Best practices for clean intermittent catheterization

Beauchemin, Lisa; Newman, Diane K.; Danseur, Maureen Le; Jackson, Arlene M.; Ritmiller, Mike

doi:10.1097/01.nurse.0000544216.23783.bc

Cited by 17 publications

(12 citation statements)

References 15 publications

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“…Buna ilaveten yaşanılan sürecin doğru yönetilmesi amacı ile bu süreçte model kullanımının yanı sıra NANDA hemşirelik tanıları ve NIC girişimlerinin de kullanımı verilen bakımın sistematik şekilde, kolaylıkla ve doğru hareket noktasının belirlenerek uygulanması açısından katkı sağlamaktadır (Kurt ve ark., 2016). TAK uygulaması yapan bakım vericilerin yaşadığı sürece yönelik bilgi/beceri düzeyinin artırılması ve yaşadığı sürece uyum sağlaması amacıyla hastaneden taburculuk öncesinde uygulanması gereken hemşirelik bakımı oldukça önemlidir (Beauchemin et al, 2018;Han et al, 2017). Bu çalışmada RAM doğrultusunda NANDA hemşirelik tanıları ve NIC girişimleri doğrultusunda bebeğine TAK uygulaması yapan bakım vericiye yönelik bakım süreci ifade edilmiştir.…”

Section: Discussionunclassified

“…TAK kullanımının pozitif etkilerine rağmen, doğru şekilde uygulanmadığında hastalarda başta idrar yolu enfeksiyonu (İYE) olmak üzere hematüri, üretrit, mesane perforasyonu gibi komplikasyonlar görülmektedir (Lamin & Newman 2018;Leach, 2018). Hastalarda sık tekrarlayan İYE, böbrekte kalıcı hasara sebep olarak periton diyalizi ve hemodiyaliz gibi renal replasman tedavisi uygulama ihtiyacını artırmaktadır (Beauchemin et al, 2018;Han et al, 2017). Hastalarına TAK uygulaması yapan bakım vericilerin problemlerinin tanımlanması, yaşadıkları yeni sürece uyumunun sağlanması, kapsamlı ve yeterli bakım alma noktasında hemşireler kilit rol oynamaktadır (Leach, 2018).…”

Section: Introductionunclassified

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Nursing Care Including NANDA Diagnoses and NIC Interventions in Clean Intermittent Catheterization: A Case Report

Sarı¹,

DEMİRBAĞ

2022

Halk Sağlığı Hemşireliği Dergisi

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Temiz aralıklı kateterizasyon (TAK), çeşitli nedenler ile kendi kendine idrar yapamayan hastaların bakım vericileri tarafından mesanenin boşaltılması amacıyla kullanılan en etkin yöntemdir. Bakım vericilerin TAK uygulamasına yönelik yeterli bilgi/beceri sahibi olmaması, yaşadığı sürece uyum sağlayamaması durumunda hastalarda başta böbrek yetmezliği olmak üzere çeşitli komplikasyonlar görülmektedir. Bu sebeple TAK uygulaması yapan bakım vericilere yönelik verilen eğitimlerin hemşirelik modelleri ve Hemşirelik Girişimleri Sınıflama Sistemleri doğrultusunda planlanması ve uygulanması gerekmektedir. Roy Adaptasyon Modeli (RAM) kişilerin yaşadığı farklı sürece uyum sağlamasında sık kullanılan hemşirelik modellerindendir. Bu olgu sunumda, RAM doğrultusunda Hemşirelik Girişimleri Sınıflandırma Sistemi kullanılarak planlanan hemşirelik sürecinde bakım vericinin yaşadığı ve yaşayabileceği düşünülen olası problemlere yönelik uygun girişimlerin planlanması amaçlanmıştır.

