This study was conducted to determine lower urinary tract symptoms (LUTS) and their impact on the quality of life in obese women with LUTS. This study was conducted using a qualitative method at a university hospital. In-depth interviews were conducted with 30 obese women who had LUTS and no chronic illnesses using a semi-structured interview form. The interviews were evaluated through content analysis, and themes were identified and findings were interpreted. Qualitative analysis revealed that LUTS significantly affected women's lives, with complaints increasing as the degree of obesity increased. Most women reported searching for a restroom when going out, being unable to perform religious practices such as prayer, and experiencing negative effects on their sexual lives. Most women indicated that the causes of urinary tract symptoms were pregnancy/birth, excess weight and ageing. In conclusion, it was observed that obesity causes LUTS in women and negatively affects their quality of life.
{"title":"Lower Urinary Tract Symptoms and Quality of Life in Obese Women: A Qualitative Study","authors":"Arzu Malak, Ergul Aslan","doi":"10.1111/ijun.70003","DOIUrl":"https://doi.org/10.1111/ijun.70003","url":null,"abstract":"<p>This study was conducted to determine lower urinary tract symptoms (LUTS) and their impact on the quality of life in obese women with LUTS. This study was conducted using a qualitative method at a university hospital. In-depth interviews were conducted with 30 obese women who had LUTS and no chronic illnesses using a semi-structured interview form. The interviews were evaluated through content analysis, and themes were identified and findings were interpreted. Qualitative analysis revealed that LUTS significantly affected women's lives, with complaints increasing as the degree of obesity increased. Most women reported searching for a restroom when going out, being unable to perform religious practices such as prayer, and experiencing negative effects on their sexual lives. Most women indicated that the causes of urinary tract symptoms were pregnancy/birth, excess weight and ageing. In conclusion, it was observed that obesity causes LUTS in women and negatively affects their quality of life.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.70003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Luca Dal Corso, Veronica Gilioli, Michele Boldini, M. Bogoni, A. Bianchi, A. Gozzo, R. G. Bertolo, A. Antonelli, M. A. Cerruto
Sacral neuromodulation (SNM) is a well-established treatment for chronic lower urinary tract dysfunction (LUTD), including urge urinary incontinence, urgency frequency syndrome and dysfunctional voiding with nonobstructive urinary retention. Despite its efficacy, the precise mechanism of SNM remains unknown. Effective use of SNM hinges on precise electrode placement near the S3 or S4 sacral spinal nerves and proper programming of the neurostimulator. With advancements in technology, SNM devices have become more efficient, and their application is endorsed by the European Association of Urology (EAU). The increasing complexity of SNM devices necessitates enhanced training for healthcare professionals, highlighting the essential role of Proctor Specialists (PS) in the operating room (OR). PS provides critical technical and application support, ensuring optimal use of new neuromodulation devices and enhancing surgical outcomes. This study explores the impact of PS guidance on scrub nurses new to SNM through a self-administered questionnaire given to 30 nurses with 3–9 years of endourological experience. The results indicated high satisfaction with PS presence and introduction of new techniques, with 60% of nurses affirming a positive effect of PS on surgical outcomes, primarily through improved adherence to protocols, correct application of procedures, reduced operating times and effective management of new devices. Concerns were noted about managing procedures autonomously posttraining: nurses recommended increased educational sessions and postprocedure briefings for better integration of new technologies. This study underscores the positive impact of PSs in the OR, suggesting further research across various surgical contexts to validate these findings.
{"title":"Impact of Proctor Specialist on Scrub Nurse Experience in Sacral Neuromodulation Implant","authors":"Luca Dal Corso, Veronica Gilioli, Michele Boldini, M. Bogoni, A. Bianchi, A. Gozzo, R. G. Bertolo, A. Antonelli, M. A. Cerruto","doi":"10.1111/ijun.70004","DOIUrl":"https://doi.org/10.1111/ijun.70004","url":null,"abstract":"<div>\u0000 \u0000 <p>Sacral neuromodulation (SNM) is a well-established treatment for chronic lower urinary tract dysfunction (LUTD), including urge urinary incontinence, urgency frequency syndrome and dysfunctional voiding with nonobstructive urinary retention. Despite its efficacy, the precise mechanism of SNM remains unknown. Effective use of SNM hinges on precise electrode placement near the S3 or S4 sacral spinal nerves and proper programming of the neurostimulator. With advancements in technology, SNM devices have become more efficient, and their application is endorsed by the European Association of Urology (EAU). The increasing complexity of SNM devices necessitates enhanced training for healthcare professionals, highlighting the essential role of Proctor Specialists (PS) in the operating room (OR). PS provides critical technical and application support, ensuring optimal use of new neuromodulation devices and enhancing surgical outcomes. This study explores the impact of PS guidance on scrub nurses new to SNM through a self-administered questionnaire given to 30 nurses with 3–9 years of endourological experience. The results indicated high satisfaction with PS presence and introduction of new techniques, with 60% of nurses affirming a positive effect of PS on surgical outcomes, primarily through improved adherence to protocols, correct application of procedures, reduced operating times and effective management of new devices. Concerns were noted about managing procedures autonomously posttraining: nurses recommended increased educational sessions and postprocedure briefings for better integration of new technologies. This study underscores the positive impact of PSs in the OR, suggesting further research across various surgical contexts to validate these findings.