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Published on: June 24, 2025
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Rehabilitation Nurses' Knowledge, Attitudes, and Behaviors for Preventing Urinary Tract Infections From Intermittent
Tenzin Dawa1, Mary Randolph1, Penelope Moyers2
1Courage Kenny Rehabilitation Institute, Minneapolis, MN, USA.
Summary
This study developed a reliable survey to assess rehabilitation nurses' knowledge, attitudes, and behaviors (KAB) for preventing urinary tract infections in intermittent catheterization patients. Findings reveal knowledge gaps and practice barriers, highlighting the need for targeted education.
Area of Science:
- Nursing Research
- Infection Prevention
- Healthcare Quality Improvement
Background:
- Urinary tract infections (UTIs) are common complications for patients requiring intermittent catheterization.
- Effective prevention strategies rely on nurses' knowledge, attitudes, and behaviors (KAB).
- A reliable tool is needed to assess these KAB among rehabilitation nurses.
Purpose of the Study:
- To develop and evaluate the reliability of a survey measuring rehabilitation nurses' KAB regarding UTI prevention in intermittent catheterization.
- To identify specific knowledge deficits and behavioral barriers influencing UTI prevention practices.
Main Methods:
- Development and administration of a survey based on national guidelines.
- Utilized principal component analysis to examine the survey's reliability and identify key KAB components.
- Cross-sectional survey design.
Main Results:
- Principal component analysis identified three reliable KAB components, explaining 54.5% of response variance.
- Nurses reported adequate knowledge and training, yet 28% misidentified UTI causes, and 45% observed inconsistent hand hygiene among colleagues.
- Barriers to standard intermittent catheterization technique included staff, time, and patient-related factors.
Conclusions:
- The modified survey is a reliable instrument for assessing nurses' KAB related to UTI prevention.
- The survey can identify knowledge gaps, inform educational interventions, and guide practice changes to improve patient outcomes.
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