首页 > 最新文献

International Journal of Urological Nursing最新文献

英文 中文
Does SMS Message Sent by Nurse After Radical Prostatectomy Affect Quality of Life?
IF 0.4 Q4 NURSING Pub Date : 2025-04-01 DOI: 10.1111/ijun.70009
Elif Nur Karasu, Isil Isik Andsoy

Is there any effect of discharge education content delivered via SMS by nurses on the quality-of-life scores of patients who have undergone radical prostatectomy (RP)? Although RP offers the greatest potential for a definitive cure in localised prostate cancer and improves overall survival, it is associated with various psychosocial and psychological challenges after the discharge period. These issues can lead to decreased patients' quality of life. Surgical treatment-specific side effects can lead to some problems. So, patients are often unprepared for posttreatment self-management at home. A structured follow-up programme following surgery is necessary to increase quality of life and decrease some undesirable complications. Discharge training via SMS messages sent by clinical nurses may increase quality of life in patients after RP. This study was conducted with the aim of evaluating the effect of SMS messages containing discharge information sent by nurses on the quality of life of patients who underwent RP. This quasi-experimental study was conducted from May to December 2022, with 57 patients (29 in the intervention and 28 in the control group) who underwent RP in Istanbul, Turkiye. The intervention group received routine follow-up and discharge information via SMS message twice a week between 09:00 and 17:00 on Mondays and Thursdays for four weeks. The control group received routine information. A ‘Descriptive Characteristics Form’ and the ‘SF-36 Quality of Life Scale’ were used as data collection tools. The data was evaluated by descriptive statistics and paired-sample t-tests. The study findings indicated that the average scores across all SF-36 Quality of Life Scale subdimensions (physical functioning, physical role functioning, emotional role functioning, vitality, mental health, social role functioning and general health perceptions) were significantly higher in the intervention group after one month (p ⟨ 0.01). Postoperative SMS messages sent by clinical nurses increased patients' quality of life. These findings underscore the importance of discharge information reminders via SMS text messages by clinical nurses following RP for enhancing patients' quality of life.

{"title":"Does SMS Message Sent by Nurse After Radical Prostatectomy Affect Quality of Life?","authors":"Elif Nur Karasu,&nbsp;Isil Isik Andsoy","doi":"10.1111/ijun.70009","DOIUrl":"https://doi.org/10.1111/ijun.70009","url":null,"abstract":"<p>Is there any effect of discharge education content delivered via SMS by nurses on the quality-of-life scores of patients who have undergone radical prostatectomy (RP)? Although RP offers the greatest potential for a definitive cure in localised prostate cancer and improves overall survival, it is associated with various psychosocial and psychological challenges after the discharge period. These issues can lead to decreased patients' quality of life. Surgical treatment-specific side effects can lead to some problems. So, patients are often unprepared for posttreatment self-management at home. A structured follow-up programme following surgery is necessary to increase quality of life and decrease some undesirable complications. Discharge training via SMS messages sent by clinical nurses may increase quality of life in patients after RP. This study was conducted with the aim of evaluating the effect of SMS messages containing discharge information sent by nurses on the quality of life of patients who underwent RP. This quasi-experimental study was conducted from May to December 2022, with 57 patients (29 in the intervention and 28 in the control group) who underwent RP in Istanbul, Turkiye. The intervention group received routine follow-up and discharge information via SMS message twice a week between 09:00 and 17:00 on Mondays and Thursdays for four weeks. The control group received routine information. A ‘Descriptive Characteristics Form’ and the ‘SF-36 Quality of Life Scale’ were used as data collection tools. The data was evaluated by descriptive statistics and paired-sample t-tests. The study findings indicated that the average scores across all SF-36 Quality of Life Scale subdimensions (physical functioning, physical role functioning, emotional role functioning, vitality, mental health, social role functioning and general health perceptions) were significantly higher in the intervention group after one month (p ⟨ 0.01). Postoperative SMS messages sent by clinical nurses increased patients' quality of life. These findings underscore the importance of discharge information reminders via SMS text messages by clinical nurses following RP for enhancing patients' quality of life.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.70009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143749671","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}
引用次数: 0
Nursing Students' Perspectives on Clean Intermittent Catheterisation With Hybrid Simulation: A Qualitative Study
IF 0.4 Q4 NURSING Pub Date : 2025-04-01 DOI: 10.1111/ijun.70008
Gul Sahin Karaduman, Tulay Basak, Senem Duman

