A Nurse-Driven Protocol for Foley Catheter Utilization Decreases the Incidence of Traumatic Foley Catheterization

Laborde, Eric; Hill, Hayden; Dukovac, Thomas; Carriere, Stephen P; Lata-Arias, Kathleen; Hebert, Kristi; Patel, Riddhi S.; Gills, Jessie

doi:10.31486/toj.20.0004

Cited by 5 publications

(3 citation statements)

References 18 publications

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“…We have not found any theory-driven intervention similar to ours to reduce bladder distension or UR. Most nurse-driven protocols have been shown to reduce both the length and use of IDC, associated UTIs and catheter trauma, by using appropriate indications, removal plans and timely bladder scanning [33,[59][60][61][62]. We found that more patients received a catheter over the intervention years and in parallel a decrease he incidence of UC-UTI [27].…”

Section: The Interventionmentioning

confidence: 72%

A co-created nurse-driven catheterisation protocol can reduce bladder distension in acute hip fracture patients - results from a longitudinal observational study

et al. 2022

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Background Urinary retention is common in elderly patients undergoing acute hip fracture surgery. Avoiding overfilling the urinary bladder is important to avoid detrusor muscle damage and associated motility problems. The aim of this study was to analyse associations between the co-creation of a nurse-driven urinary catheterisation protocol and the incidence of bladder distension in patients undergoing hip fracture surgery. Methods This is a single-centre implementation intervention with a retrospective longitudinal observation design, using five measures points, spanning from June 2015 to March 2020. The intervention was theory driven and the participants, together with the facilitators and researcher, co-created a nurse-driven urinary catheterisation protocol. Data were retrieved from the hip fracture register. Uni- and multivariable logistic regressions were used for analyses of changes in bladder distension and urinary volume of ≥500 ml over the years. Results A total of 3078 patients were included over a five-year period. The implementation intervention was associated with a reduction in the proportion of patients with bladder distension of 31.5% (95% confidence interval 26.0–37.0), from year 1 to year 5. The multivariable analysis indicated a 39% yearly reduction in bladder distension, OR 0.61 (95% confidence interval 0.57–0.64, p < 0001). There was a reduction in the proportion of patients with a bladder volume of ≥500 ml of 42.8% (95% confidence interval 36.2–49.4), from year 1 to year 5. The multivariable analysis found a 41% yearly reduction in patients with a bladder volume of ≥500 ml, OR 0.59 (95% confidence interval 0.55–0.64, p < 0.0001). The intervention was associated with improved documentation of both catheter indications and removal plans. Conclusion The use of predefined catheter indications and a tighter bladder scanning schedule were associated with a reduction in the incidence of both bladder distension and urine volume ≥ 500 ml in hip fracture patients. Registered nurses can play an active role in the facilitation of timely and appropriate catheter treatment in patients with hip fractures. Trial registration Clinical Trial Registry ISRCTN 17022695 registered retrospectively on 23 December 2021, in the end of the study, after data collection.

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Section: The Interventionmentioning

confidence: 72%

A co-created nurse-driven catheterisation protocol can reduce bladder distension in acute hip fracture patients - results from a longitudinal observational study

et al. 2022

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“…En este sentido, lo anterior pone en evidencia la necesidad de que las enfermeras sean quienes deban velar por el adecuado cumplimiento de los protocolos en lo que se refiere a la seguridad y calidad de la atención en salud, por lo que es importante que los profesionales de enfermería se involucren en la gestión de los procesos, con la finalidad de que los cuidados asociados a la instalación y manejo de catéteres vesicales sean basados en la mejor evidencia disponible (5,(26)(27)(28) .…”

Section: Discussionunclassified

Infección Del Tracto Urinario Asociada a Catéter Urinario a Permanencia: Tendencia Del Indicador en Chile

Nahuelquin¹,

Soler²,

González³

et al. 2022

CicyEnf

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Objetivo: Analizar la tendencia del indicador "Infección del tracto urinario asociado a instalación de catéter urinario a permanencia" en Chile. Material y Método: Estudio ecológico, de series temporales en el sistema sanitario de Chile, correspondiente a un total de 15 regiones, desde el año 2001 al año 2017 (27.087.087 casos). Se incluyeron datos cuyo egreso hospitalario era infección de tracto urinario asociado a catéter urinario a permanencia, según la Clasificación Internacional de Enfermedades (CIE 10). El análisis descriptivo y correlacional (X 2 y T de Student, respectivamente) se realizó en función del sexo, tipo de previsión, condición de egreso y operación quirúrgica. El análisis se realizó con el programa SPSS 24 y el nivel de significación estadística fue p< 0,05. La estimación, basada en análisis lineal, estimó cambios porcentuales anuales (APC: Annual Percentage Change) y sus intervalos de confianza al 95%. Se empleó el método de auto-regresión de

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“…[8][9][10][11] Substantial outpatient management costs can also be incurred in addressing follow-up of long-term complications. 7,12,13 Limited efforts to minimize UC trauma have been reported with mixed results, 6,[14][15][16][17][18] and thus comprehensive research is needed to better understand the characteristics of such injuries. Knowledge gaps include the patient population characteristics that might be used to better identify an at-risk population suitable for earlier urologic intervention as well as the circumstances contributing to iatrogenic UC injury.…”

mentioning

confidence: 99%

Characterization and Outcomes of Iatrogenic Urethral Catheterization Injuries

Lawton,

Ortiz,

Henry

et al. 2024

Urology Practice

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Introduction:Iatrogenic injury during urethral catheterization is a common reason for inpatient urologic consultation and is associated with increased morbidity and resource utilization. Literature defining the patient population, interventions, or outcomes associated with traumatic catheterization is scarce.Methods:We performed a retrospective review of consults for adult urethral catheterization at a single tertiary care center (July 2017-December 2019), with focus on patient characteristics and complications. Traumatic urethral catheterization was defined as catheterization by the primary team with at least 1 of these conditions: gross hematuria, meatal blood, or cystoscopic evidence of urethral trauma. Characteristics collected included urologic history, catheterization circumstances, procedural intervention, and subsequent visits.Results:Three hundred urology consults for urethral catheterization were identified, including 98 (33%) traumatic events (5.3 incidents/1000 catheters placed). All traumatic catheterization consults were in men (median age 69 years). Most (71%) patients sustaining injury had significant urologic history (eg, benign prostatic hyperplasia, urethral stricture). Sixty-three (64%) consults were determined to be uncomplicated (not requiring any procedural intervention for catheter placement). Gross hematuria was the most common sequela (50% of patients). The 30-day catheter-associated urinary tract infection rate was 13%, and 2 patients developed sepsis. Complications required a total of 52 additional hospital admission days, 19 of which were intensive-care level, as well 113 outpatient urology visits.Conclusions:Traumatic urethral catheterization is associated with increased need for procedural intervention, risk of catheter-associated urinary tract infection, and additional resource utilization. Further studies on traumatic catheterization are needed to guide systemic efforts for minimizing injury and cost.

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A Nurse-Driven Protocol for Foley Catheter Utilization Decreases the Incidence of Traumatic Foley Catheterization

Cited by 5 publications

References 18 publications

A co-created nurse-driven catheterisation protocol can reduce bladder distension in acute hip fracture patients - results from a longitudinal observational study

A co-created nurse-driven catheterisation protocol can reduce bladder distension in acute hip fracture patients - results from a longitudinal observational study

Infección Del Tracto Urinario Asociada a Catéter Urinario a Permanencia: Tendencia Del Indicador en Chile

Characterization and Outcomes of Iatrogenic Urethral Catheterization Injuries

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