TITLE:
Nursing Practice for Reducing the Incidence of Catheter-Associated Urinary Tract Infections in Inpatients with Stroke
AUTHORS:
Qianyi Luo, Jinhua Liu
KEYWORDS:
Catheter-Associated Urinary Tract Infection, Nursing Quality Improvement, Quality Control Circle, Hospital Stay
JOURNAL NAME:
Journal of Biosciences and Medicines,
Vol.14 No.4,
April
15,
2026
ABSTRACT: Objective: To explore the effect of nursing quality improvement and process optimization via Quality Control Circle (QCC) on reducing the incidence of Catheter-Associated Urinary Tract Infections (CAUTI) in inpatients with stroke, analyze its impacts on the duration of urinary catheter indwelling, hospital stay and the professional quality of nursing staff, and provide evidence for the improvement of clinical nursing quality. Methods: A nursing quality improvement team was established to carry out theme improvement activities focusing on “reducing the incidence of CAUTI in inpatients” by adopting the QCC method. The nursing process was systematically optimized through status investigation, cause analysis, goal setting, countermeasure implementation and effect evaluation. Patients in the Stroke Ward of the Department of Neurology of our hospital were selected as the research subjects, with cases from January to June 2025 as the pre-intervention cohort and cases from July to December 2025 as the post-intervention cohort, to conduct a before-and-after controlled nursing quality improvement study. A QCC team was set up to promote improvement activities for reducing the incidence of CAUTI. After identifying core problems, measures such as system establishment, process optimization, hierarchical training and whole-process quality control were implemented to optimize the urinary catheter nursing process and evaluate its effect. Results: After the intervention, the incidence of CAUTI decreased from 5.37‰ before improvement to 2.72‰, with an achievement rate of 68% and a progress rate of 48.37%. The average duration of urinary catheter indwelling was reduced from 6.8 days to 3.86 days, and the average hospital stay of patients was shortened from 14.5 days to 12.3 days. The differences in all indicators were statistically significant (P Conclusion: Nursing process optimization and quality improvement through QCC activities can effectively reduce the incidence of CAUTI in inpatients with stroke, shorten the duration of urinary catheter indwelling and hospital stay, and improve nursing quality, which is worthy of clinical promotion.