Low-value care of the urethra in patients with urinary catheter: a scoping review
10.3760/cma.j.cn115682-20240304-01103
- VernacularTitle:导尿管置管患者尿道口低价值护理的范围综述
- Author:
Yiyi YIN
1
;
Liu HAN
;
Xuejing LI
;
Dan YANG
;
Meiqi MENG
;
Jingjing LI
;
Jingyuan ZHANG
;
Yufang HAO
Author Information
1. 北京中医药大学护理学院，北京 100029
- Publication Type:Journal Article
- Keywords:
Review;
Evidence-based nursing;
Urinary catheters;
Low-value care;
Urethra care;
Sterilization
- From:
Chinese Journal of Modern Nursing
2025;31(6):824-830
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically and comprehensively retrieve studies on urethra care for patients with urinary catheter at home and abroad, so as to provide a reference for removing low-value care measures in the future.Methods:Arksey and O'?Malley scoping review method was used to systematically search the China National Knowledge Infrastructure, China Biology Medicine disc, WanFang Data, VIP, PubMed, Cochrane Library, CINAHL, Embase, and Web of Science. The search period was from database establishment to January 1, 2024. Literature was screened based on inclusion and exclusion criteria, and catheter care site, disinfection/cleaner type, frequency, institutional norms, and determinants were independently extracted by two researchers, where determinants were framed based on the theoretical domains framework.Results:A total of 21 papers were included. Urethra low-value care measures were reflected in the selection of nursing solutions that differed significantly from guideline recommendations and were inconsistently standardized across hospitals. Thirteen strategies were proposed to remove urethra low-value care measures. Factors that influenced the removal of low-value care behaviors included knowledge, reinforcement, environment and resources, social influences, personal roles and identities, outcome beliefs and memories, and attention and decision-making processes.Conclusions:Future researchers should further refine the evidence on urethra care and develop contextualized care for complex, multilevel healthcare settings to achieve continuous improvement and high quality care at low cost.
