Date of Scholarly Project Submission


Degree Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)



Faculty Chairperson

Lisa Flood

Second Committee Member

Melissa Romero

Third Committee Member

Theresa Durley


Catheter-associated urinary tract infections (CAUTIs) contribute to patient discomfort, complications, prolonged hospital stays, increased healthcare costs, and increased mortality (Agency for Healthcare Research and Quality [AHRQ], 2015). Despite the fact that these infections have proven to be preventable, CAUTI rates continue to exceed the national benchmark (Centers for Disease Control and Prevention, 2016a; Meddings et al., 2014). Evidence-based guidelines propose a bundle method is the most effective way to successfully reduce CAUTIs (AHRQ, 2015; Gould et al., 2017; Lo et al., 2014). The purpose of this research was to demonstrate whether a nurse-led collaborative, which bundled evidence-based interventions to reduce CAUTIs, was effective in reducing CAUTI rates at a rural Midwestern hospital. Additionally, nursing staff compliance with the bundled interventions following formal education was explored. A retrospective pretest-posttest design was utilized to review previously collected data related to CAUTI rates prior to and following implementation of a CAUTI bundle as well as nursing staff compliance with the interventions. CAUTI rates decreased from a mean of 1.63 to 0.67 per 1,000 catheter days. Additionally, there was a 5% reduction in catheter days. Nursing staff compliance increased steadily in the six months following staff education, with total compliance for all units exceeding 95%.