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Table 4 “No CAUTI” Implementation strategies summary based on TIDieR

From: Avoiding inappropriate urinary catheter use and catheter-associated urinary tract infection (CAUTI): a pre-post control intervention study

Implementation Strategy Rationale Mode of delivery Delivered by Delivered to and where When/how often
Train-the-trainer workshops To prepare educators to present the “No CAUTI” bundle to ward-based staff, and to train educators to complete urinary catheterisation competency assessments Face-to-face (group) Clinical nurse consultant – urology Nurse educators from across hospital 1x 2-3 h workshop at each facility at start of intervention
Ward in-services To familiarise staff with “No CAUTI” bundle and nurse-initiated removal flowchart To identify champions in each ward Face-to-face (group) Nurse educators Nurses and medical officers from all adult inpatient wards, OTs, and EDs Minimum 1x 20 min in-service in each ward at start of intervention
Monitoring and feedback
Compliance audits and feedback To monitor compliance with “No CAUTI” bundle and provide strategies to support implementation Individual patient audit, and feedback face-to-face (group) to clinicians Champions (clinicians previously identified in in-services) All inpatient wards Weekly for first two months and then monthly for remaining 4 months of intervention period.
Feedback of point prevalence of IDC usage and CAUTI To focus clinicians on targets and progress Face-to-face (group) and email Research project staff All clinicians at a ward, facility, and district level Baseline, 4 months, and 9 months
“No CAUTI” bundle posters Prompt awareness and better documentation Documents displayed in wards N/A (passive component) Nurses and medical officers Ongoing
“No CAUTI” bundle badges Prompt awareness of intervention and identify ward champions Worn by clinicians and champions N/A (passive component) Nurses and medical officers Ongoing
Catheter insertion DVDs Educate nurses about correct catheterisation processes Available on intranet N/A (passive component) Nurses Ongoing
Competency assessments Increase proportion of clinicians that are competent in urinary catheterisation Face-to-face (individual) Nurse educators Nurses Ongoing
Champions Act as a resource for clinicians and promote the No CAUTI bundle to clinicians; support implementation Face-to-face (individual and group) Nurses Nurses and medical officers Ongoing