Knowledge and Compliance among Staff Nurses in Collecting Urine Culture from Patients on Indwelling Catheter in A Medical Ward
Urine specimens can easily be contaminated by microbes in the genital area, which often leads to false positive results and antibiotic over-prescriptions. This study aimed to evaluate nurses’ knowledge and compliance regarding urine collection with an indwelling catheter in a medical ward. A total of 101 registered nurses participated in this study from September 2020 to January 2021 at the Hospital Raja Perempuan Zainab II (HRPZII). A total of 118 nurses participated in this study. Generally, the nurses had sufficient knowledge of the correct urine specimen handling. Cramer’s V analysis showed a moderate association between hand hygiene knowledge and practice among the nurses (φc: 0.273, p = 0.046). In addition, the knowledge and practice of decontaminating continuous bladder drainage areas displayed a relatively moderate association (p = 0.01). While most nurses showed knowledge of the contamination preventive measures, initiatives should be taken so that all nurses would be more likely to comply with the recommended procedure and reduce specimen contamination.
Keywords:Urine Culture, , Indwelling Catheter, Medical Ward, Nursing
Brekle, L. (2019). Specimen Collection - Microbiology and Virology. World Health Organization. https://www.gosh.nhs.uk/health-professionals/clinical-guidelines/specimen-collection-microbiology-and-virology/
Dougherty, L., & Lister, S. (2016). Royal Marsden Manual of Clinical Nursing Procedures (19th ed.). John Wiley & Sons, Incorporated.
Elmi, M. Z. M., Yuran, N. H. M., Hassan, H., Rabu, N. H., Latif, W. N. F. A. M., & Othman, N. A. (2019). Knowledge and Practice among Nurses in Collecting of Urine Culture with Indwelling Catheter in Ward Mahsuri, Ward Bendahara and Ward Puteri Hospital Raja Perempuan Zainab II. Institut Latihan Kementerian Kesihatan Malaysia (Kejururawatan) Kubang Kerian.
Gendeh, H. S. (2020). Covid-19: What is PPE and why is it so important to our frontliners? The Star Media Group. https://www.thestar.com.my/lifestyle/health/2020/04/22/covid-19-protecting-our-frontliners-with-ppe
Goebel, M. C., Trautner, B. W., & Grigoryan, L. (2021). The Five Ds of Outpatient Antibiotic Stewardship for Urinary Tract Infections. Clinical Microbiology Reviews, 34(4), e00003-20. https://doi.org/10.1128/CMR.00003-20
Holm, A., & Aabenhus, R. (2016). Urine sampling techniques in symptomatic primary-care patients: a diagnostic accuracy review. BMC Family Practice, 17(1), 72. https://doi.org/10.1186/s12875-016-0465-4
Kim, H.-Y. (2017). Statistical notes for clinical researchers: Chi-squared test and Fisher’s exact test. Restorative Dentistry & Endodontics, 42(2), 152–155. https://doi.org/10.5395/rde.2017.42.2.152
Kim, H.-Y. (2019). Statistical notes for clinical researchers: the independent samples t -test. Restorative Dentistry & Endodontics, 44(3), e26–e27. https://doi.org/10.5395/rde.2019.44.e26
Kim, V. J., Okano, C. K., Osborne, C. R., Frank, D. M., Meana, C. T., & Castaneto, M. S. (2019). Can synthetic urine replace authentic urine to “beat” workplace drug testing? Drug Testing and Analysis, 11(2), 331–335. https://doi.org/10.1002/dta.2497
Krejcie, R. V, & Morgan, D. W. (1970). Determining Sample Size for Research Activities Robert. Educational and Psychological Measurement, 38(1), 607–610. https://doi.org/10.1177/001316447003000308
Letica-Kriegel, A. S., Salmasian, H., Vawdrey, D. K., Youngerman, B. E., Green, R. A., Furuya, E. Y., Calfee, D. P., & Perotte, R. (2019). Identifying the risk factors for catheter-associated urinary tract infections: a large cross-sectional study of six hospitals. BMJ Open, 9(2), e022137. https://doi.org/10.1136/bmjopen-2018-022137
Lough, M. E., Shradar, E., Hsieh, C., & Hedlin, H. (2019). Contamination in Adult Midstream Clean-Catch Urine Cultures in the Emergency Department: A Randomized Controlled Trial. Journal of Emergency Nursing, 45(5), 488–501. https://doi.org/10.1016/j.jen.2019.06.001
Ministry of Health (2019). Policies and Procedures on Infection Control (3rd ed.). Ministry of Health. https://www.moh.gov.my/moh/images/gallery/Polisi/infection_control.pdf
Monegro, A. F., Muppidi, V., & Regunath, H. (2022). Hospital Acquired Infections. In StatPearls [Internet]. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/pubmed/28722887
Mueller, E. R., Wolfe, A. J., & Brubaker, L. (2017). Female urinary microbiota. Current Opinion in Urology, 27(3), 282–286. https://doi.org/10.1097/MOU.0000000000000396
National Health Service. (2019). How should I collect and store a pee (urine) sample? https://www.nhs.uk/common-health-questions/infections/how-should-i-collect-and-store-a-urine-sample/
Ozer, M. S., Yildiz, H. A., Incir, C., Deger, M. D., Bozkurt, O., Ergor, G., Tuncok, Y., Esen, N., & Esen, A. A. (2021). Urinary microbiota; Which non‐ınvasive urine collection method should we use? International Journal of Clinical Practice, 75(7), e14193. https://doi.org/10.1111/ijcp.14193
Pepe, D. E., Maloney, M., Leung, V., Harizaj, A., Banach, D. B., Dembry, L.-M., & Advani, S. D. (2020). An evaluation of metrics for assessing catheter-associated urinary tract infections (CAUTIs): A statewide comparison. Infection Control & Hospital Epidemiology, 41(4), 481–483. https://doi.org/10.1017/ice.2020.30
Perry, A. G., Potter, P. A., & Ostendorf, W. (2019). Nursing interventions & clinical skills (7th ed.). Mosby.
Potter, P., Perry, G., Stockert, P., & Hall, A. (2017). Fundamentals of Nursing (9th Editio). Mosby. https://evolve.elsevier.com/cs/product/9780323327404?role=student
Sloane, P. D., Huslage, K., Kistler, C. E., & Zimmerman, S. (2016). Optimizing Antibiotic Use in Nursing Homes Through Antibiotic Stewardship. North Carolina Medical Journal, 77(5), 324–329. https://doi.org/10.18043/ncm.77.5.324
Wang, L.-H., Tsai, M.-F., Han, C.-Y. S., Huang, Y.-C., & Liu, H.-E. (2016). Is Bladder Training by Clamping Before Removal Necessary for Short-Term Indwelling Urinary Catheter Inpatient? A Systematic Review and Meta-analysis. Asian Nursing Research, 10(3), 173–181. https://doi.org/10.1016/j.anr.2016.07.003
Xiang, A., Nourian, A., Ghiraldi, E., & Friedlander, J. I. (2021). Improving Compliance with 24-H Urine Collections: Understanding Inadequacies in the Collection Process and Risk Factors for Poor Compliance. Current Urology Reports, 22(8), 38. https://doi.org/10.1007/s11934-021-01057-7
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