title: Could legal requirements in nursing practice trigger actions that would change the rates of urinary tract infections? A case study in Brazil.
abstract: We evaluated the influence of a Brazilian resolution, published in 2013, that restricts the performing of urinary catheterization to nurses, as opposed to others from different nursing professional categories, on indicators of catheter-associated urinary tract infection in an intensive care unit. The resolution triggered actions such as the implementation of protocols and nursing staff training that led to behavior changes related to the reduction of catheter-associated urinary tract infection rates.
authors.affiliation: Clinical Hospital of Uberlândia, Mathematics Faculty, Institute of Biology, Federal University of Uberlândia, Uberlândia, Brazil. Electronic address: clesnan@bol.com.br.
authors.forename: Clesnan
authors.initials: C
authors.lastname: Mendes-Rodrigues
authors.affiliation: Clinical Hospital of Uberlândia, Federal University of Uberlândia Medicine Faculty, Uberlândia, Brazil.
authors.forename: Eliana Borges Silva
authors.initials: EBS
authors.lastname: Pereira
authors.affiliation: Clinical Hospital of Uberlândia, Federal University of Uberlândia Medicine Faculty, Uberlândia, Brazil.
authors.forename: Renata Lemos de
authors.initials: RL
authors.lastname: Sousa Neto
authors.affiliation: Clinical Hospital of Uberlândia, Federal University of Uberlândia Medicine Faculty, Uberlândia, Brazil.
authors.forename: Jaqueline
authors.initials: J
authors.lastname: Resende
authors.affiliation: Clinical Hospital of Uberlândia, Federal University of Uberlândia Medicine Faculty, Uberlândia, Brazil.
authors.forename: Astrídia Marília de Souza
authors.initials: AMS
authors.lastname: Fontes
mesh_terms: D001938:Brazil; D004506:Education, Nursing / Q000331:legislation & jurisprudence* / Q000379:methods*; D006801:Humans; D017053:Infection Control / Q000379:methods*; D011361:Professional Competence / Q000331:legislation & jurisprudence*; D014552:Urinary Tract Infections / Q000453:epidemiology* / Q000517:prevention & control*
keywords: Catheterization; Nursing care; Protocols; Training