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143121249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<div> <p>What are the levels of knowledge, attitudes and beliefs of nursing students regarding testicular cancer and testicular self-examination (TSE)? Is there a significant difference between male and female nursing students in terms of their knowledge, attitudes and beliefs about testicular cancer and TSE? Testicular cancer is the most common cancer affecting young men, yet awareness and knowledge about the disease and early detection methods, such as TSE, remain insufficient among men. Nurses play a critical role in raising awareness and addressing gaps in knowledge about testicular cancer and TSE. This study aims to assess nursing students' knowledge, attitudes and health beliefs concerning testicular cancer and TSE, as well as the factors influencing these outcomes. Nursing students are the future of the nursing profession, and it is essential to address any gaps in their knowledge during their training to ensure they are well-prepared for their roles in patient education and care. This study employed a descriptive, correlational and multicentred design. The sample consisted of 524 nursing students. The inclusion criteria were being enrolled in the 2nd, 3rd or 4th year of a nursing program. Data were collected through an online survey using Google Forms. Statistical analysis was conducted using chi-squared tests, independent <i>t</i>-tests, correlation coefficients, and multiple linear regression to examine the relationships between the variables. The study revealed that both female and male nursing students had low average knowledge scores concerning testicular cancer and TSE. However, a significant gender difference was observed in previous awareness of testicular cancer, with females demonstrating higher levels of awareness compared to their male counterparts. Among the independent variables included in the model, perceived benefits and health motivation had a significant positive effect on male students' knowledge about testicular cancer (<i>β</i> = 0.039, <i>p</i> = 0.018), while perceived barriers had a significant negative effect (<i>β</i> = −0.064, <i>p</i> = 0.002). These variables were statistically significant predictors of male students' knowledge about testicular cancer. The study determined that nursing students' knowledge and attitudes regarding testicular cancer and TSE were low. Among the subscales of the Health Beliefs Scale, the highest mean score was observed for the ‘seriousness’ subscale, while the lowest was for the ‘health motivation’ subscale. Due to the structure of the scale, it was only applicable to male students, which prevented the assessment of female students' beliefs and influencing factors, representing a significant limitation of this research. To ensure nursing students graduate with sufficient knowledge about testicular cancer and TSE, it is recommended to integrate educational and awareness initiatives, such as projects, seminars and public service announcements, into undergraduate n
护生对睾丸癌及睾丸自检的知识、态度及信念水平如何？护生男女对睾丸癌和TSE的知识、态度和信念是否存在显著差异？睾丸癌是影响年轻男性的最常见癌症，但男性对这种疾病和早期检测方法（如TSE）的认识和知识仍然不足。护士在提高对睾丸癌和TSE的认识和解决知识差距方面发挥着关键作用。本研究旨在了解护生对睾丸癌和TSE的知识、态度和健康信念，以及影响这些结果的因素。护理专业的学生是护理专业的未来，在他们的培训中解决他们知识上的任何差距是至关重要的，以确保他们为他们在病人教育和护理中的角色做好充分的准备。本研究采用描述性、相关性和多中心设计。样本包括524名护理专业学生。纳入标准是在护理项目的第二，第三或第四年注册。数据是通过使用谷歌表单的在线调查收集的。统计分析采用卡方检验、独立t检验、相关系数和多元线性回归来检验变量之间的关系。研究发现，护生男女对睾丸癌及TSE的平均知识得分均较低。然而，在先前对睾丸癌的认识方面，观察到显著的性别差异，女性比男性表现出更高的认识水平。模型自变量中，感知利益和健康动机对男生睾丸癌知识有显著的正向影响（β = 0.039, p = 0.018），感知障碍对男生睾丸癌知识有显著的负向影响（β = - 0.064, p = 0.002）。这些变量是男生对睾丸癌知识知晓程度的显著预测因子。本研究发现护生对睾丸癌和TSE的认知和态度较低。在健康信念量表的子量表中，“认真”子量表的平均得分最高，而“健康动机”子量表的平均得分最低。由于量表的结构，它只适用于男生，无法评估女生的信念和影响因素，这是本研究的显著局限性。为了确保护生毕业时对睾丸癌和TSE有足够的了解，建议将教育和意识活动，如项目，研讨会和公共服务公告纳入本科护理课程。
{"title":"Nursing Students' Knowledge, Attitudes and Beliefs About Testicular Cancer and Testicular Self-Examination","authors":"Figen Erol Ursavaş, Çiğdem Kaya, Özge Işeri","doi":"10.1111/ijun.70002","DOIUrl":"https://doi.org/10.1111/ijun.70002","url":null,"abstract":"<div>\u0000 \u0000 <p>What are the levels of knowledge, attitudes and beliefs of nursing students regarding testicular cancer and testicular self-examination (TSE)? Is there a significant difference between male and female nursing students in terms of their knowledge, attitudes and beliefs about testicular cancer and TSE? Testicular cancer is the most common cancer affecting young men, yet awareness and knowledge about the disease and early detection methods, such as TSE, remain insufficient among men. Nurses play a critical role in raising awareness and addressing gaps in knowledge about testicular cancer and TSE. This study aims to assess nursing students' knowledge, attitudes and health beliefs concerning testicular cancer and TSE, as well as the factors influencing these outcomes. Nursing students are the future of the nursing profession, and