Evidence map›Paper›PMID 31662357›Full record

ArticleBMJ open2019

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.

Andrea Niederhauser, Stephanie Züllig, Jonas Marschall, Alexander Schweiger, Gregor John, Stefan P Kuster, David Lb Schwappach, progress! Safe Urinary Catheterization Collaboration Group, progress! Safe urinary catheterization collaboration group

Abstract readMulticenter Study
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Andrea NiederhauserSwiss Patient Safety Foundation, Zurich, Switzerland niederhauser@patientensicherheit.ch.ORCID 0000-0003-0107-5613
Stephanie ZülligSwiss Patient Safety Foundation, Zurich, Switzerland.
Jonas MarschallSwissnoso National Center for Infection Control, Bern, Switzerland.
Alexander SchweigerSwissnoso National Center for Infection Control, Bern, Switzerland.
Gregor JohnDepartment of Internal Medicine, Hopital neuchatelois, Neuchatel, Switzerland.ORCID 0000-0002-1548-7339
Stefan P KusterSwissnoso National Center for Infection Control, Bern, Switzerland.
David Lb SchwappachSwiss Patient Safety Foundation, Zurich, Switzerland.ORCID 0000-0001-8668-3065
progress! Safe Urinary Catheterization Collaboration Group
progress! Safe urinary catheterization collaboration group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate changes in staff perspectives towards indwelling urinary catheter (IUC) use after implementation of a 1-year quality improvement project.

designRepeated cross-sectional survey at baseline (October 2016) and 12-month follow-up (October 2017).

settingSeven acute care hospitals in Switzerland.

participantsThe survey was targeted at all nursing and medical staff members working at the participating hospitals at the time of survey distribution. A total of 1579 staff members participated in the baseline survey (T

interventionA multimodal intervention bundle, consisting of an evidence-based indication list, daily re-evaluation of ongoing catheter need and staff training, was implemented over the course of 9 months.

main outcome measuresStaff knowledge (15 items), perception of current practices and culture (scale 1-7), self-reported responsibilities (multiple-response question) and determinants of behaviour (scale 1-7) before and after implementation of the intervention bundle.

resultsThe mean number of correctly answered knowledge questions increased significantly between the two survey periods (T

conclusionWe found small but significant changes in staff perceptions after implementation of an evidence-based intervention bundle. Efforts now need to be targeted at sustaining and reinforcing these changes, so that restrictive use of IUCs becomes an integral part of the hospital culture.

Indexed as

Clinical CompetenceEmergency Service, HospitalAdultAttitude of Health PersonnelCatheter-Related InfectionsCatheters, IndwellingCross-Sectional StudiesEmergency TreatmentFemaleHumansMaleMedical Staff, HospitalMiddle AgedPatient Care BundlesQuality ImprovementSurveys and Questionnairesindwelling urinary catheterintervention bundlepatient safetyperceptionsurvey

Identifiers

PMID31662357
PMCPMC6830685

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.