SCIENCE@home

Implementing multimodal nursing strategies to reduce catheter-associated urinary tract infections in adult inpatients: A scoping review.

Shangni Lan,Haiyan Wang,Jihua Huang,Hongyi Li,Fei Qu,Xiaojiao Wang,Yue Cao,Jing Wang,Chunyi Gu

Published 2026 in Journal of Hospital Infection

ABSTRACT

BACKGROUND Catheter-associated urinary tract infections (CAUTIs) represent a leading cause of preventable healthcare-associated infections. Despite established risks such as catheter insertion and prolonged dwell time, the consistent implementation of prevention guidelines in clinical practice remains a global challenge. AIM To synthesize available evidence on the effectiveness of multimodal nursing strategies, compared with single interventions, for reducing CAUTIs in adult inpatients. METHODS Following the Arksey and O'Malley framework, a scoping review of literature published between 2019 and 2024 was conducted across nine databases (PubMed, Web of Science, Cochrane, Embase, EBSCO-CINAHL, CBM, Wangfang, CNKI, and CQVIP). Studies reporting CAUTI-related outcomes in adult inpatients were systematically screened, and interventions were categorized accordingly. FINDINGS A total of 26 studies were included. Eight core nurse-driven intervention components were identified: training and education (n=22), monitoring and feedback (n=20), daily catheter assessment (n=17), communication and reminders (n=10), resource optimization (n=10), use of catheter care bundles (n=7), evidence-based best practices (n=7), and setting incentives and disincentives (n=4). Ten outcome indicators were summarized across 25 articles, with CAUTI-related metrics showing consistent improvement following multimodal quality improvement initiatives. CONCLUSION Nurse-driven multimodal strategies, particularly those integrating daily catheter assessment, structured training, care bundles, and continuous monitoring, have proven effective in preventing CAUTI risk. This review synthesizes core intervention components into an actionable framework adaptable to diverse clinical settings, while underscoring the importance of contextual implementation and the necessity for further rigorous, especially resource-sensitive, evidence.

PUBLICATION RECORD

CITATION MAP

EXTRACTION MAP

CLAIMS

  • No claims are published for this paper.

CONCEPTS

  • No concepts are published for this paper.

REFERENCES

Showing 1-57 of 57 references · Page 1 of 1

CITED BY

  • No citing papers are available for this paper.

Showing 0-0 of 0 citing papers · Page 1 of 1