What are the nursing students' perspectives on clean intermittent catheterisation applied with hybrid simulation carried out with standard patients? Nursing students must develop clean intermittent catheterisation application skills before graduation. They have limited opportunities to practise these skills in a clinical setting. The literature shows that the studies examining the hybrid simulation training reported that participants' critical thinking, clinical decision-making, communication skills, and self-confidence improved, that they felt like real nurses during the simulation training, and that their self-confidence in terms of being able to deal with related scenarios while working in the clinical setting after graduation improved. The qualitative research design was used in the study. The students (n = 20) participated in face-to-face focus groups in December 2022. Five themes (i.e., emotions, outcomes gained by students, challenges with standard patient, fidelity perceptions and transfer to clinical practice) were determined in line with the study objectives. In the hybrid simulations carried out with the standard patients, nursing students generally reported that they had positive experiences. Accordingly, nursing students are recommended to use hybrid simulations for standard patients in applications such as clean intermittent catheterisation where patient privacy is at the forefront.

{"title":"Nursing Students' Perspectives on Clean Intermittent Catheterisation With Hybrid Simulation: A Qualitative Study","authors":"Gul Sahin Karaduman,&nbsp;Tulay Basak,&nbsp;Senem Duman","doi":"10.1111/ijun.70008","DOIUrl":"https://doi.org/10.1111/ijun.70008","url":null,"abstract":"<div>\u0000 \u0000 <p>What are the nursing students' perspectives on clean intermittent catheterisation applied with hybrid simulation carried out with standard patients? Nursing students must develop clean intermittent catheterisation application skills before graduation. They have limited opportunities to practise these skills in a clinical setting. The literature shows that the studies examining the hybrid simulation training reported that participants' critical thinking, clinical decision-making, communication skills, and self-confidence improved, that they felt like real nurses during the simulation training, and that their self-confidence in terms of being able to deal with related scenarios while working in the clinical setting after graduation improved. The qualitative research design was used in the study. The students (<i>n</i> = 20) participated in face-to-face focus groups in December 2022. Five themes (i.e., emotions, outcomes gained by students, challenges with standard patient, fidelity perceptions and transfer to clinical practice) were determined in line with the study objectives. In the hybrid simulations carried out with the standard patients, nursing students generally reported that they had positive experiences. Accordingly, nursing students are recommended to use hybrid simulations for standard patients in applications such as clean intermittent catheterisation where patient privacy is at the forefront.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143749669","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}
引用次数: 0
Exploring Social Support in Ostomy Patients: A Scoping Review
IF 0.4 Q4 NURSING Pub Date : 2025-03-27 DOI: 10.1111/ijun.70005
Ilaria Marcomini, Giulia Villa, Andrea Poliani, Alessia Campoli, Camilla Elena Magi, Ercole Vellone, Paolo Iovino, Debora Rosa, Duilio Fiorenzo Manara

Strong social support plays a crucial role in shaping the overall quality of life for ostomy patients. However, no comprehensive review has yet explored the role of social support for both ostomy patients and their informal caregivers. This study aims to map the existing literature on social support for ostomy patients and their caregivers. We conducted a scoping review following the guidelines provided in the Joanna Briggs Institute Manual for Evidence Synthesis. A three-step search strategy was implemented across several databases, including MEDLINE via PubMed, CINAHL and Scopus. The review included 23 articles. However, none of the included studies specifically addressed the role of social support for informal caregivers. The social networks of ostomy patients typically include family members, friends, support groups and other significant individuals. There is still little literature examining the effect of social support in adolescents with ostomies. Our findings revealed considerable heterogeneity in the tools used to measure social support. Most of the research focussed on the relationship between social support and quality of life, with few studies investigating its impact on patients' self-care, mental health or clinical outcomes. This review serves as a foundation for future studies on the subject. Further research is needed to explore social support from the perspectives of both ostomy patients and their informal caregivers.

