Improvement of the Accuracy of Indwelling Urinary Catheter Care in Foreign Caregivers.

From January to October in 2017, the rate of urinary tract infections in in-home care cases with urinary catheter was 6.5%. Further investigation indicated that 16 of the 22 cases (72.7%) with urinary tract infection were undergoing care by foreign caregivers. Additionally, as a consequence of the difficulty in communication, insufficiency of suitable tools for care instruction, and lack of supervision on urinary catheter care, the accuracy of urinary catheter care performed by foreign caregivers is only 58.5%. The object of this project is to improve the accuracy of urinary catheter care performed by foreign caregivers. By making manuals and reminder posters for care instructions, QR Code for video guides and establishing a check system for family members, we raised the accuracy to 94.1% in December of 2018, and meanwhile reduced the rate of urinary tract infections to 1.4%. We conclude that the quality of in-home care can be improved sharply by collaborative participation by family members of the patient, homecare nurses, and foreign caregivers with enhanced in-home cares abilities. [ABSTRACT FROM AUTHOR]