Urethral catheterization:The need for adequate undergraduate exposure (original) (raw)
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Training effect on knowledge of new interns regarding urethral catheterization
Introduction Complications from urethral catheterization (UC) increase hospital stay and costs. We aim to assess the knowledge of new interns at a university hospital and to study the effect of training in the short and long terms. Methods New medical interns (n = 40) at a university hospital were included. Using a pre-training survey, interns' needs and their confidence level (CL) about UC were assessed. They were divided into small groups. The workshop was divided into three educational parts (PowerPoint presentation, video demonstration, and simulation with peer feedback) and a final examination. At the end of the session, an evaluation questionnaire assessed satisfaction of interns, and their new CL about UC. A distant evaluation 6 months later, evaluated the number of UC performed, the failure and the complication rates, and the need for further training. Descriptive statistics and paired t-test were used with a confidence interval of 95% and a significant p-value
Asian Journal of Medical Sciences
Background: Urinary catheterization is an integral part of patient management. At the same time it is also a major source of morbidity if not done properly. In spite of being an important procedure, most of the time it is performed by junior most member of the team. Huge gap in knowledge and skill has been detected among junior doctors as far as urinary catheterization is concerned. Proper training under experienced doctors is required to reduce the gap for better patient management.Aims and Objectives: This study aims to assess the knowledge, attitude and practice of urinary catheterization among residents (interns, house staff {HS} and post graduate trainees {PGT}) attached to the different departments in a medical college hospital in south Bengal.Materials and Methods: A hospital based crosssectional study was conducted with the help of pre tested questionnaire among 200 residents in the department of surgery. The data obtained were analyzed for different parameters. Ethical clea...
Background: This study aims to evaluate the knowledge of new interns regarding urethral catheterization (UC), and to assess the effectiveness of our institutional boot camp in improving their knowledge score and confidence level (CL). Methods: The urology boot camp is a one-day curriculum conducted yearly for new interns at our university hospital to teach UC. The workshop has three modules: interactive PowerPoint presentation, skill demonstration by videos, and simulation on male and female dummies. Before the workshop, the trainee’s knowledge and confidence levels regarding UC are analyzed by a pre-training survey. At the end of the session, each trainee undergoes an examination based on a skill assessment sheet with a final knowledge score.Results: For the 2020-2021 academic year, 40 new medical interns participated in the urology boot camp. Only 15% felt prepared correctly. The majority didn’t know the difference between catheter types and sizes (92%), the best patient position ...
Compliance With Guideline Statements for Urethral Catheterization in an Iranian Teaching Hospital
2015
Background It is believed that healthcare staff play an important role in minimizing complications related to urethral catheterization. The purpose of this study was to determine whether or not healthcare staff complied with the standards for urethral catheterization. Methods This study was conducted in Imam Reza teaching hospital, Tabriz, Iran, from July to September 2013. A total of 109 catheterized patients were selected randomly from surgical and medical wards and intensive care units (ICUs). A questionnaire was completed by healthcare staff for each patient to assess quality of care provided for catheter insertion, while catheter in situ, draining and changing catheter bags. Items of the questionnaire were obtained from guidelines for the prevention of infection. Data analysis was performed with SPSS 16. Results The mean age of the patients was 50.54 ± 22.13. Of the 109 patients, 56.88% were admitted to ICUs. The mean duration of catheter use was 15.86 days. Among the 25 patients who had a urinalysis test documented in their hospital records, 11 were positive for urinary tract infection (UTI). The lowest rate of hand-washing was reported before bag drainage (49.52%). The closed drainage catheter system was not available at all. Among the cases who had a daily genital area cleansing, in 27.63% cases, the patients or their family members performed the washing. In 66.35% of cases, multiple-use lubricant gel was applied; single-use gel was not available. The rate of documentation for bag change was 79%. Conclusion The majority of the guideline statements was adhered to; however, some essential issues, such as hand hygiene were neglected. And some patients were catheterized routinely without proper indication. Limiting catheter use to mandatory situations and encouraging compliance with guidelines are recommended.
Infection Control in the Use of Urethral Catheter: Knowledge and Practises of Nurses
American Journal of Advanced Drug Delivery
Objective: To identify knowledge and practises of nurses regarding infection control in the use of urethral catheter and associated urinary tract infection in private tertiary care hospital Peshawar. Purpose: The purpose of this study was to explore the current knowledge of nurses regarding urinary catheter care. The study was also focused on practises and standard guidelines about urinary catheter care of nurses in private tertiary care hospitals. Method: A descriptive cross sectional study was conducted among nurses in private tertiary care hospital Peshawar. Participants were selected through convenient sampling technique. The data was collected through a self-developed structured questionnaire. Results: Out of 70 participants the gender distribution was 11.1% (male) and 86.1% (female). The mean knowledge of participants was 66% with standard deviation 25.3%. The Mean practise was 56.43% with Standard deviation 14.94%. Independent t-test was applied to identify the association between knowledge of participants with year of experience which was not significant. One-way Analysis Of Variance (ANOVA) test was applied to identify association between knowledge with years of practise which was significant p=0.024. Conclusion: The study result was alarming to know that the nurses had low knowledge, and poor practises about infection control in the use of urethral catheter. This indicates that nurses need to be educated and trained more on infection control in the use of urethral catheter.
