Nursing Activities and Outcomes Related to Indwelling Urinary Catheterization from a Review of Medical Records and Interviews.
- Author:
Keum Seong JANG
1
;
Kyung Hee CHUNG
;
Ja Yun CHOI
;
Jin Ju YANG
;
Soon Joo PARK
;
Se Ang RYU
;
Nam Young KIM
;
Jae Youn SIM
Author Information
1. College of Nursing, Chonnam National University, Chonnam Research Institute of Nursing Science, Korea. choijy@chonnam.ac.kr
- Publication Type:Original Article
- Keywords:
Urinary catheterization;
Professional practice;
Outcome assessment
- MeSH:
Catheterization;
Catheters;
Catheters, Indwelling;
Evidence-Based Practice;
Hospitalization;
Humans;
Infection Control;
Medical Records;
Prescriptions;
Professional Practice;
Urinary Catheterization;
Urinary Catheters
- From:Journal of Korean Academy of Fundamental Nursing
2008;15(4):438-448
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to identify nursing activities and to analyze patient outcomes related to indwelling urinary catheterization. METHOD: A review was done of 628 medical records from five units for patients admitted between January 1 and June 30, 2006. Twelve nurses who worked in the same units were interviewed. RESULTS: In the interviews, nurses reported considering several non-invasive interventions prior to catheterization but there were no medical records of this activity. Results from the in-depth interviews showed that infection control activities such as urinary bag management were conducted but again there were no medical records. Seventy-five percent of the catheters were removed without prescription. In the medical records there were no notes for approximately 15%, on the time of first voiding and 80%, on volume of first voiding after removal of catheter. There was a significant difference in hospitalization days between the group catheterized for 5 days or less and the group catheterized for 6 days or more. CONCLUSION: Results indicate a need to close the gap between recorded and described activities and between current and best evidence based practice. Further study is needed to develop a standard recording system and guidelines related indwelling catheterization to decrease the gaps identified in this research.
