Ins and outs of urinary catheters

Gilbert, Brent; Naidoo, Taryn L; Redwig, Frank

doi:10.31128/afp-10-17-4362

Cited by 10 publications

(5 citation statements)

References 12 publications

(23 reference statements)

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“…Indwelling urinary catheters are common devices used in critically ill, older adult patients and are typically inserted and managed by nurses unless complications arise ( 7 ). Insertion of an indwelling urethral catheter is an invasive procedure that may cause pain or discomfort, especially in male patients.…”

Section: Discussionmentioning

confidence: 99%

Bladder diverticulum accompanied by abdominal pain: a case description

Han,

Sun,

et al. 2024

Quant Imaging Med Surg

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Section: Discussionmentioning

confidence: 99%

Bladder diverticulum accompanied by abdominal pain: a case description

Han,

Sun,

et al. 2024

Quant Imaging Med Surg

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“…For example, in Australia, an estimated 380,600 additional public hospital bed days annually, are attributed to healthcareassociated urinary tract infections, and these are primarily due to CAUTI ( Mitchell, Ferguson, Anderson, Sear, & Barnett, 2016 ). Catheter-associated complications such as recurrent urinary tract infections, catheter blockages, and urine leakage are common adverse events experienced by patients with long-term catheters ( Wilde et al, 2013 ), and result in significant patient-and healthcare-related burden ( Agency for Clinical Innovation, 2016 ), as they adversely impact on patients' quality of life, morbidity and mortality ( Gilbert, Naidoo, & Redwig, 2018 ). From the perspective of economic expenditure, each incidence of CAUTI is estimated to cost between $1,200 and $4,700 USD ( Umscheid et al, 2011 ).…”

Section: Discussionmentioning

confidence: 99%

Bundle-of-care interventions to improve self-management of patients with urinary catheters: Study protocol

et al. 2022

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Background: Community-based urinary catheter-associated complications contribute to avoidable, costly hospital presentations. To minimise catheter-associated complications and improve the quality of life of patients living in the community, it is essential to improve catheter self-management through increasing patients' and caregivers' knowledge and self-efficacy. Aim: To co-design, develop and evaluate a bundle-of-care intervention to improve catheter selfmanagement, reduce catheter-associated complications, and improved quality of life. Design: Mixed methods design underpinned by the principles of Appreciative Inquiry, micro-and spacedlearning pedagogies. Methods: A co-designed care bundle will be developed, to support both patients and nurses in improving catheter care in both acute and community settings. Intervention bundles for patients will be delivered using "GoShare Healthcare" and for nurses, using QStream. The underpinning pedagogical approaches of these two digital platforms focus on increasing knowledge retention and improving patient health outcomes.A process evaluation of the intervention will be undertaken using data collected from surveys, electronic medical record audits, and participant interviews. The primary outcome is improved catheter selfmanagement, and secondary outcomes are increased self-efficacy and patients' knowledge of catheter self-management. Discussion: The IQ-IDC study applies a two-pronged approach to co-design a bundle-of-care intervention that addresses important gaps in current catheter management. This study will contribute to new knowledge on effective implementation strategies to optimise self-management in urinary catheter care.

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“…The most commonly used urinary catheters are permanent internal urethral catheters, allowing both short‐term bladder drainage and the treatment of chronic urinary retention 1 . Permanent transurethral catheterisation with a Foley catheter is a widely used procedure both in hospitals and in the community, but is not without complications, the development of urinary tract infections (UTI) being the most frequent one 2 .…”

Section: Introductionmentioning

confidence: 99%

“…Permanent transurethral catheterisation with a Foley catheter is a widely used procedure both in hospitals and in the community, but is not without complications, the development of urinary tract infections (UTI) being the most frequent one 2 . The prevalence of UTI has been noted to be present in 80% of people with a catheter 1,3 and it is suggested that the bacterial colonization rate reaches an incidence of up to 95%, 4 weeks after insertion 4 . Other complications can include catheter obstruction, pericatheter leakage, bladder spasms, and trauma to the urethra or bladder endothelium, which can lead to perilesional stenosis 5 .…”

Section: Introductionmentioning

confidence: 99%

Indwelling catheter patient experiences and the potential usability and acceptance of the T‐Control® prototype urinary catheter

Toledo-Chávarri¹,

Bassas‐Parga²,

Endrenyi

et al. 2023

Int J of Uro Nursing

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The aim of this study was to analyse the experience of users of indwelling bladder catheters and evaluate the anticipated usability of a prototype of the T‐Control® urinary catheter (without being inserted) by patients who were able to compare the differences between the T‐Control® prototype and other urinary catheters and urinary catheter accessories. A qualitative study was conducted with people who had lived with an indwelling urinary catheter for at least 1 week. Two user‐centred design techniques were applied: patient experience trajectory map and Think Aloud, a method where the participants were able to express their previous experiences, expectations and preferences while manipulating the devices. The experiential trajectory was collected based on a semi‐structured following interviews. Participants were able to manipulate the new T‐Control® and, based on their previous experiences, compare the potential usability of T‐control® with Foley‐type catheter and its accessories All the participants stated that they had experienced negative emotions concerning bladder catheterisation during the trajectory of use, from the initial prescription and adaptation to the follow‐up, and the forced life changes that a permanent catheterisation implies. The most frequent emotions were rejection and sadness. The new T‐Control® device could potentially improve the patient experience, as all participants perceived advantages related to the closure system, ease of use, safety and discretion. Participants also noted its closure system as an advantage and highlighted its ease of use, although one‐handed operation required some learning. Catheters currently on the market are functional, but some patients do not always have a satisfactory experience. This might negatively affect their quality of life, so there is a wide market opportunity for new devices that improve clinical and psychological care. Based on patient evaluation, the new T‐Control® device with a built‐in valve could provide benefits for patients.

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Ins and outs of urinary catheters

Cited by 10 publications

References 12 publications

Bladder diverticulum accompanied by abdominal pain: a case description

Bladder diverticulum accompanied by abdominal pain: a case description

Bundle-of-care interventions to improve self-management of patients with urinary catheters: Study protocol

Indwelling catheter patient experiences and the potential usability and acceptance of the T‐Control® prototype urinary catheter

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