Perspectives of Patients and Healthcare Professionals on the Use of Indwelling Urinary Catheter: A Literature Review
Refereed conference paper presented and published in conference proceedings



Indwelling urinary catheters (IUCs) are frequently placed longer than necessary without appropriate indications because of unawareness of the presence of indwelling urinary catheters on patients and varied practices in weaning off catheter. Unnecessary and lengthened catheterization causes pain and discomfort in patients. Moreover, this state induces a significant increase in catheter-associated urinary tract infections rate, lengthened hospitalization and increased hospital cost. This literature review aims to explore the perspectives of patients’ and healthcare professionals on IUC use.

A systematic search was conducted in multiple electronic bibliographic databases, including British Nursing Index, CINAHL, Ovid MEDLINE® and Ovid Nursing Database by using keywords related to urinary catheterization, indwelling catheter, inpatients, hospitalized patients, nurses, physicians, healthcare professionals, perspectives, and perceptions.

Two qualitative studies show that both patients and healthcare professionals regard urinary catheter as a point of restriction limiting mobility. Patients experienced and endured pain and discomfort with the presence of catheter. They were aware of the risk of infection. However, they did not receive explanation on the other risks associated with IUCs. A multicenter qualitative study reported that key hospital personnel recognized the significance of early removal of indwelling urinary catheter. Yet, an exploratory study, in which infection preventionists and hospital executives were interviewed, described the difficulties in involving nurses and physician in reducing IUC use. Frontline staff were concerned about heavy workload and did not prioritize early removal of urinary catheter over other patient safety issues.

The literature review reveals the unwanted effects of IUCs from the views of patients and healthcare professionals. This work also shows that little is known regarding the patients’ experience and frontline staffs’ perceptions regarding the prolonged use of IUCs. Future studies can examine the impact of lengthened catheterization from the perspectives of patients and frontline staff. This review highlights the need for early removal of unnecessary urinary catheter to reduce avoidable distress to patients. An effective approach to engage nurses and physicians to shorten the catheterization period is needed to improve the quality of care.
著者Cecilia Sin-sze Wat, Wing-yan Man, Fiona Wing-ki Tang
會議名稱The 7th Global Congress for Qualitative Health Research
關鍵詞indwelling urinary catheter, use, perspectives, patients, healthcare professionals

上次更新時間 2018-05-07 於 12:19