Patients knowledge and experience with urinary and peripheral intravenous catheters

Abstract

Purpose Inappropriate use of urinary and intravenous catheters is still frequent. The use of catheters is associated with some serious complications, such as health care associated infections (HAIs). An efficient way to reduce HAIs is to avoid inappropriate use of catheters, but the role for patients in quality improvement initiatives is unclear. The aim of this study is to investigate patients knowledge and experience with catheters, to design patient interventions to reduce inappropriate catheter use. Methods We assessed patient's knowledge and experience with catheters using a self report questionnaire, and included patients with a urinary and/or peripheral intravenous catheter (PIVC) during the baseline measurements of a quality improvement project to reduce inappropriate catheters use. Results A total number of 82 patients completed the questionnaire, of which 49 had a urinary catheter and 72 a PIVC. Patients were unaware about the indication for their urinary catheter in 20.9% and PIVC in 19.5%. Nevertheless, 65.3% reported symptoms due to urinary catheters and 37.5% for PIVCs. Interestingly, only 25.5% and 22.4% reported that they would ask their doctor if the catheter could be removed. Conclusions There is a lack of knowledge about the indication for having a urinary and peripheral intravenous catheter in a substantial part of patients. Although catheters cause symptoms, patients in general do not ask if the catheter could be removed. Doctors should give more information and ask more questions about catheters to their patients. Quality improvement initiatives stimulating patients to actively participate in their treatment are needed.

Implementation of a multifaceted nurse‐led intervention to reduce indwelling urinary catheter use in four Australian hospitals: A pre‐ and postintervention study

“…Lo et al, ; Loveday et al, ). Studies have shown that around 20% of patients in hospital may not know the indication for their IDC (Darbyshire, Rowbotham, Grayson, Taylor, & Shackley, ; Laan, Nieuwkerk, & Geerlings, ), which was similar to the rate found in the initial practice adherence audits in the present study. In the present study, patient understanding of IDC indication improved significantly during the intervention period, from 78%–89%, with the implication being that improved patient education empowers patients to ask clinicians about the continued need for their IDC, potentially leading to earlier removal of IDC and reduced CAUTI risk.…”

Fulfillment Of Safety And Comfort Needs In Urinary Catheter Patients : Literature Review

“…The details of these studies are presented in table 1. Patients say using urinary catheter feel embarrassed, discomfort, painful, unfree, blocking their movement (Darbyshire et al, 2016;Laan et al, 2019;Trautner et al, 2019). This in supported by research from Safdar et al, (2016).…”

“…Two articles discuss how the patient's experiences based on the type of urinary catheter and patient's reason using catheter. The result show the patient's reason using urinary catheter are urinary retention, post stroke or trauma, incontinence, and post urology surgery (Darbyshire et al, 2016;Laan et al, 2019).…”

Reducing low-value care: what can we learn from eight de-implementation studies in the Netherlands?

“…Several projects are described in more detail in other papers. [14][15][16][17][18][19][20][21][22][23]…”