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Simulation-Based Learning to Reduce CAUTI Rates among ICU Patients

Ahmad F. Haimour, Mohamed F. Amirah, Mohamed H. Badawi, Fatin M. Abusyriah, Joyce Ann E. Birao, Hamad H. Alshahrani and Rola A. Al-Rabah

Background: Preventing healthcare-associated infections, such as Catheter- Associated Urinary Tract Infection (CAUTI), is a high priority for health care institutions. Each day the indwelling urinary catheter remains, a patient has a 3%-7% increased risk of acquiring CAUTI. This study primarily aims to focus on determining the effect of simulation-based learning to the reduction of CAUTI's. 

Method: This quasi-experimental study was conducted for eighty-six (86) staff nurses working in two critical care units at King Saud Medical City in Saudi Arabia within Riyadh region. The two areas have critically ill patients who have different medical and surgical health- related problems.

Results: The results showed that there was no significant difference in reducing CAUTI rates and Device Utilization Ratios (DUR’s) (P=0.67, P=0.60). However, simulation training shows superiority in improving staff nurses’ knowledge compared to the traditional method of teaching (P=0.005). Results also showed a strong correlation with increased participants’ level of satisfaction and selfconfidence (R=0.889, 0.962 respectively) as well as the improvement on staff nurses’ performance related to CAUTI prevention.

Conclusion: Simulation training is not associated with reducing CAUTI rates and DUR. Nevertheless, simulation training proved to be an effective teaching methodology in improving staff nurses’ knowledge, satisfaction, confidence, and level of performance related to CAUTI prevention.