{"title":"Exploring Social Support in Ostomy Patients: A Scoping Review","authors":"Ilaria Marcomini,&nbsp;Giulia Villa,&nbsp;Andrea Poliani,&nbsp;Alessia Campoli,&nbsp;Camilla Elena Magi,&nbsp;Ercole Vellone,&nbsp;Paolo Iovino,&nbsp;Debora Rosa,&nbsp;Duilio Fiorenzo Manara","doi":"10.1111/ijun.70005","DOIUrl":"https://doi.org/10.1111/ijun.70005","url":null,"abstract":"<div>\u0000 \u0000 <p>Strong social support plays a crucial role in shaping the overall quality of life for ostomy patients. However, no comprehensive review has yet explored the role of social support for both ostomy patients and their informal caregivers. This study aims to map the existing literature on social support for ostomy patients and their caregivers. We conducted a scoping review following the guidelines provided in the Joanna Briggs Institute Manual for Evidence Synthesis. A three-step search strategy was implemented across several databases, including MEDLINE via PubMed, CINAHL and Scopus. The review included 23 articles. However, none of the included studies specifically addressed the role of social support for informal caregivers. The social networks of ostomy patients typically include family members, friends, support groups and other significant individuals. There is still little literature examining the effect of social support in adolescents with ostomies. Our findings revealed considerable heterogeneity in the tools used to measure social support. Most of the research focussed on the relationship between social support and quality of life, with few studies investigating its impact on patients' self-care, mental health or clinical outcomes. This review serves as a foundation for future studies on the subject. Further research is needed to explore social support from the perspectives of both ostomy patients and their informal caregivers.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717331","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}
引用次数: 0
Psychological and Functional Outcomes of Lower Urinary Tract Symptoms in Chronic Stroke
IF 0.4 Q4 NURSING Pub Date : 2025-03-20 DOI: 10.1111/ijun.70006
Humeyra Kiloatar, Aylin Aydogdu Delibay, Aysun Ozlu

Do lower urinary tract symptoms affect disease-specific quality of life, anxiety, depression and functional status in chronic stroke patients? Nervous system lesions associated with stroke can cause lower urinary tract symptoms (LUTS) in individuals. Post-stroke dysfunctions significantly affect quality of life by causing depression and anxiety. The primary purpose of this study is to investigate the effects of LUTS on disease-specific quality of life, functional status, anxiety and depression in individuals with chronic stroke. The secondary aim was to evaluate the coherence between Overactive Bladder Questionnaire-V8 (OAB-V8) and Core Lower Urinary Tract Symptom Score (CLSS) scores. This study was a planned single-centre prospective cohort study conducted on patients with chronic stroke undergoing inpatient treatment at a rehabilitation centre. Eighty people with chronic stroke were included. LUTS were evaluated with the CLSS and OAB-V8; functional status was evaluated with the functional independence measure (FIM); anxiety and depression levels were evaluated with the Hospital Anxiety and Depression Scale (HADS) and quality of life was evaluated with the Stroke-Specific Quality of Life Scale (SS-QoL). The SS-QoL, HADS depression and anxiety subscores were significantly affected by CLSS and OAB-V8 (p < 0.05). A statistically significant effect was observed for CLSS on FIM (p < 0.05); on the other hand, there was no statistically significant effect of OAB-V8 on FIM (p > 0.05). CLSS and OAB-V8 had a statistically significant, strong positive relationship (p < 0.05). A statistically significant coherence of 81.8% was found between CLSS and OAB-V8. In conclusion, our results showed that LUTS have effects on disease-specific quality of life, functional status, anxiety and depression in chronic stroke patients. Secondly, these questionnaires can be used in the diagnosis, treatment and follow-up of LUTS in chronic stroke patients.