it is essential to address any gaps in their knowledge during their training to ensure they are well-prepared for their roles in patient education and care. This study employed a descriptive, correlational and multicentred design. The sample consisted of 524 nursing students. The inclusion criteria were being enrolled in the 2nd, 3rd or 4th year of a nursing program. Data were collected through an online survey using Google Forms. Statistical analysis was conducted using chi-squared tests, independent <i>t</i>-tests, correlation coefficients, and multiple linear regression to examine the relationships between the variables. The study revealed that both female and male nursing students had low average knowledge scores concerning testicular cancer and TSE. However, a significant gender difference was observed in previous awareness of testicular cancer, with females demonstrating higher levels of awareness compared to their male counterparts. Among the independent variables included in the model, perceived benefits and health motivation had a significant positive effect on male students' knowledge about testicular cancer (<i>β</i> = 0.039, <i>p</i> = 0.018), while perceived barriers had a significant negative effect (<i>β</i> = −0.064, <i>p</i> = 0.002). These variables were statistically significant predictors of male students' knowledge about testicular cancer. The study determined that nursing students' knowledge and attitudes regarding testicular cancer and TSE were low. Among the subscales of the Health Beliefs Scale, the highest mean score was observed for the ‘seriousness’ subscale, while the lowest was for the ‘health motivation’ subscale. Due to the structure of the scale, it was only applicable to male students, which prevented the assessment of female students' beliefs and influencing factors, representing a significant limitation of this research. To ensure nursing students graduate with sufficient knowledge about testicular cancer and TSE, it is recommended to integrate educational and awareness initiatives, such as projects, seminars and public service announcements, into undergraduate n","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142868593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Simran, Seema, Sushma, Vishnu Kumari, Meenakshi Agnihotri, Ravneet Kaur, Shanky Singh, Achala Agarwal, S. M. Ravi Mohan, Ashok Kumar
<div> <p>Long-term indwelling urinary catheters can lead to various health problems among patients resulting in impaired quality of life. Nurses are vital in providing access to resources, education, and support services, such as catheter care training, family support groups, and psychological counselling. They can empower patients with long-term indwelling urinary catheters to manage their condition effectively and enhance their quality of life. The objective of the study was to develop and implement booklet-based nurse-led intervention on patients with long-term indwelling urinary catheters and to assess the effectiveness of the urinary catheter care package (UCCP) on catheter care practices among caregivers and quality of life among patients. A randomised controlled trial was conducted at a tertiary care centre in Northern India. After obtaining informed consent from each participant, a total enumeration sampling technique was used for sampling ensuring the inclusion of all eligible participants followed by computer-generated day-wise randomization. Fifty participants (patient and caregiver dyad) in each group were selected. Participants in the intervention group were given booklet-based nurse-led intervention while standard care was given to participants in the control group. Data were collected using a validated semi-structured interview schedule consisting of (a) a socio-demographic profile of patients and their caregivers, (b) a clinical profile of patients, (c) an ICIQ-LTCQOL (Quality of life questionnaire) to assess the quality of life among patients, and (d) observation checklist to assess catheter care practices among caregivers. Statistical analysis was done using SPSS version 22.0 employing descriptive and inferential methods. The mean age of patients was 54.88 ± 20.14 years and 53.56 ± 18.93 years in the control and intervention group, respectively. Majority of patients were male, with 86.0% in the control group vs. 80.0% in the intervention group (<i>p</i> = 0.424). Majority of patients had urine retention as a chief complaint for long-term placement of indwelling urinary catheter in both the control group and intervention group, that is, 76.0% and 60.0%, respectively (<i>p</i> = 0.086). At follow up, the mean catheter function and concern score was 19.44 ± 3.45 in the control group vs. 10.17 ± 2.08 in the intervention group (<i>p</i> < 0.001). At follow up, the mean lifestyle impact score was 11.19 ± 2.36 in the control group vs. 8.30 ± 3.79 in the intervention group (<i>p</i> = < 0.001). Mean pain, discomfort and soreness score was 1.47 ± 0.65 in the control and 0.67 ± 0.59 in the intervention group at follow-up (<i>p</i> = 0.001). There was significant decrement in the mean catheter function and concern score, mean lifestyle impact score, and mean pain, discomfort and soreness score among the intervention group as compared to the control group at follow up (<i>p</i> = < 0.001). At follow up, the mean
