ADHERENCE TO INFECTION PREVENTION AND CONTROL PROTOCOLS FOR CATHETER-RELATED URINARY TRACT INFECTIONS AMONG NURSES IN UNIVERSITY OF BENIN TEACHING HOSPITAL, EDO STATE
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Abstract
This study aimed to evaluate nurses' adherence to evidence-based infection prevention and control protocols for catheter associated urinary tract infections prevention at the University of Benin Teaching Hospital (UBTH), identify influencing factors, and propose strategies to enhance compliance.A descriptive cross-sectional design was employed,using a structured questionnaire administered to 211 nurses across various clinical departments.Data were analyzed using descriptive and inferential statistics,with significance set at p < 0.05. The findings revealed that while 80.6% of nurses demonstrated good knowledge of CAUTI prevention protocols, only 67.3% reported strict adherence to them. Factors afecting adherence included high patient loads,time constraints, inadequate supply of personal protective equipment, and lack of institutional support.A significant relationship (p < 0.05) was found between nurses’ knowledge and their level of adherence, afirming the relevance of the Theory of Planned Behavior in predicting IPC compliance. The study concludes that although knowledge levels are relatively high, adherence is hindered by modifiable barriers. To improve compliance, the study recommends regular in-service training, implementation ofnurse-led catheter protocols, improved resource allocation, and enhanced leadership engagement.These interventions are expected to reduce CAUTI rates, enhance patient outcomes, and strengthen infection control practices.The study contributes to the growing body of evidence emphasizing the need for context-specific interventions in Nigerian healthcare settings to support nurses in delivering safe, evidence-based care
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