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Section: Discussionunclassified

Section: Introductionunclassified

Nursing Care Including NANDA Diagnoses and NIC Interventions in Clean Intermittent Catheterization: A Case Report

Sarı¹,

DEMİRBAĞ

2022

Halk Sağlığı Hemşireliği Dergisi

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“…Caregivers should also be made aware that ISC causes an increased chance of bladder calculi, as well as small amounts of blood from the insertion site. While ISC outside of the hospital setting are considered clean techniques, if the student is experiencing frequent urinary tract infections, it is recommended that sterile technique be considered (Beauchemin, 2018).…”

Section: Disadvantages Of Iscmentioning

confidence: 99%

“…The school nurse should explain each step of the procedure as it occurs. The insertion site should be cleansed with soap and water or cleansing wipes (Beauchemin, 2018). The student should be positioned at the toilet, either standing to the side or sitting on the toilet or have a basin to collect the urine.…”

Section: Steps Of Iscmentioning

confidence: 99%

“…In addition, the student must have the self-help and fine motor skills that allow performance of ISC even if access to medical braces or other medical assistive devices are not available due to procedure constraints. The school nurse assesses the student's dexterity and ability to grasp and insert the catheter, hand strength, any visual or auditory impairments, mobility issues, and urethral problems such as scarring and strictures (Beauchemin, 2018).…”

Section: Successful Catheterization In the School Settingmentioning

confidence: 99%

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Achieving Independence in Toileting: Self-Catheterization Efficacy and the Role of the School Nurse

Bradley

2020

NASN School Nurse

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The school nurse is the most consistent healthcare provider for students who require scheduled intermittent self-catheterization; however, there is little literature regarding the role of the school nurse for educating and promoting self-catheterization independence for pediatric populations in the school setting. School nurses are dependent on research to identify best practices when implementing teaching strategies with young students who are ready to start catheterizing independently. The intent of this article is to contribute relevant information that is both useful and evidence based, so the school nurse is equipped with information to support the assessment, planning, and implementation of independent self-catheterization of school-age children. Additionally, this article will examine how to determine candidates for independent self-catheterization, product information and procedure guidelines, and coordination with caregivers and other members of the school health team to provide best outcomes for students diagnosed with neurogenic bladder in the school setting.

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Investigation of anxiety levels in caregivers who perform clean intermittent catheterization on their children and affecting factors

Sari,

Demirbağ

2024

Neurourology and Urodynamics

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PurposeThe study aimed to determine the anxiety levels of caregivers who performed clean intermittent catheterization (CIC) on their children and the factors affecting them.MethodsThis descriptive study was conducted between January 6, and May 29, 2023 with caregivers of 42 patients who were followed up by the pediatric nephrology outpatient clinic of a university for CIC. The study data were collected using the “Participant Information Form” and the “State and Trait Anxiety Scale.”ResultsAccording to the results, of the children included in the study, 73.8% were female, 64.3% were diagnosed with spina bifida (SB), and 76.2% received CIC applications 4–6 times a day. All the caregivers were mothers, and 76.2% received CIC training from a doctor. However, 78.6% of them found the training insufficient, leading them to rely on self‐experimentation when applying CIC to their own children. None of the caregivers received information or training on the CIC application from nurses, and there were no home visits or telephone counseling provided after the hospital discharge. The mean score for the state anxiety scale among the caregivers was 45.90 ± 10.57, while the mean score for the trait anxiety scale was 46.92 ± 8.43. Significantly higher mean trait anxiety scores were observed among caregivers with chronic diseases who did not receive training on the CIC application (p < 0.05). Additionally, caregivers of children who experienced 3–4 urinary tract infections (UTIs) within the last 3 months also had significantly higher mean trait anxiety scores (p < 0.05). The mean trait anxiety level scores of caregivers of children who had 3–4 UTIs in the last 3 months were significantly higher (p < 0.05).ConclusionsIt was concluded that caregivers' lack of training on CIC implementation, having chronic disease, and having frequent UTIs in their children were effective on anxiety levels.

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Best practices for clean intermittent catheterization

Cited by 17 publications

References 15 publications

Nursing Care Including NANDA Diagnoses and NIC Interventions in Clean Intermittent Catheterization: A Case Report

Nursing Care Including NANDA Diagnoses and NIC Interventions in Clean Intermittent Catheterization: A Case Report

Achieving Independence in Toileting: Self-Catheterization Efficacy and the Role of the School Nurse

Investigation of anxiety levels in caregivers who perform clean intermittent catheterization on their children and affecting factors

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