An exploration of nurses knowledge and experience of the decision-making process when recognising older adults with catheter acquired urinary tract infection (CAUTI).
Background Catheter acquired urinary tract infection (CAUTI) is the most common source of infection in hospitals and other long-term healthcare facilities (Centers for Disease Control and Prevention [CDCP] 2015) and the signs and symptoms involve physical and behavioural changes (Scottish Intercollegiate Guidelines Network [SIGN] 2012; SIGN 2020). The subtleness of the changes can challenge the decision-making of nurses who are not familiar with the patient. Therefore, research is needed for nurses who work in acute settings. Aim The aim is to explore how experience affects a nurse’s decision-making process and knowledge. Methodology This is an exploratory study to understand a nurse’s decision-making when investigating older adults with a possible CAUTI. Methods Thematic analysis of the literature review and working with the qualitative paradigm, semistructured interviews of 10 participants from the surgical and medical admissions unit at the Borders General Hospital with CAUTI experience, will be performed. Findings Five themes emerged from the literature review; (1) descriptive model, (2) prescriptive model, (3) normative model, (4) cognitive continuum and (5) pressures. The findings from the research will encourage further research, help the creation of supportive material and reduce antibiotic prescription and resistance. Key Message Nursing decision-making is a complex process that, if understood and explored, can help reduce unnecessary treatment and antibiotic resistance.