify as a possible reason why patients receiving IC had higher UTI rates than those patients with indwelling catheters?
    1. inadequate staff knowledge
    2. length of hospitalization
    3. patient co-morbidities
  5. In the UTI KAB Survey developed for the survey, the behavior questions focused on
    1. information about UTI and its prevention.
    2. use of evidence for prevention.
    3. implementation of preventive activities.
  6. Survey findings showed that the nurses with the highest attitude scores were those with
    1. associate degrees.
    2. baccalaureate degrees.
    3. graduate degrees.
  7. In the survey, about what percentage of the nurses incorrectly identified the root cause of a UTI?
    1. 28%
    2. 38%
    3. 48%
  8. Based on the results of the survey, the authors recommend the implementation of staff education regarding
    1. UTI symptomatology.
    2. hand hygiene.
    3. microbiology.
  9. Important recommendations from the national guidelines for preventing UTI is the use of
    1. a bladder scanner.
    2. prophylaxis antibiotics.
    3. sterile technique for all IC.
  10. To prevent high post volume residuals in patients with neurogenic bladders receiving IC, IC should occur regularly
    1. as requested by the patient.
    2. 2 to 3 times per day.
    3. 4 to six times per day.
© 2019 Association of Rehabilitation Nurses.