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Patients’ perspectives on timing of urinary catheter removal after surgery

Lookup NU author(s): Dr Rashmi Bhardwaj-Gosling, Rob Pickard, Dr Debbie Carrick-Sen, Professor Katie Brittain

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Abstract

A prolonged catheter duration is a major risk factor for catheter-associated urinary tract infection, with bacteriuria increasing by 5% per day (Gokula et al, 2004). Aim: In this study, the authors explored patients’ perceptions of the care process relating to perioperative catheterization to identify patient factors that encourage early removal. Method: Semi-structured interviews incorporating a grounded theory approach were performed on three men and seven women during 2010. Interviews were transcribed and analyzed using constant comparative method and thematic framework analysis. Results: Catheter duration ranged from 1–10 days. Main themes elicited included: lack of understanding of the purpose and catheterization process; loss of patient autonomy and dignity; and impact of environmental factors. Conclusion: Lack of knowledge of the catheterization process among participants led to fears and concerns that may have contributed to delayed catheter removal. Changes to patient care that are likely to reduce catheter duration include ensuring the provision of pre-operative information, greater patient involvement in catheter removal decisions, and provision of easily accessible toilet facilities.

Publication metadata

Author(s): Bhardwaj R, Pickard R, Carrick-Sen D, Brittain K

Publication type: Article

Publication status: Published

Journal: British Journal of Nursing

Year: 2012

Volume: 21

Issue: 18

Pages: S4-S9

Online publication date: 20/10/2014

Date deposited: 29/01/2018

ISSN (print): 0966-0461

Publisher: Mark Allen Healthcare

URL: https://doi.org/10.12968/bjon.2012.21.Sup18.S4

DOI: 10.12968/bjon.2012.21.Sup18.S4

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