Mentor/s
Dr. K. Bauce
Participation Type
Poster
Abstract
Evidence review supports the need for a nursing decision-making aid to assist frontline nurses in identifying urinary tract infections versus asymptomatic bacteriuria for patients in long-term care. Findings in studies by Pulia et al. (2018) and Doernberg et al. (2015) concur regarding the high rate of inappropriate antibiotic treatment for misdiagnosed UTIs and the need for improved antibiotic stewardship. This DNP project addresses the problem of inappropriate antibiotic use and antimicrobial stewardship in patients with asymptomatic bacteriuria in the long-term care setting. The decision-making tool used was the Suspected UTI SBAR form which follows McGeer criteria (Stone et al., 2012) for UTIs. The tool uses the framework of SBAR (situation, background, assessment, recommendation) for reporting suspected UTIs to the prescribing healthcare provider. Nurses assessed their knowledge of identifying a UTI versus an ABU by completing a five-point Likert scale questionnaire pre- and post-implementation of an education intervention. Results indicated that education and use of a decision-making tool can assist nurses in communicating UTIs meeting McGeer criteria to prescribing clinicians. Improving resident safety and quality of care by nurses’ more accurate communication of UTI to prescribing clinicians in long-term care is essential in meeting the goals of health care reform.
Keywords: urinary tract infection, asymptomatic bacteriuria, SBAR, antibiotic stewardship, McGeer criteria
College and Major available
Doctor of Nursing Practice (post-Masters MSN)
Location
Digital Commons
Start Day/Time
5-5-2021 1:00 PM
End Day/Time
5-5-2021 4:00 PM
Antibiotic Stewardship for Asymptomatic Bacteriuria in Long-Term Care
Digital Commons
Evidence review supports the need for a nursing decision-making aid to assist frontline nurses in identifying urinary tract infections versus asymptomatic bacteriuria for patients in long-term care. Findings in studies by Pulia et al. (2018) and Doernberg et al. (2015) concur regarding the high rate of inappropriate antibiotic treatment for misdiagnosed UTIs and the need for improved antibiotic stewardship. This DNP project addresses the problem of inappropriate antibiotic use and antimicrobial stewardship in patients with asymptomatic bacteriuria in the long-term care setting. The decision-making tool used was the Suspected UTI SBAR form which follows McGeer criteria (Stone et al., 2012) for UTIs. The tool uses the framework of SBAR (situation, background, assessment, recommendation) for reporting suspected UTIs to the prescribing healthcare provider. Nurses assessed their knowledge of identifying a UTI versus an ABU by completing a five-point Likert scale questionnaire pre- and post-implementation of an education intervention. Results indicated that education and use of a decision-making tool can assist nurses in communicating UTIs meeting McGeer criteria to prescribing clinicians. Improving resident safety and quality of care by nurses’ more accurate communication of UTI to prescribing clinicians in long-term care is essential in meeting the goals of health care reform.
Keywords: urinary tract infection, asymptomatic bacteriuria, SBAR, antibiotic stewardship, McGeer criteria
Students' Information
Laura W. Giovannoli, MSN, APRN, A-BC
Post Masters DNP Presentation
Graduation May, 2021