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Developing an educational resource for parents on pediatric catheter-associated urinary tract infection (CAUTI)
Sabrina Mangal1, Eileen Carter2, Adriana Arcia3
1Columbia University School of Nursing, New York, NY; Weill Cornell Medicine, Department of Population Health Sciences, Division of Health Informatics, New York, NY.
Insights
Parents helped create an educational pamphlet to prevent pediatric catheter-associated urinary tract infections (CAUTI). This resource addresses parent learning needs for better hospital care and infection prevention.
Area of Science:
- Pediatric Nursing
- Infection Prevention
- Health Literacy
Background:
- Existing pediatric catheter-associated urinary tract infection (CAUTI) prevention guidelines emphasize family engagement.
- There is a significant lack of parent-focused educational resources for CAUTI prevention in hospital settings.
Purpose of the Study:
- To develop and refine an educational pamphlet tailored to parents' learning needs regarding CAUTI prevention.
- To involve parents directly in the creation of patient-facing CAUTI prevention materials.
Main Methods:
- Compiled evidence from CAUTI prevention guidelines and conducted parent focus groups to establish learning objectives.
- Utilized iterative, remote participatory design sessions, including surveys and qualitative feedback, to refine pamphlet prototypes with parents.
Main Results:
- Key parent preferences included clear engagement boundaries, positive and actionable content framing, and information on what to expect regarding their child's catheter.
- Parents considered both their own and their child's comprehension levels when providing feedback on the educational materials.
Conclusions:
- Remote participatory design is effective for developing and refining CAUTI prevention resources based on parent preferences.
- Future research should explore adapting these methods and conducting formal comprehension evaluations for clinical integration.
Background:
Pediatric catheter-associated urinary tract infection (CAUTI) prevention guidelines encourage family engagement; however, there is a dearth of research on parent-facing CAUTI prevention resources. We aimed to meet the learning needs of parents about CAUTI prevention in the hospital by developing and refining an educational pamphlet with parents.
Methods:
Phase 1: We compiled existing evidence from CAUTI prevention guidelines and conducted a focus group with parents to form learning objectives. Phase 2: We developed prototype design elements, tested initial designs with a survey, and conducted qualitative participatory design sessions with parents to iteratively refine the pamphlet until design saturation was reached.
Results:
We identified the following key themes and preferences: (1) Clear boundaries for engagement (e.g., parents would not be emptying the catheter); (2) Positive, actionable framing (e.g., what should proper catheter positioning look like?); (3) What to expect (e.g., is the catheter painful for my child?); (4) Parents considered both their and their child's comprehension of the content when providing feedback.
Conclusions:
Overall, we demonstrated the utility of remote participatory design methods in developing and refining a CAUTI prevention resource based on parents' preferences. Future research should consider adapting these methods and implementing formal evaluation for comprehension for eventual integration into clinical practice.