{"title":"Effectiveness of Nurse-Led-Intervention on Quality-of-Life Among Patients With Long-Term Indwelling Urinary Catheter","authors":"Simran, Seema, Sushma, Vishnu Kumari, Meenakshi Agnihotri, Ravneet Kaur, Shanky Singh, Achala Agarwal, S. M. Ravi Mohan, Ashok Kumar","doi":"10.1111/ijun.70001","DOIUrl":"https://doi.org/10.1111/ijun.70001","url":null,"abstract":"<div>\u0000 \u0000 <p>Long-term indwelling urinary catheters can lead to various health problems among patients resulting in impaired quality of life. Nurses are vital in providing access to resources, education, and support services, such as catheter care training, family support groups, and psychological counselling. They can empower patients with long-term indwelling urinary catheters to manage their condition effectively and enhance their quality of life. The objective of the study was to develop and implement booklet-based nurse-led intervention on patients with long-term indwelling urinary catheters and to assess the effectiveness of the urinary catheter care package (UCCP) on catheter care practices among caregivers and quality of life among patients. A randomised controlled trial was conducted at a tertiary care centre in Northern India. After obtaining informed consent from each participant, a total enumeration sampling technique was used for sampling ensuring the inclusion of all eligible participants followed by computer-generated day-wise randomization. Fifty participants (patient and caregiver dyad) in each group were selected. Participants in the intervention group were given booklet-based nurse-led intervention while standard care was given to participants in the control group. Data were collected using a validated semi-structured interview schedule consisting of (a) a socio-demographic profile of patients and their caregivers, (b) a clinical profile of patients, (c) an ICIQ-LTCQOL (Quality of life questionnaire) to assess the quality of life among patients, and (d) observation checklist to assess catheter care practices among caregivers. Statistical analysis was done using SPSS version 22.0 employing descriptive and inferential methods. The mean age of patients was 54.88 ± 20.14 years and 53.56 ± 18.93 years in the control and intervention group, respectively. Majority of patients were male, with 86.0% in the control group vs. 80.0% in the intervention group (<i>p</i> = 0.424). Majority of patients had urine retention as a chief complaint for long-term placement of indwelling urinary catheter in both the control group and intervention group, that is, 76.0% and 60.0%, respectively (<i>p</i> = 0.086). At follow up, the mean catheter function and concern score was 19.44 ± 3.45 in the control group vs. 10.17 ± 2.08 in the intervention group (<i>p</i> < 0.001). At follow up, the mean lifestyle impact score was 11.19 ± 2.36 in the control group vs. 8.30 ± 3.79 in the intervention group (<i>p</i> = < 0.001). Mean pain, discomfort and soreness score was 1.47 ± 0.65 in the control and 0.67 ± 0.59 in the intervention group at follow-up (<i>p</i> = 0.001). There was significant decrement in the mean catheter function and concern score, mean lifestyle impact score, and mean pain, discomfort and soreness score among the intervention group as compared to the control group at follow up (<i>p</i> = < 0.001). At follow up, the mean ","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142868145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Max Mòdol-Vidal, Marta Serrano-Muñoz, Clara Armas-Moreno, Szilvia Endrényi, Pedro Raúl Castellano-Santana, Carmen Muñoz-Calahorro, Tiago Santos, Manuel Luque-González
<div> <p>Bladder catheterisation is an invasive procedure that must adhere to precise guidelines established by authorities, hospitals or nursing associations to prevent or minimise associated complications. Research indicates that a significant portion of infections could be averted through dedicated periodic training, monitoring of adherence, optimising workloads and innovating in the development of products designed to mitigate risks or enhance ease of use. This study aims to explore the behaviour of nurses in Sweden concerning bladder catheterisation. An anonymous survey was distributed to groups of nurses in Swedish hospitals and healthcare centres. The survey was designed by an expert nurse team and was meticulously prepared and reviewed by a Swedish physician to ensure content validity, comprehension and clarity. A total of 910 nurses participated in the survey. When questioned about whether they are supervised for guidelines compliance when inserting a urinary catheter, 42.0% admitted to not doing so. In fact, only 9.3% of the respondents claimed that they always receive assistance from a colleague during the catheterisation procedure. Nearly 90% of the participants indicated that they could not consistently maintain sterility during catheter insertion, with the primary source of stress being time pressure during the procedure (21.3%). Among those surveyed, 70.4% acknowledged that, in their last 10 catheter insertions, they inadvertently spilt urine on materials at least once, while 27.7% reported spillage on the bedding and 16.5% on individuals. When asked about the potential advantages of a new catheter with an integrated valve, the most significant advantage cited was the reduced risk of urine leakage (63.0%), followed by the convenience of not having to connect a urine bag or plug (52.1%), and the improved ease of collecting urine samples (42.3%). Only 4.9% of respondents did not identify any potential advantages of this device. The correlation analysis showed an inverse relationship between both the level of stress and experience in bladder catheterisation (Spearman's correlation coefficient = −0.413, <i>p</i> value < 0.001) and the level of stress and the frequency of external help during the catheterisation process (Spearman's correlation coefficient = −0.265, <i>p</i> value < 0.001). The study's findings reveal a lack of supervision during catheterisation and the excessive workload or understaffing that often compels nurses to perform the procedure without the assistance of a colleague. These factors may underlie the insufficient adherence to guidelines and protocols, which can result in errors during insertion, thereby increasing the risk of non-aseptic insertion and occupational hazards. It appears essential to invest in organisational changes, provide continuous training for their staff and prioritise the development and innovation of new devices to aid healthcare workers in catheter management or addre
