Going Home with short term Urinary catheter, What next?. 1.0.
Research type
Research Study
Full title
Going Home with Short Term Urinary catheter: Exploring the care of the catheter, the experiences and perspectives of patients family carers, and health care workers.
IRAS ID
229935
Contact name
E Gyesi-Appiah
Contact email
Sponsor organisation
De Montfort University
Duration of Study in the UK
0 years, 6 months, 3 days
Research summary
RESEARCH SUMMARY:
Approximately 25% of all patients over the age of 65 years, and admitted into hospital have urinary catheters inserted at some point of their hospital stay, either for short or long term purposes (Gokula et al 2004, Holroyd-Leduc et al 2005, Hazelett et al 2006, Bootsma et al. 2013). Daily increased risk of developing bacteria in the urine is 3-6% for a patient with catheter, and this increases with the length of time the catheter remains in situ (Loveday et al. 2014)The short term urinary catheters need to be removed as soon as possible, due to the associated high risk of infection (Pratt et al. 2007, Loveday et al. 2014: Royal College of Nursing 2012). Some patients are sometimes discharged home from acute hospital with the short term urinary catheters due to cost and bed pressure(Potter 2006).
A case study method will be used to explore the experience of patients, who are discharged from acute hospital with short term urinary catheters, as well as the perspective of their family carers and district Nurses.
A total of 15 patients with short term urinary catheters will be recruited in the acute hospital before they are discharged into the community. A face-to-face semi structured interview will be arranged with the patients 4 weeks after their discharge from the acute hospital. The family carers of the patients, if they consent to participate in the study, will also be interviewed after the final interview with the patients. District nurses and Nurses in care homes
involved in the community care of the patient, will be interviewed individually after the catheters have been removed, or seven weeks after discharge of the patients from the acute hospital, whichever comes first. All the interviews with patients, family carers and health care workers will be face-to-face, semi-structured and will be audio recorded.LAY SUMMARY OF STUDY RESULTS:
The study recruited and interviewed 23 participants. This included 8 patients, 12 district nurses and 3 family carers. The research study is towards a PHD. The themes indicate lack of teamworking and collaboration between the healthcare workers in hospital and those in the community, leaving the vulnerable patients with the short-term urinary catheter in a state of confusion. Some patients were discharged from the acute setting with supplies for the urinary catheters. Others had to wait for authorisation from the general practitioners for the supply of equipment to care for the Short-term urinary catheter.REC name
West Midlands - Coventry & Warwickshire Research Ethics Committee
REC reference
18/WM/0258
Date of REC Opinion
1 Nov 2018
REC opinion
Further Information Favourable Opinion