Catheter-associated urinary tract infections (CAUTIs) represent a leading cause of preventable healthcare-associated infections. Despite established risks such as catheter insertion and prolonged dwell time, the consistent implementation of prevention guidelines in clinical practice remains a global challenge.
To synthesize available evidence on the effectiveness of multimodal nursing strategies, compared with single interventions, for reducing CAUTIs in adult inpatients.
Following the Arksey and O'Malley framework, a scoping review of literature published between 2019 and 2024 was conducted across nine databases (PubMed, Web of Science, Cochrane, Embase, EBSCO-CINAHL, CBM, Wangfang, CNKI, and CQVIP). Studies reporting CAUTI-related outcomes in adult inpatients were systematically screened, and interventions were categorized accordingly.
A total of 26 studies were included. Eight core nurse-driven intervention components were identified: training and education (n=22), monitoring and feedback (n=20), daily catheter assessment (n=17), communication and reminders (n=10), resource optimization (n=10), use of catheter care bundles (n=7), evidence-based best practices (n=7), and setting incentives and disincentives (n=4). Ten outcome indicators were summarized across 25 articles, with CAUTI-related metrics showing consistent improvement following multimodal quality improvement initiatives.
Nurse-driven multimodal strategies, particularly those integrating daily catheter assessment, structured training, care bundles, and continuous monitoring, have proven effective in preventing CAUTI risk. This review synthesizes core intervention components into an actionable framework adaptable to diverse clinical settings, while underscoring the importance of contextual implementation and the necessity for further rigorous, especially resource-sensitive, evidence.
The Journal of hospital infection. 2026 Jan 20 [Epub ahead of print]
Shangni Lan, Haiyan Wang, Jihua Huang, Hongyi Li, Fei Qu, Xiaojiao Wang, Yue Cao, Jing Wang, Chunyi Gu
Department of Nursing, Obstetrics & Gynaecology Hospital of Fudan University, Shanghai Key Lab of Reproduction and Development, Shanghai Key Lab of Female Reproductive Endocrine Related Diseases, Shanghai, China; School of Nursing, Fudan University, Shanghai, China., Department of Gynaecology,Obstetrics & Gynaecology Hospital of Fudan University, Shanghai Key Lab of Reproduction and Development, Shanghai Key Lab of Female Reproductive Endocrine Related Diseases, Shanghai, China., Department of Hospital Infection, Obstetrics & Gynaecology Hospital of Fudan University, Shanghai Key Lab of Reproduction and Development, Shanghai Key Lab of Female Reproductive Endocrine Related Diseases, Shanghai, China., Department of Nursing, Obstetrics & Gynaecology Hospital of Fudan University, Shanghai Key Lab of Reproduction and Development, Shanghai Key Lab of Female Reproductive Endocrine Related Diseases, Shanghai, China., Department of Nursing, Obstetrics & Gynaecology Hospital of Fudan University, Shanghai Key Lab of Reproduction and Development, Shanghai Key Lab of Female Reproductive Endocrine Related Diseases, Shanghai, China; Department of Gynaecology,Obstetrics & Gynaecology Hospital of Fudan University, Shanghai Key Lab of Reproduction and Development, Shanghai Key Lab of Female Reproductive Endocrine Related Diseases, Shanghai, China., Department of Nursing, Obstetrics & Gynaecology Hospital of Fudan University, Shanghai Key Lab of Reproduction and Development, Shanghai Key Lab of Female Reproductive Endocrine Related Diseases, Shanghai, China. Electronic address: ., Department of Nursing, Obstetrics & Gynaecology Hospital of Fudan University, Shanghai Key Lab of Reproduction and Development, Shanghai Key Lab of Female Reproductive Endocrine Related Diseases, Shanghai, China; School of Public Health, NHC Key Laboratory of Health Technology Assessment, Fudan Univerisity, Shanghai, China. Electronic address: .