Change in staff perspectives on indwelling urinary catheter use after implementation of an intervention bundle in seven Swiss acute care hospitals: results of a before/after survey study

摘要: Objective To evaluate changes in staff perspectives towards indwelling urinary catheter (IUC) use after implementation of a 1-year quality improvement project. Design Repeated cross-sectional survey at baseline (October 2016) and 12-month follow-up 2017). Setting Seven acute care hospitals Switzerland. Participants The was targeted all nursing medical members working the participating time distribution. A total 1579 participated (T0) (49% response rate) 1527 (T1) (47% rate). Intervention multimodal intervention bundle, consisting an evidence-based indication list, daily re-evaluation ongoing need training, implemented over course 9 months. Main outcome measures Staff knowledge (15 items), perception current practices culture (scale 1–7), self-reported responsibilities (multiple-response question) determinants behaviour 1–7) before bundle. Results mean number correctly answered questions increased significantly between two periods (T0: 10.4, T1: 11.0; p Conclusion We found small but significant perceptions Efforts now to be sustaining reinforcing these changes, so that restrictive IUCs becomes integral part hospital culture.