Knowledge and Practice on Prevention of Catheter Associated Urinary Tract Infection among Nurses in selected Teaching Hospital of Pokhara

Abstract

Background: Catheter-associated Urinary Tract Infections is one of the most common health care-associated infections accounting for almost 40% of all nosocomial infection with approximately 10% of mortality. Most of the CAUTI are preventable through the proper application of guidelines and aseptic technique by healthcare workers. Thus, this study aimed to assess the knowledge and practice on prevention of catheter associated urinary tract infection among nurses in selected teaching hospital of Pokhara.

Methods: A descriptive cross-sectional study was carried out on a sample of 144 nurses who were working on different departments of Gandaki Medical College Teaching Hospital and Research Center Pvt. Ltd from August to September 2024. Non- probability purposive sampling was used to select the sample. Nurses who were present during the time of data collection and who were willing to participate was included in the study. Data was collected after informed consent through structured self- administer questionnaires. Descriptive statistics and Chi-square tests were performed to analyzed data.

Results: The finding of the research study reveals that, 38.2% had good knowledge and 61.8% had poor knowledge while 66.0% had good practice and 34% had poor practice regarding prevention of CAUTI among nurses. Significant association of knowledge was found with working unit (p=0.007) and training on CAUTI prevention (p=0.000). Conversely, no significant association was found between knowledge and age, educational level, work experiences and exposure to patient with CAUTI.

Conclusions: This study concluded that even though only less than half of the nurses had good knowledge regarding prevention of CAUTI still the practice is good among more than half of the nurses. So, to overcome the gap between knowledge and practice regarding prevention of CAUTI and to enhance the quality nursing care, health care setting should focus on better educational intervention through pre course and in-service training.