IATROGENIC URETHRAL INJURY FROM IMPROPER CATHETERIZATION; A PRACTICAL WAY OUT
TIJER, 2024
Urethral catheterisation is one of the most common bedside procedures performed on hospitalized patients. Compliance with ethical standard Conflict of interest. The authors declare that they have no conflict of interest. Ethical approval Ethical approval was obtained from the ethical board of Abubakar Tafawa-Balewa University Teaching hospital, Bauchi to conduct the study.
Research and Reports in Urology
This study aimed to assess the exposure and knowledge of urology residents in the management of urethral stricture (US) and to determine if they would be able to perform urethroplasty after graduation and whether urethroplasty should be included as a competency in the training program. Patients and Methods: An online survey was sent to all residents enrolled in any urology training program in Saudi Arabia. Fifty-eight (approximately 50%) of the 114 residents who were sent the survey provided responses. Results: Most of the residents (45 residents, 77.6%) who responded were exposed to fewer than ten cases of US during their last year of training. Fifty-six residents (96.6%) attended five or fewer urethroplasty procedures in their last year of training. Twenty-three (40%) residents did not attend any urethroplasty procedure in the last year. The most common procedures attended by the residents were minimally invasive treatments (89% cystoscopy with dilatation and 79% direct visual internal urethrotomy (DVIU)). Most residents responded that they would manage newly diagnosed 1 cm US with either cystoscopy and dilatation or with DVIU 53 (91%). For the first recurrence of US, 46 (79%) residents responded that they would still prefer dilatation or DVIU. For the second, third, and chronic recurrences of US, 20 (34.5%), 6 (10.3%), and 5 (8.6%) residents, respectively, responded that they would perform dilatation or DVIU. Residents had low expectations for the success rate of urethroplasty; only 32 (55.2%) residents thought it had a high success rate. Conclusion: Urethroplasty is a specialized urological procedure, one that residents have variable exposure to. Privilege to perform such a procedure after graduating should be modified to ensure the best outcome for patients.
Review Article: Urethral Catheters and Catheterization Techniques
2022
Review Article IntroductIon Urinary catheters are one of the most commonly used medical devices in clinical practice. [1] They have been used for over 3500 years to drain the urinary bladder when it fails to empty or for other indications. [2] In the United States of America alone, an estimated 30 million indwelling urethral catheters are sold yearly, and about 20% of hospitalized patients have a urethral catheter inserted at any given moment. [3] A urinary catheter is a tube inserted from the external urethral meatus to the bladder to drain urine from the bladder. [4] It can be used for the short term, especially in the perioperative period. Still, it can also be used long term, especially when managing people with urinary incontinence or chronic urine retention. [4] Globally, the commonly used catheter is the Foley catheter invented by an American urologist named Frederic Foley. [5] However, there are several types of urinary catheters, and their use is determined primarily by the indication for urinary catheterization. Under ideal conditions, a urinary catheter that is 100% silicone can remain in situ for up to about 12 weeks. This, however, is often not feasible due to encrustation and bacterial infection that can block the catheter or result in a medical complication. [5] Although urethral catheterization is a standard procedure performed by many cadres of health workers, it may be associated with some complications and thus may be the cause of litigations and medical malpractice consequent on certain complications that may arise such as urethral stricture, urinary tract infection, urethral erosion, sepsis, and urethral injuries. [6] MaterIals and Methods A review of the international literature was conducted using PubMed database and Google Search, using keywords such as "urethral catheter materials and types," "catheterisation techniques and complications," "difficult urethral catheterizations," "retained urethral catheter," "catheter-associated urethral Background: The urethral catheter is an essential medical device that is used in everyday medical practice worldwide. The urethral catheter has evolved over the years with several modifications and improvements to overcome the shortcomings of previous productions. With several indications, it remains one of the most commonly used devices traversing almost all specialties in the field of medicine; however, the process of urethral catheterization is occasionally challenging and may result in injury to the urethra. The attendant complications following its passage far outweigh its cost and the required skills to necessitate appropriate insertion. Knowledge of the type of urethral catheter, training with regard to its insertion, care while in situ, and competency of the attendant caregivers are required for safe catheterization. Aim: This review aims to disseminate knowledge on urethral catheter types, insertion procedures, and its attendant complications so that doctors and other health-care professionals may safely perform this necessary procedure. Materials and Methods: A review of internatinal literature was conducted using PubMed database and goggle search using key words such as urethral catheter materials and types. Result: 105 articles were identified and found suitable for the study.