{"title":"Psychological and Functional Outcomes of Lower Urinary Tract Symptoms in Chronic Stroke","authors":"Humeyra Kiloatar,&nbsp;Aylin Aydogdu Delibay,&nbsp;Aysun Ozlu","doi":"10.1111/ijun.70006","DOIUrl":"https://doi.org/10.1111/ijun.70006","url":null,"abstract":"<div>\u0000 \u0000 <p>Do lower urinary tract symptoms affect disease-specific quality of life, anxiety, depression and functional status in chronic stroke patients? Nervous system lesions associated with stroke can cause lower urinary tract symptoms (LUTS) in individuals. Post-stroke dysfunctions significantly affect quality of life by causing depression and anxiety. The primary purpose of this study is to investigate the effects of LUTS on disease-specific quality of life, functional status, anxiety and depression in individuals with chronic stroke. The secondary aim was to evaluate the coherence between Overactive Bladder Questionnaire-V8 (OAB-V8) and Core Lower Urinary Tract Symptom Score (CLSS) scores. This study was a planned single-centre prospective cohort study conducted on patients with chronic stroke undergoing inpatient treatment at a rehabilitation centre. Eighty people with chronic stroke were included. LUTS were evaluated with the CLSS and OAB-V8; functional status was evaluated with the functional independence measure (FIM); anxiety and depression levels were evaluated with the Hospital Anxiety and Depression Scale (HADS) and quality of life was evaluated with the Stroke-Specific Quality of Life Scale (SS-QoL). The SS-QoL, HADS depression and anxiety subscores were significantly affected by CLSS and OAB-V8 (<i>p</i> &lt; 0.05). A statistically significant effect was observed for CLSS on FIM (<i>p</i> &lt; 0.05); on the other hand, there was no statistically significant effect of OAB-V8 on FIM (<i>p</i> &gt; 0.05). CLSS and OAB-V8 had a statistically significant, strong positive relationship (<i>p</i> &lt; 0.05). A statistically significant coherence of 81.8% was found between CLSS and OAB-V8. In conclusion, our results showed that LUTS have effects on disease-specific quality of life, functional status, anxiety and depression in chronic stroke patients. Secondly, these questionnaires can be used in the diagnosis, treatment and follow-up of LUTS in chronic stroke patients.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143689225","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}
引用次数: 0
Experiences of Urinary Incontinence in Women Who Are Post-Menopausal: A Systematic Review
IF 0.4 Q4 NURSING Pub Date : 2025-03-20 DOI: 10.1111/ijun.70007
Amanda L. Mckie, Sharon Stanton

To synthesise the qualitative knowledge of urinary incontinence in post-menopausal women to better understand the experiences and impact of urinary incontinence on quality of life. Urinary incontinence can be an unpleasant and stressful experience as many women assume it is a part of the natural ageing process. The experiences of urinary incontinence can impact many women in different ways as some are reluctant to discuss or report the incidences with health professionals. There were 85 studies identified in the review, and 61 were screened for eligibility. Only four were included in the review. Common themes were identified in the studies that included psychological, physical, informational/education, social, practical needs, intimacy and sexual aspects. The psychological and physical aspects were noted in all the included studies. Many of the studies identified the difficulties post-menopausal women endure in managing episodes of urinary incontinence, as many expressed shame and embarrassment when urinary incontinence occurred. The physical aspects included concerns about maintaining good hygiene and managing irritation on their skin from constant washing. The physical aspect also included exhaustion and tiredness from managing urinary incontinence episodes. Many women in the studies expressed a desire to have ongoing education about managing urinary incontinence and the need to discuss the topic more openly. The social impact of urinary incontinence was also captured in the review, as many women expressed the desire to be social with family and friends but felt reluctant due to the fear of urinary incontinence occurring in front of other people. The practical burden of managing urinary incontinence was illustrated in this review, as some women faced many challenges in managing soiled clothing, constant washing of clothing and the skin and the need to visit the bathroom regularly. The intimacy and sexual components of their lives have been disrupted by episodes of urinary incontinence and replaced with excuses for intimate activities. Post-menopausal women living with urinary incontinence experience a range of different burdens across many different areas in trying to manage their condition. Healthcare professionals need to acknowledge that post-menopausal women are reluctant to seek treatment due to shame and feelings that urinary incontinence is a normal part of aging. To ensure quality of life for post-menopausal women living with urinary incontinence, healthcare professionals need to tailor treatment strategies to provide better care.

