Timing of urinary catheter removal after surgery: Identification of factors of importance to patients using a qualitative approach

Bhardwaj-Gosling, Rashmi, Brittai, Katie and Pickard, R (2011) Timing of urinary catheter removal after surgery: Identification of factors of importance to patients using a qualitative approach. In: Royal College of Nursing International Nursing Research Conference 2011, 16-18 May, 2011, Harrogate, UK.

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Catheter-associated urinary tract infection (CAUTI)
is a key focus of patient safety initiatives [1].
Duration of catheterisation is a major risk factor
for CAUTI with bacteriuria increasing by 5% daily,
but early catheter removal is hampered by clinician
and patient factors [2]. Identification of these
barriers may help reduce CAUTI risk.
To explore patients’ beliefs and perceptions
regarding short term catheterisation.
Semi-structured recorded interviews were carried
out in November 2010 with three men and seven
women, aged 25 – 75 years, catheterised following
elective neurosurgery. Interviews were transcribed
and thematically analysed using grounded theory
The main themes were:
• Uncertainty: Lack of information; ‘I spent the
night worried sick thinking that I had to go back
to theatre to get my catheter removed’
• Consent: Not being told of the need for catheterisation; ‘It should definitely be written and on the
consent form because it’s your personal parts. I
was very upset waking up with one
• Dignity: ‘I suppose what I usually don’t like to
talk about is seeing the urine. I think that’s quite
undignified. Not having a catheter may also be
detrimental; ‘I wasn’t so embarrassed about the
catheter because I’d rather have that than keep
weeing the bed your dignity is taken away from
• Environment: Participants preferred to have the
catheter left in rather than having to ask the staff
to take them to the toilet.
Participant’s fears predominantly arose from
lack of knowledge. This should be modified by
provision of an information leaflet and pre-operative discussion. Embarrassment related to lack of
concealment of drainage bags and shared toilet
facilities which could be addressed by appropriate
equipment and individual en-suite patient rooms.
Recommended reading:
Department of Health (2009) High Impact Actions
for Nursing and Midwifery
l-Weise, BS. Van den Broek, PJ. (2005). Urinary
catheter policies for short-term bladder drainage
in adults. Cochrane Database of Systematic
Reviews Issue 3. Art. No.: CD004203.
UK – Research Council
10,001 – 50,000

Item Type: Conference or Workshop Item (Paper)
Divisions: Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences
Related URLs:
Depositing User: Leah Maughan
Date Deposited: 23 Jun 2020 14:49
Last Modified: 23 Jun 2020 14:49
URI: http://sure.sunderland.ac.uk/id/eprint/12167
ORCID for Rashmi Bhardwaj-Gosling: ORCID iD orcid.org/0000-0002-1895-9899

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