{"title":"Practices Related to Bladder Catheterisation Among Swedish Health Professionals: A Questionnaire Survey","authors":"Max Mòdol-Vidal, Marta Serrano-Muñoz, Clara Armas-Moreno, Szilvia Endrényi, Pedro Raúl Castellano-Santana, Carmen Muñoz-Calahorro, Tiago Santos, Manuel Luque-González","doi":"10.1111/ijun.70000","DOIUrl":"https://doi.org/10.1111/ijun.70000","url":null,"abstract":"<div>\u0000 \u0000 <p>Bladder catheterisation is an invasive procedure that must adhere to precise guidelines established by authorities, hospitals or nursing associations to prevent or minimise associated complications. Research indicates that a significant portion of infections could be averted through dedicated periodic training, monitoring of adherence, optimising workloads and innovating in the development of products designed to mitigate risks or enhance ease of use. This study aims to explore the behaviour of nurses in Sweden concerning bladder catheterisation. An anonymous survey was distributed to groups of nurses in Swedish hospitals and healthcare centres. The survey was designed by an expert nurse team and was meticulously prepared and reviewed by a Swedish physician to ensure content validity, comprehension and clarity. A total of 910 nurses participated in the survey. When questioned about whether they are supervised for guidelines compliance when inserting a urinary catheter, 42.0% admitted to not doing so. In fact, only 9.3% of the respondents claimed that they always receive assistance from a colleague during the catheterisation procedure. Nearly 90% of the participants indicated that they could not consistently maintain sterility during catheter insertion, with the primary source of stress being time pressure during the procedure (21.3%). Among those surveyed, 70.4% acknowledged that, in their last 10 catheter insertions, they inadvertently spilt urine on materials at least once, while 27.7% reported spillage on the bedding and 16.5% on individuals. When asked about the potential advantages of a new catheter with an integrated valve, the most significant advantage cited was the reduced risk of urine leakage (63.0%), followed by the convenience of not having to connect a urine bag or plug (52.1%), and the improved ease of collecting urine samples (42.3%). Only 4.9% of respondents did not identify any potential advantages of this device. The correlation analysis showed an inverse relationship between both the level of stress and experience in bladder catheterisation (Spearman's correlation coefficient = −0.413, <i>p</i> value < 0.001) and the level of stress and the frequency of external help during the catheterisation process (Spearman's correlation coefficient = −0.265, <i>p</i> value < 0.001). The study's findings reveal a lack of supervision during catheterisation and the excessive workload or understaffing that often compels nurses to perform the procedure without the assistance of a colleague. These factors may underlie the insufficient adherence to guidelines and protocols, which can result in errors during insertion, thereby increasing the risk of non-aseptic insertion and occupational hazards. It appears essential to invest in organisational changes, provide continuous training for their staff and prioritise the development and innovation of new devices to aid healthcare workers in catheter management or addre","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142868274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study is to investigate the impact of rational emotive behaviour therapy in conjunction with continuity nursing on the negative emotions and quality of life of patients with radical prostatectomy (RPT). A total of 82 patients who underwent RPT for prostate cancer and were admitted to our department between November 2020 and October 2021 were randomly divided into two groups: the control group received conventional nursing interventions, while the observation group received rational emotion therapy combined with continuity of care interventions. The patients' negative emotions and quality of life in the two groups were compared. The Self-rating Anxiety Scale (SAS) and Self-assessment Scale of Depression (SDS) scores of the observation group after nursing care were significantly lower than those of the control group (p < 0.01). Furthermore, the scores of the observation group in the dimensions of vitality (VT), physiological functioning (PF), general health (GH), affective functioning (RE), mental health (MH), and social functioning (SF) were higher than those of the control group (p < 0.05). Finally, the differences in both scores were statistically significant (p < 0.05). The combination of rational emotion therapy and continuity nursing has been demonstrated to have a positive effect on prostate cancer patients. It has been shown to effectively relieve patients' negative emotions, such as depression and anxiety, and to improve the quality of survival. This approach is worthy of further promotion and application in clinical practice.
