Date of Award

Spring 5-5-2023

Document Type

DNP Project

Project Team Faculty Member

Dr Beth McCoy

Project Team Faculty Member

Dr Wendy Hochreiter


"difficult catheter placement, " "urethral injuries, " "catheter-associated infections, " "complications of urinary catheterization, " "catheter insertion technique", "quality improvement education."


Urinary catheterization, indwelling and intermittent are simple and common procedures performed in hospitals, emergency rooms, nursing homes, and clinics to ensure adequate urinary output in patients who cannot void efficiently or closely monitor fluid intake and output. Though simple and straightforward in most cases, catheterization can become a challenging procedure with complications in the absence of a standardized protocol for difficult catheterization (Ghaffary et al., 2013). This Quality Improvement Project aimed to develop a standardized Foley catheter algorithm/ flow chart available in our institution's intranet and laminated charts in nursing stations and procedure rooms with Foley catheter insertion indications, types, sizes, mindful patient history, and indications to consult with the urology team to decrease complications and morbidities due to catheterization in patients as well as to decrease healthcare financial burden. Data collection for the project was done in the level one emergency room through a pretest to identify the areas of knowledge deficit, followed by a 20-25 minutes educational PowerPoint presentation for the staff (nurses, advanced practice providers, and physicians) in the emergency department followed by a posttest questionnaire to evaluate the efficacy of the education. The data were analyzed using the Wilcoxon signed-rank test, which showed that the 20-25 -minute presentation on Foley Catheters elicited a statistically significant change in participants' knowledge on catheter.

Download Full Text Above

Revised Lit review Foley Catheter Algorithm.docx (50 kB)
Literature Review

Conceptual framework.docx (14 kB)
Conceptual Framework

Methodology.docx (22 kB)

Evaluation .docx (130 kB)

DNP Reference list.docx (16 kB)
Final Reference list



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