Barriers in clinical use of evidence-based urethral catheter cleaning: a qualitative study based on theoretical domains framework
10.3760/cma.j.issn.1674-2907.2019.36.010
- VernacularTitle:导尿管清洁最佳证据在临床应用中的障碍因素分析——一项基于理论域框架的质性研究
- Author:
Shuhui YU
1
;
Dong PAN
;
Yanbo HUANG
;
Meng ZHANG
;
Hua GUAN
;
Jing LI
;
Yanming DING
;
Xia LIU
;
Xinyan CHE
;
Lin FRANCES
Author Information
1. 北京大学第一医院泌尿外科
- Keywords:
? Urethral catheter;
? Cleaning;
? Theoretical Domains Framework;
? Semi-structural interview;
? Barrier;
? Knowledge transformation
- From:
Chinese Journal of Modern Nursing
2019;25(36):4729-4733
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the barriers in the clinical use of evidence-based urethral catheter cleaning. MethodsThe interview outline was developed based on the Theoretical Domains Framework (TDF) from September to October 2018. Totally 19 nurses working in the Department of Urinary Surgery at Peking University First Hospital was selected for semi-structural interview by convenient sampling, and content analysis was conducted based on the results. ResultsA total of 4 barriers related to 4 domains under the TDF were found in this study, namely, social / professional roles and identities, confidence in results, environmental factors and resources, and social impact. The subjects were extracted on this basis, which were lack of knowledge conversion process and norms in the department, poor self-management ability in the patients, and insufficient catheter cleaning resources. ConclusionsThe clinical use of evidence-based urethral catheter cleaning is affected by multiple factors, including systems, patients and resource availability. Departments need to explore and develop the norms for knowledge transformation, improve the self-management ability of postoperative patients, provide sufficient resources for catheter cleaning, and promote the clinical use of evidence-based urethral catheter cleaning.