{"title":"Experiences of Urinary Incontinence in Women Who Are Post-Menopausal: A Systematic Review","authors":"Amanda L. Mckie,&nbsp;Sharon Stanton","doi":"10.1111/ijun.70007","DOIUrl":"https://doi.org/10.1111/ijun.70007","url":null,"abstract":"<p>To synthesise the qualitative knowledge of urinary incontinence in post-menopausal women to better understand the experiences and impact of urinary incontinence on quality of life. Urinary incontinence can be an unpleasant and stressful experience as many women assume it is a part of the natural ageing process. The experiences of urinary incontinence can impact many women in different ways as some are reluctant to discuss or report the incidences with health professionals. There were 85 studies identified in the review, and 61 were screened for eligibility. Only four were included in the review. Common themes were identified in the studies that included psychological, physical, informational/education, social, practical needs, intimacy and sexual aspects. The psychological and physical aspects were noted in all the included studies. Many of the studies identified the difficulties post-menopausal women endure in managing episodes of urinary incontinence, as many expressed shame and embarrassment when urinary incontinence occurred. The physical aspects included concerns about maintaining good hygiene and managing irritation on their skin from constant washing. The physical aspect also included exhaustion and tiredness from managing urinary incontinence episodes. Many women in the studies expressed a desire to have ongoing education about managing urinary incontinence and the need to discuss the topic more openly. The social impact of urinary incontinence was also captured in the review, as many women expressed the desire to be social with family and friends but felt reluctant due to the fear of urinary incontinence occurring in front of other people. The practical burden of managing urinary incontinence was illustrated in this review, as some women faced many challenges in managing soiled clothing, constant washing of clothing and the skin and the need to visit the bathroom regularly. The intimacy and sexual components of their lives have been disrupted by episodes of urinary incontinence and replaced with excuses for intimate activities. Post-menopausal women living with urinary incontinence experience a range of different burdens across many different areas in trying to manage their condition. Healthcare professionals need to acknowledge that post-menopausal women are reluctant to seek treatment due to shame and feelings that urinary incontinence is a normal part of aging. To ensure quality of life for post-menopausal women living with urinary incontinence, healthcare professionals need to tailor treatment strategies to provide better care.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.70007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143689226","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}
引用次数: 0
Lower Urinary Tract Symptoms and Quality of Life in Obese Women: A Qualitative Study 肥胖女性的下尿路症状和生活质量:定性研究
IF 0.4 Q4 NURSING Pub Date : 2025-02-12 DOI: 10.1111/ijun.70003
Arzu Malak, Ergul Aslan