{"title":"The effects of continuous care utilizing rational emotive therapy on prostate cancer patients","authors":"Hualan Chen BS, Fang Fang BS, Yaping Chen BS, Yibo Cai MD","doi":"10.1111/ijun.12422","DOIUrl":"https://doi.org/10.1111/ijun.12422","url":null,"abstract":"<p>This study is to investigate the impact of rational emotive behaviour therapy in conjunction with continuity nursing on the negative emotions and quality of life of patients with radical prostatectomy (RPT). A total of 82 patients who underwent RPT for prostate cancer and were admitted to our department between November 2020 and October 2021 were randomly divided into two groups: the control group received conventional nursing interventions, while the observation group received rational emotion therapy combined with continuity of care interventions. The patients' negative emotions and quality of life in the two groups were compared. The Self-rating Anxiety Scale (SAS) and Self-assessment Scale of Depression (SDS) scores of the observation group after nursing care were significantly lower than those of the control group (<i>p</i> < 0.01). Furthermore, the scores of the observation group in the dimensions of vitality (VT), physiological functioning (PF), general health (GH), affective functioning (RE), mental health (MH), and social functioning (SF) were higher than those of the control group (<i>p</i> < 0.05). Finally, the differences in both scores were statistically significant (<i>p</i> < 0.05). The combination of rational emotion therapy and continuity nursing has been demonstrated to have a positive effect on prostate cancer patients. It has been shown to effectively relieve patients' negative emotions, such as depression and anxiety, and to improve the quality of survival. This approach is worthy of further promotion and application in clinical practice.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 3","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142707703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ezgi Seyhan Ak PhD, RN, Yeliz Culha PhD, RN, Esra Eren PhD, RN, Ayfer Ozbas PhD, RN
The aim of the study was to examine the knowledge and practices of nurses working in urology clinics on fluid–electrolyte monitoring and management. The study sample for this descriptive cross-sectional research comprised 79 nurses employed in clinics providing care to urology patients from June 2023 to June 2024. These nurses had internet access and consented to participate in the study on a voluntary basis. The data were obtained through the ‘Google Form’, which uses a descriptive characteristics form, a fluid–electrolyte monitoring and management knowledge form, and a practice form for fluid–electrolyte monitoring and management. The mean score of the nurses on the fluid–electrolyte monitoring and management knowledge form was 7.48 ± 1.74. The most common practice related to fluid–electrolyte monitoring and management was “I monitor and record additional fluid losses related to vomiting, diarrhoea, fever and drains”. When the mean scores of the fluid–electrolyte monitoring and management knowledge form were compared according to the individual characteristics of the nurses, no statistically significant difference was found between the mean scores of the knowledge form according to the characteristics of the nurses (p > 0.05). In this study, the mean knowledge scores of the nurses were above average. When the practices of the nurses for the prevention of fluid–electrolyte imbalances were examined, most of them stated that they monitored additional fluid losses related to vomiting, diarrhoea, fever and drains. The characteristics of the nurses (clinical experience, age, years of working in the profession and educational status) did not affect their knowledge scores.
{"title":"Knowledge and practices of nurses working in urology clinics on fluid–electrolyte monitoring and management","authors":"Ezgi Seyhan Ak PhD, RN, Yeliz Culha PhD, RN, Esra Eren PhD, RN, Ayfer Ozbas PhD, RN","doi":"10.1111/ijun.12425","DOIUrl":"https://doi.org/10.1111/ijun.12425","url":null,"abstract":"<p>The aim of the study was to examine the knowledge and practices of nurses working in urology clinics on fluid–electrolyte monitoring and management. The study sample for this descriptive cross-sectional research comprised 79 nurses employed in clinics providing care to urology patients from June 2023 to June 2024. These nurses had internet access and consented to participate in the study on a voluntary basis. The data were obtained through the ‘Google Form’, which uses a descriptive characteristics form, a fluid–electrolyte monitoring and management knowledge form, and a practice form for fluid–electrolyte monitoring and management. The mean score of the nurses on the fluid–electrolyte monitoring and management knowledge form was 7.48 ± 1.74. The most common practice related to fluid–electrolyte monitoring and management was “I monitor and record additional fluid losses related to vomiting, diarrhoea, fever and drains”. When the mean scores of the fluid–electrolyte monitoring and management knowledge form were compared according to the individual characteristics of the nurses, no statistically significant difference was found between the mean scores of the knowledge form according to the characteristics of the nurses (<i>p</i> > 0.05). In this study, the mean knowledge scores of the nurses were above average. When the practices of the nurses for the prevention of fluid–electrolyte imbalances were examined, most of them stated that they monitored additional fluid losses related to vomiting, diarrhoea, fever and drains. The characteristics of the nurses (clinical experience, age, years of working in the profession and educational status) did not affect their knowledge scores.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 3","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142665782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Many robotic platforms are currently available for urologic surgery, each with its technical characteristics. It can be hypothesised that these characteristics might affect postoperative nursing, as they affect several aspects of surgery. They could, therefore, impact the surgical outcomes and wound characteristics, involving aspects of postoperative care such as mobilization, nutrition and length of stay. Although data are available on surgical technique aspects and intraoperative nursing, studies have yet to offer insights and considerations about the potential effect of having different robotic platforms on postoperative nursing care. We aimed to verify whether the technical features of the available robots could impact postoperative nursing. We conducted an integrative review on PubMed, CINAHL and Scopus, using Medical Subject Headings (MeSH) and free-text terms; wildcards and boolean operators were also used. Studies of any design were included. Fifteen papers were retrieved; the key themes emerging from the literature regard trocar setup, technical characteristics of the robots (e.g. single or multiple ports), pneumoperitoneum and Trendelenburg degree. According to the literature, none of these characteristics produce differences in postoperative nursing. The fundamental concepts of postoperative care in surgical inpatients stay the same no matter the robotic platform used. Having competing platforms able to ensure reduced complications without impacting postoperative nursing allows health care facilities to adopt the newest technologies without the need for differentiated nursing protocols. This is an advantage in times of global nursing shortage as it avoids the need for additional platform-based nursing training.
