Complications Prevention of Foley Catheter Use in Surgical Patients


Despite the fact that the Foley catheter provides a chance to help patients, in can negatively influence the patient’s health condition (Stickler, 2014 ).

Decision to implement a change

  • increased number of complications associated with the Foley catheter;
  • desire to improve health outcomes;
  • emphasis from Centers for Disease Control and Prevention, the Joint Commission, and the Centers for Medicare and Medicaid Services.

Accreditation standards: quality, safety, and responsibility

  • Responsibility: nurses are responsible for all interventions initiated by them.
  • Safety: recognized as an accreditation standard by AAAASF (AAAASF, n.d.)
  • Quality: recognized as an accreditation standard by AAAASF and ANA (AAAASF, n.d.; ANA, n.d.).

Theory to Drive Change

  • Love and Rodrigue (2013) presented evidence that improper usage of Foley catheter can cause infection and further complications.
  • Shigemura, Takase, Osawa, Takaba, and Nomi (2015) found out that a range of complications can be eliminated through a number of hygienic activities.
  • Schneider (2012) claimed that nurses require decent education on the insertion, removal, and care of Foley catheters.

Project Challenges


  • Professional boundaries
  • Personnel’s resistance and unpreparedness
  • Maintaining team commitment and impetus
  • Lack of engagement from the administration


  • Territorial attitudes
  • Absence of a shared language between sectors

Research Trends

  1. Kendall Regional Medical Center: general medical and surgical. Miami, Fl. 300 beds.
  2. Kendall Regional Medical Center: general medical and surgical. Miami, Fl. 300 beds.

Complications Prevention:

  • Patients: Required insertion, therapy with antibiotics, required insertion;
  • Staff: Gloves, hand wash, information on how to use the catheter, personal shelves, automatic flushing toilet system.


  • Goal 1 – “Catheter-associated urinary tract infection prevention in the oncology population” (Love & Rodrigue, 2013).
  • Goal 2 – Provision of appropriate training in catheter usage and complication prevention for nurses in Kendall Regional Medical Center.


AAAASF. (n.d.). Patient safety first. Web.

ANA. (n.d.). Nursing quality. Web.

Love, N., & Rodrigue, D. (2013). Catheter-associated urinary tract infection prevention in the oncology population: an evidence-based approach. Clinical Journal of Oncology Nursing, 17(6), 593-596.

Schneider, M. (2012). Prevention of catheter-associated urinary tract infections in patients with hip fractures through education of nurses to specific catheter protocols. Orthopaedic Nursing, 31(1), 12-28.

Shigemura, K., Takase, R., Osawa, K., Takaba, K., & Nomi, M. (2015). Emergence and prevention measures for multidrug resistant Pseudomonas aeruginosa in catheter-associated urinary tract infection in spinal cord injury patients. Spinal Cord, 53(1), 70-74.

Stickler, D. (2014). Clinical complications of urinary catheters caused by crystalline biofilms: Something needs to be done. Journal of Internal Medicine, 276(2), 120-129.

Stickler, D., & Feneley, R. (2010). The encrustation and blockage of long-term indwelling bladder catheters: a way forward in prevention and control. Spinal Cord, 48(11), 784-790.

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