Adherence to evidence-based guidelines for indwelling urinary catheter management: A cross-sectional study

Coventry, Linda L.; Patton, Vicki; Whyte, Ashleigh; Liu, Xiaohua; Kaur, Hardeep; Job, Adina; King, Mary A.

doi:10.1016/j.colegn.2021.01.006

Cited by 6 publications

(3 citation statements)

References 26 publications

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“…(2016) to include an additional 10 items related to bowel assessment, hygiene, and urinary drainage bag care, based on the current evidence of Coventry et al. (2021), Murphy et al. (2018) and Payne (2021).…”

Section: Methodsmentioning

confidence: 99%

“…Urinary tract infection (UTI) has been repeatedly shown to be associated with poor perineal hygiene (Leaver, 2007;Murphy et al, 2018) and daily hygiene around the meatal region has been shown to reduce this infection (Coventry et al, 2021;Musco et al, 2022;Seyhan & Özbaş, 2018). To prevent UTI, the National Institute of Clinical Excellence (NICE) and Agency for Clinical Innovation (2017) recommend cleaning the perineum and meatus with soap and water as part of daily catheter care, and advise nurses to educate patients regarding perineal hygiene as some of the patients may be anxious and wary of touching the catheter due to fear of causing pain and dislodgement (Leaver, 2007;Reid et al, 2021).…”

Section: Perineal Hygienementioning

confidence: 99%

“…In this study, we expanded from the 13-item self-management (C-SMG) scale developed by to include an additional 10 items related to bowel assessment, hygiene, and urinary drainage bag care, based on the current evidence of Coventry et al (2021), Murphy et al (2018) and Payne (2021). The response format of the expanded catheter self-management scale is consistent with C-SMG scale responses using a five-point scale assessing the occurrence of behaviour (0 = do not do this, 1 = monthly or less often, 2 = several times a month, 3 = weekly, 4 = several times a week, 5 = several times a day or daily).…”

Section: Designmentioning

confidence: 99%

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Development and psychometric evaluation of an expanded urinary catheter self‐management scale: A cross‐sectional study

Alex,

Ferguson,

Ramjan

et al. 2024

Journal of Advanced Nursing

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AimTo develop and test the psychometric properties of an expanded catheter self‐management scale for patients with in‐dwelling urinary catheters.DesignA cross‐sectional validation study. Despite the utility of the original 13‐item catheter self‐management scale, this instrument did not include bowel management, general hygiene and drainage bag care, which are fundamental skills in urinary catheter self‐management to prevent common problems resulting in unnecessary hospital presentations. The expanded catheter self‐management scale was developed with 10 additional items to comprehensively assess all five essential aspects of urinary catheter self‐management.MethodsA total of 101 adult community‐dwelling patients living with indwelling urinary catheters were recruited from Western Sydney, Australia. Using exploratory factor analysis with Varimax rotation, the number of factors to be extracted from the expanded 23‐item expanded catheter self‐management scale was determined using a scree plot. The reliability of the overall scale and subscales was measured using Cronbach's alpha. Convergent validity was assessed using Spearman's correlations between clinical characteristics, overall scale and subscales.ResultsThe 23‐item expanded catheter self‐management scale yielded a 5‐factor solution, labelled as: (i) self‐monitoring of catheter function, (ii) proactive, help‐seeking behaviour function, (iii) bowel self‐care function, (iv) hygiene‐related catheter site function and (v) drainage bag care function. Cronbach's alpha of the expanded catheter self‐management scale indicating all 23 items contributed to the overall alpha value. Convergent validity results showed a negative correlation between the overall expanded catheter self‐management scale and catheter‐related problems.ConclusionThe 5‐factor structure provided a comprehensive assessment of key aspects of urinary catheter self‐management essential to reduce the likelihood of catheter‐related hospital presentations.ImplicationsThe expanded catheter self‐management scale can be used to assess and monitor effective patient‐centred interventions for optimal self‐management to prevent catheter‐related problems and improve the quality of life of patients.Impact Many patients start their journey of living with a urinary catheter unexpectedly and are not supported with quality information to care for their catheter. The findings of this study show the correlation between catheter self‐management skills and catheter‐related problems. The expanded catheter self‐management scale (E‐CSM) assists with analysing the self‐management skills of patients living with a catheter and developing tailored interventions to prevent problems and improve their quality of life. In addition, this screening tool can be included in policies, guidelines, and care plans as a standard for improving catheter management and developing educational resources for patients. Reporting MethodSTROBE checklist was used to report all aspects of this study comprehensively and accurately.Patient or Public ContributionPatients living with indwelling urinary catheter and their carers have participated in surveys, interviews and co‐designing interventions. This paper reports the psychometric analysis of the expanded catheter self‐management scale (E‐CSM) used in the patient survey as part of the main study ‘Improving Quality of Life of Patients Living with Indwelling Urinary Catheters: IQ‐IDC Study’ (Alex et al. in Collegian, 29:405–413, 2021). We greatly value our consumers' contributions and continue to communicate the progress of the study to them. Their contributions will be acknowledged in all publications and presentations. In addition, all participants will be provided the option of receiving the interventions and publications generated from this study.

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