{"title":"Postoperative nursing in robot-assisted urologic surgery: Are there any platform-based differences?","authors":"Stefano Terzoni PhD, MSN, RN, Paolo Ferrara PhD, MSN, RN, Serena Maruccia MD, Barbara Pinna MSN, Mauro Parozzi MSN, RN, Giorgia Gaia MD, Maura Lusignani MSN, RN, Bernardo Rocco MD, Chiara Sighinolfi PhD, MD","doi":"10.1111/ijun.12424","DOIUrl":"https://doi.org/10.1111/ijun.12424","url":null,"abstract":"<p>Many robotic platforms are currently available for urologic surgery, each with its technical characteristics. It can be hypothesised that these characteristics might affect postoperative nursing, as they affect several aspects of surgery. They could, therefore, impact the surgical outcomes and wound characteristics, involving aspects of postoperative care such as mobilization, nutrition and length of stay. Although data are available on surgical technique aspects and intraoperative nursing, studies have yet to offer insights and considerations about the potential effect of having different robotic platforms on postoperative nursing care. We aimed to verify whether the technical features of the available robots could impact postoperative nursing. We conducted an integrative review on PubMed, CINAHL and Scopus, using Medical Subject Headings (MeSH) and free-text terms; wildcards and boolean operators were also used. Studies of any design were included. Fifteen papers were retrieved; the key themes emerging from the literature regard trocar setup, technical characteristics of the robots (e.g. single or multiple ports), pneumoperitoneum and Trendelenburg degree. According to the literature, none of these characteristics produce differences in postoperative nursing. The fundamental concepts of postoperative care in surgical inpatients stay the same no matter the robotic platform used. Having competing platforms able to ensure reduced complications without impacting postoperative nursing allows health care facilities to adopt the newest technologies without the need for differentiated nursing protocols. This is an advantage in times of global nursing shortage as it avoids the need for additional platform-based nursing training.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 3","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.12424","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142555374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stefano Terzoni PhD, MSN, RN, Mauro Parozzi PhD, MSN, RN, Cristina Mora RN, Pietro Marconi RN, Eva Wallace RGN, RN, Giorgia Gaia MD, Serena Maruccia MD, Chiara Sighinolfi PhD, MD, Maura Lusignani MSN, RN, Barbara Pinna MSN, RN, Cristian Ricci PhD, MSN, Paolo Ferrara PhD, MSN, RN
We sought to create an Italian version of Mishel's Uncertainty in Illness Scale, dedicated to people undergoing conservative rehabilitation for urinary incontinence, for studying uncertainty as a determinant of therapeutic adherence. Urinary incontinence has a high prevalence worldwide, ranging from 25% to 45%. Incontinence is often treatable with conservative interventions but demands a long and intensive commitment from the patient. Results are not immediate, and relapses are possible. These patients can experience uncertainty and difficulty complying with rehabilitation programs, hence the importance of the therapeutic relationship with a healthcare professional. Mishel's theory of uncertainty can be used to measure uncertainty and the effects of such a relationship, but no instrument currently exists for this purpose. Prospective observational study enrolling all male and female adult patients admitted to a nurse-led outpatient pelvic clinic for non-neurogenic urinary incontinence, excluding puerpera. A scale named MUIS-PF (pelvic floor) was created, based on previous versions of Mishel's scale, and administered during the first consultation and at the end of the rehabilitation program. Internal consistency was assessed, and exploratory factor analysis was conducted. A total of 109 patients enrolled (54 M, 55 F) aged 64 ± 5 years, medial initial leakage 245 grams/day, IQR [90; 370]. Seventy-nine percent obtained continence; there were no dropouts during the study. Internal consistency of the MUIS-PF was high (93%), and structure analysis yielded a clear separation of the factors. Patient uncertainty decreased significantly at the end of the program compared to the first consultation (p < 0.001). The MUIS-PF is valid and reliable. Utilizing the correct approach, the nurse could significantly reduce the uncertainty of persons with incontinence by listening, giving clear information and searching for the best solution for their continence issues.