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,&nbsp;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}
引用次数: 0
Impact of Proctor Specialist on Scrub Nurse Experience in Sacral Neuromodulation Implant
IF 0.4 Q4 NURSING Pub Date : 2025-01-30 DOI: 10.1111/ijun.70004
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,&nbsp;Veronica Gilioli,&nbsp;Michele Boldini,&nbsp;M. Bogoni,&nbsp;A. Bianchi,&nbsp;A. Gozzo,&nbsp;R. G. Bertolo,&nbsp;A. Antonelli,&nbsp;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}
引用次数: 0
Nursing Students' Knowledge, Attitudes and Beliefs About Testicular Cancer and Testicular Self-Examination 护生对睾丸癌及睾丸自检的知识、态度、信念
IF 0.4 Q4 NURSING Pub Date : 2024-12-16 DOI: 10.1111/ijun.70002
Figen Erol Ursavaş, Çiğdem Kaya, Özge Işeri
<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,&nbsp;Çiğdem Kaya,&nbsp;Özge Işeri","doi":"10.1111/ijun.70002","DOIUrl":"https://doi.org/10.1111/ijun.70002","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 &lt;p&gt;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 &lt;i&gt;t&lt;/i&gt;-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 (&lt;i&gt;β&lt;/i&gt; = 0.039, &lt;i&gt;p&lt;/i&gt; = 0.018), while perceived barriers had a significant negative effect (&lt;i&gt;β&lt;/i&gt; = −0.064, &lt;i&gt;p&lt;/i&gt; = 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}
引用次数: 0
Effectiveness of Nurse-Led-Intervention on Quality-of-Life Among Patients With Long-Term Indwelling Urinary Catheter 护士主导干预对长期留置导尿患者生活质量的影响
IF 0.4 Q4 NURSING Pub Date : 2024-12-11 DOI: 10.1111/ijun.70001
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
长期留置导尿管会导致患者出现各种健康问题,从而影响生活质量。护士在提供资源、教育和支持服务(如导管护理培训、家庭支持小组和心理咨询)方面至关重要。它们可以使长期留置导尿管的患者有效地管理他们的病情,提高他们的生活质量。本研究的目的是为长期留置导尿管患者开发和实施基于手册的护士主导干预,并评估导尿管护理包(UCCP)对护理人员导尿管护理实践和患者生活质量的有效性。在印度北部的一家三级保健中心进行了一项随机对照试验。在获得每位参与者的知情同意后,采用全枚举抽样技术进行抽样,确保纳入所有符合条件的参与者,然后进行计算机生成的逐日随机化。每组选择50名参与者(患者和护理者)。干预组的参与者被给予基于手册的护士主导的干预,而对照组的参与者被给予标准护理。采用经过验证的半结构化访谈计划收集数据,包括(a)患者及其护理人员的社会人口统计资料,(b)患者的临床资料,(c) ICIQ-LTCQOL(生活质量问卷)评估患者的生活质量,(d)观察清单评估护理人员的导管护理实践。统计分析采用SPSS 22.0版,采用描述性和推断性方法。对照组和干预组患者平均年龄分别为54.88±20.14岁和53.56±18.93岁。男性患者居多,对照组为86.0%,干预组为80.0% (p = 0.424)。对照组和干预组长期留置导尿管的主诉均以尿潴留为主,分别为76.0%和60.0% (p = 0.086)。随访时,对照组的导管功能和关注评分平均值为19.44±3.45分,干预组为10.17±2.08分(p < 0.001)。随访时,对照组生活方式影响评分为11.19±2.36,干预组为8.30±3.79 (p = < 0.001)。随访时,对照组疼痛、不适和酸痛平均评分为1.47±0.65,干预组为0.67±0.59,差异有统计学意义(p = 0.001)。随访时,干预组的导管功能和关注平均评分、生活方式影响平均评分、疼痛、不适和酸痛平均评分均较对照组显著降低(p = < 0.001)。随访时,对照组的平均总生活质量为33.53±5.04,干预组的平均总生活质量为19.73±3.98。随访时,干预组患者的总体生活质量较对照组有显著改善(p = < 0.001)。随访时,对照组护理人员尿管护理实践平均得分为5.06±3.02,干预组护理人员尿管护理实践平均得分为14.28±1.09。随访时,干预组的平均练习得分较对照组有显著提高(p < 0.001)。研究表明,以手册为基础的护士主导的干预显著改善了护理人员的导尿管护理实践和长期留置导尿管患者的生活质量。
