Patients’ perspectives on timing of urinary catheter removal after surgery

Bhardwaj-Gosling, Rashmi, Pickard, Robert, Carrick-Sen, Debbie and Brittain, Katie (2012) Patients’ perspectives on timing of urinary catheter removal after surgery. British Journal of Nursing, 21 (18). S20-S24. ISSN 0966-0461

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Abstract

AbstractA prolonged catheter duration is a major risk factor for catheter-associated urinary tract infection, with bacteriuria increasing by 5% per day (Gokula et al, 2004). Aim: In this study, the authors explored patients’ perceptions of the care process relating to peri-operative catheterisation to identify patient factors that encourage early removal. Method: Semi-structured interviews incorporating a grounded theory approach were performed on three men and seven women during 2010. Interviews were transcribed and analysed using constant comparative method and thematic framework analysis. Results: Catheter duration ranged from 1–10 days. Main themes elicited included: lack of understanding of the purpose and catheterisation process; loss of patient autonomy and dignity; and impact of environmental factors. Conclusion: Lack of knowledge of the catheterisation process among participants led to fears and concerns that may have contributed to delayed catheter removal. Changes to patient care that are likely to reduce catheter duration include ensuring the provision of pre-operative information, greater patient involvement in catheter removal decisions, and provision of easily accessible toilet facilities.

Item Type: Article
Uncontrolled Keywords: Urinary catheter, Catheter duration, Catheter-associated urinary tract infection, Patients’ perspectives, Improved outcomes
Subjects: Sciences > Health Sciences
Sciences > Nursing
Divisions: Faculty of Health Sciences and Wellbeing
Depositing User: Rashmi Bhardwaj-Gosling
Date Deposited: 12 May 2020 18:24
Last Modified: 12 May 2020 18:24
URI: http://sure.sunderland.ac.uk/id/eprint/12023
ORCID for Rashmi Bhardwaj-Gosling: ORCID iD orcid.org/0000-0002-1895-9899

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