{"title":"Adherence and uncertainty during rehabilitation for urinary incontinence: Validation of a scale","authors":"Stefano Terzoni PhD, MSN, RN, Mauro Parozzi PhD, MSN, RN, Cristina Mora RN, Pietro Marconi RN, Eva Wallace RGN, RN, Giorgia Gaia MD, Serena Maruccia MD, Chiara Sighinolfi PhD, MD, Maura Lusignani MSN, RN, Barbara Pinna MSN, RN, Cristian Ricci PhD, MSN, Paolo Ferrara PhD, MSN, RN","doi":"10.1111/ijun.12426","DOIUrl":"https://doi.org/10.1111/ijun.12426","url":null,"abstract":"<p>We sought to create an Italian version of Mishel's Uncertainty in Illness Scale, dedicated to people undergoing conservative rehabilitation for urinary incontinence, for studying uncertainty as a determinant of therapeutic adherence. Urinary incontinence has a high prevalence worldwide, ranging from 25% to 45%. Incontinence is often treatable with conservative interventions but demands a long and intensive commitment from the patient. Results are not immediate, and relapses are possible. These patients can experience uncertainty and difficulty complying with rehabilitation programs, hence the importance of the therapeutic relationship with a healthcare professional. Mishel's theory of uncertainty can be used to measure uncertainty and the effects of such a relationship, but no instrument currently exists for this purpose. Prospective observational study enrolling all male and female adult patients admitted to a nurse-led outpatient pelvic clinic for non-neurogenic urinary incontinence, excluding puerpera. A scale named MUIS-PF (pelvic floor) was created, based on previous versions of Mishel's scale, and administered during the first consultation and at the end of the rehabilitation program. Internal consistency was assessed, and exploratory factor analysis was conducted. A total of 109 patients enrolled (54 M, 55 F) aged 64 ± 5 years, medial initial leakage 245 grams/day, IQR [90; 370]. Seventy-nine percent obtained continence; there were no dropouts during the study. Internal consistency of the MUIS-PF was high (93%), and structure analysis yielded a clear separation of the factors. Patient uncertainty decreased significantly at the end of the program compared to the first consultation (<i>p</i> < 0.001). The MUIS-PF is valid and reliable. Utilizing the correct approach, the nurse could significantly reduce the uncertainty of persons with incontinence by listening, giving clear information and searching for the best solution for their continence issues.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 3","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142525232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nilgun Aras RN, MSN, PhD Student, Nurcan Çalışkan RN, MSN
The rapid development of technology has caused patients to start using artificial intelligence based applications more frequently to learn about their diseases. The aim of this study was to evaluate the reliability and usefulness of responses to questions related to intermittent catheterization using the large language model defined as ChatGPT. Ten questions were created based on the most searched keywords on Google Trends, the most searched questions on ChatGPT and the clinical experiences of the authors. The created questions were asked to ChatGPT and the answers were evaluated by five raters with seven-point Likert-type reliability and usefulness scales. The highest score in terms of reliability and usefulness was the response to “Is there a difference between the catheters used for intermittent catheterization in men and women?”(mean 6.4 ± 0.8; 6.0 ± 1.0). The lowest average reliability and usability score was for the response to “What is intermittent catheterization and how is it performed?”(mean 2.8 ± 0.8; 2.8 ± 0.8). ChatGPT is relatively very reliable and moderately useful in providing patients with information about intermittent catheterization, but it may give incorrect and misleading answers. It should be remembered that simple errors in intermittent catheterization can lead to major problems.
{"title":"Assessing the reliability and usefulness of ChatGPT responses on intermittent catheterization queries: A critical analysis","authors":"Nilgun Aras RN, MSN, PhD Student, Nurcan Çalışkan RN, MSN","doi":"10.1111/ijun.12428","DOIUrl":"https://doi.org/10.1111/ijun.12428","url":null,"abstract":"<p>The rapid development of technology has caused patients to start using artificial intelligence based applications more frequently to learn about their diseases. The aim of this study was to evaluate the reliability and usefulness of responses to questions related to intermittent catheterization using the large language model defined as ChatGPT. Ten questions were created based on the most searched keywords on Google Trends, the most searched questions on ChatGPT and the clinical experiences of the authors. The created questions were asked to ChatGPT and the answers were evaluated by five raters with seven-point Likert-type reliability and usefulness scales. The highest score in terms of reliability and usefulness was the response to “Is there a difference between the catheters used for intermittent catheterization in men and women?”(mean 6.4 ± 0.8; 6.0 ± 1.0). The lowest average reliability and usability score was for the response to “What is intermittent catheterization and how is it performed?”(mean 2.8 ± 0.8; 2.8 ± 0.8). ChatGPT is relatively very reliable and moderately useful in providing patients with information about intermittent catheterization, but it may give incorrect and misleading answers. It should be remembered that simple errors in intermittent catheterization can lead to major problems.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 3","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142525063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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