Examining instruments used to measure knowledge of catheter-associated urinary tract infection prevention in healthcare workers: a systematic review
Abstract
BACKGROUND
Catheter-associated urinary tract infection (CAUTI) is the most frequently occurring healthcare associated infection (HAI) among hospitalised patients. Adequate knowledge of CAUTI in healthcare workers supports effective prevention and control of the infection. This systematic review assesses instruments used to assess knowledge of CAUTI prevention in healthcare workers to inform future research. The catheter lifecycle model was used to evaluate the conceptual framework upon which the measurement instruments were based. Finally, the psychometric quality of these instruments was evaluated.
METHODS
Five electronic databases were searched for published studies and instruments. The COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) checklist was used to assess the psychometric quality reporting of the instruments.
RESULTS
Fifteen studies met the review inclusion criteria and 13 instruments were available for review. Most of the instruments did not address all knowledge components essential for CAUTI prevention as defined by the catheter lifecycle model. The psychometric quality of the instruments was not sufficiently evaluated.
CONCLUSIONS
Few instruments are available for CAUTI prevention knowledge measurement. The instruments were not closely aligned with the catheter lifecycle model as a framework. If CAUTI knowledge cannot be measured accurately using an effective instrument, this has the potential to impact negatively on…
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