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Volume 3
Journal of Nursing Research and Practice
Nursing & Pediatrics 2019
February 25-26, 2019
February 25-26, 2019 | London, UK
5
th
World Congress on
Neonatology and Pediatrics
World Congress on
Nursing Research and Evidence Based Practice
&
To what extent does reported practice from nurses in management of indwelling urinary catheters reflect
national evidence-based guidelines
Idil Osman
Hammersmith Medicines Research Ltd., UK
Background and Rationale:
Catheter-associated urinary tract infection is a common healthcare concern accounting for 60% of
hospital-acquired infections; it is costly and morbid. An estimated 15-25% of hospitalised patients will be catheterised during their
stay. Nurses are at the frontline of catheter care, they are responsible for inserting at least 50% of all catheters and also perform the
majority of catheter care. However, little is currently known about nurses’ practice and the level of education and training available
to them in clinical practice.
Aim:
To explore the level of training and education available for nurses in catheterisation and the extent their reported practice in
management of indwelling urinary catheters reflects national evidence-based guidelines.
Method:
A descriptive study design, using anonymous online survey was conducted. The survey consisted of 53 open and closed
questions. 18 items in the survey were developed form the epic3 guidelines to assess nurses’ awareness. Nurses were recruited via
social media networks. In total, 32 (27, female, 5 male) nurses working in either hospital or acute setting in the United Kingdom
(UK) completed the online survey. Open-text responses were analysed using content analysis, whilst closed questions were analysed
using descriptive statistics.
Findings
: The data revealed that overall, nurses had a good level of training as qualified, but there was a lack of training at induction
to current workplace. The majority had a good level of awareness of epic3 guidelines in relation to catheter insertion, however there
was a lack of knowledge in catheter maintenance and catheter selection such as catheter size selection and when to empty catheter
bag. Nurses also felt it would be useful to have a nurse champion for training, knowledge provision, good practice promotion,
support and safety.
Conclusion:
Education and training are key elements in CAUTI prevention and national evidence-based guidelines emphasis on the
importance of this. The study has revealed nurses’ practice in catheterisation and catheter maintenance and implications for practice
are made based on the findings, as well as areas for future research.
smm07@hotmail.co.ukJ Nursing Research and Practice
Volume 3