CHALLENGES AND BARRIERS IN THE IMPLEMENTATION OF THE CAUTI PREVENTION BUNDLE IN HOSPITALS

Abstract

Background: Catheter-Associated Urinary Tract Infections (CAUTI) are one of the most common nosocomial infections that significantly impact patient safety and increase hospital costs. Although evidence-based CAUTI prevention bundles have proven to be effective, their implementation still faces numerous challenges across hospitals. Objective: This literature review aims to identify and analyze the challenges and barriers encountered in the implementation of CAUTI prevention bundles, as well as explore the strategies and solutions that have been implemented to overcome these barriers. Methods: A literature review approach was utilized, analyzing 10 selected articles published between 2015 and 2025. The analysis was conducted thematically based on factors influencing compliance with CAUTI bundles, implementation barriers, and reported solutions and strategies for success.

Results: The study identified five major barriers in the implementation of CAUTI bundles: (1) variability in adherence to protocols, (2) limitations in training and knowledge of healthcare professionals, (3) resource shortages, (4) suboptimal involvement of multidisciplinary teams, and (5) lack of managerial support. Effective strategies identified included job-based training, daily monitoring, and strengthening hospital leadership. Conclusion: The success of CAUTI bundle implementation heavily depends on the integration of training, supervision, organizational culture, and internal hospital policies. This study contributes to the literature by emphasizing the importance of a systemic and sustainable approach to CAUTI prevention in hospitals, particularly in the context of limited resources.