{"title":"Effectiveness of Nurse-Led-Intervention on Quality-of-Life Among Patients With Long-Term Indwelling Urinary Catheter","authors":"Simran,&nbsp; Seema,&nbsp; Sushma,&nbsp;Vishnu Kumari,&nbsp;Meenakshi Agnihotri,&nbsp;Ravneet Kaur,&nbsp;Shanky Singh,&nbsp;Achala Agarwal,&nbsp;S. M. Ravi Mohan,&nbsp;Ashok Kumar","doi":"10.1111/ijun.70001","DOIUrl":"https://doi.org/10.1111/ijun.70001","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 &lt;p&gt;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 (&lt;i&gt;p&lt;/i&gt; = 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 (&lt;i&gt;p&lt;/i&gt; = 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 (&lt;i&gt;p&lt;/i&gt; &lt; 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 (&lt;i&gt;p&lt;/i&gt; = &lt; 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 (&lt;i&gt;p&lt;/i&gt; = 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 (&lt;i&gt;p&lt;/i&gt; = &lt; 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}
引用次数: 0
Practices Related to Bladder Catheterisation Among Swedish Health Professionals: A Questionnaire Survey 瑞典卫生专业人员膀胱导尿相关实践:一项问卷调查
IF 0.4 Q4 NURSING Pub Date : 2024-12-10 DOI: 10.1111/ijun.70000
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
膀胱导尿是一种侵入性手术,必须遵守当局、医院或护理协会制定的精确指南,以预防或尽量减少相关并发症。研究表明,通过专门的定期培训、监测依从性、优化工作量以及在旨在降低风险或提高易用性的产品开发方面进行创新,可以避免很大一部分感染。本研究旨在探讨瑞典护士在膀胱导尿方面的行为。向瑞典医院和保健中心的护士小组分发了一份匿名调查。该调查由专业护士团队设计,并由瑞典医生精心准备和审查,以确保内容的有效性,理解性和清晰度。共有910名护士参与了调查。当被问及他们在插入导尿管时是否受到指导时,42.0%的人承认没有这样做。事实上,只有9.3%的受访者声称他们在导尿过程中总是得到同事的帮助。近90%的参与者表示,他们在导管插入期间不能始终保持无菌,主要压力来源是手术期间的时间压力(21.3%)。在接受调查的人中,70.4%的人承认,在他们最后10次插入导尿管时,他们无意中至少有一次将尿液洒在材料上,而27.7%的人报告了床上用品上的尿液溢出,16.5%的人报告了个人的尿液溢出。当被问及带有集成阀的新型导尿管的潜在优势时,最显著的优势是降低了尿漏的风险(63.0%),其次是不必连接尿袋或尿塞的便利性(52.1%),以及收集尿液样本的便利性(42.3%)。只有4.9%的受访者没有发现该设备的任何潜在优势。相关分析显示,压力水平与膀胱导尿经验呈负相关(Spearman相关系数= - 0.413,p值<; 0.001),压力水平与导尿过程中外部帮助频率呈负相关(Spearman相关系数= - 0.265,p值<; 0.001)。研究结果表明,导尿过程中缺乏监督,工作量过大或人手不足往往迫使护士在没有同事协助的情况下进行手术。这些因素可能导致对指南和方案的不充分遵守,这可能导致插入过程中的错误,从而增加非无菌插入和职业危害的风险。因此,必须投资于组织变革,为员工提供持续培训,优先开发和创新新设备,以帮助医护人员进行导管管理或从多因素角度解决CAUTI问题。
{"title":"Practices Related to Bladder Catheterisation Among Swedish Health Professionals: A Questionnaire Survey","authors":"Max Mòdol-Vidal,&nbsp;Marta Serrano-Muñoz,&nbsp;Clara Armas-Moreno,&nbsp;Szilvia Endrényi,&nbsp;Pedro Raúl Castellano-Santana,&nbsp;Carmen Muñoz-Calahorro,&nbsp;Tiago Santos,&nbsp;Manuel Luque-González","doi":"10.1111/ijun.70000","DOIUrl":"https://doi.org/10.1111/ijun.70000","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 &lt;p&gt;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, &lt;i&gt;p&lt;/i&gt; value &lt; 0.001) and the level of stress and the frequency of external help during the catheterisation process (Spearman's correlation coefficient = −0.265, &lt;i&gt;p&lt;/i&gt; value &lt; 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}
引用次数: 0
期刊
International Journal of Urological Nursing
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1