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KMID : 0388320080150040438
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Journal of Korean Academy of Fundamental Nursing
2008 Volume.15 No. 4 p.438 ~ p.448
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Nursing Activities and Outcomes Related to Indwelling Urinary Catheterization from a Review of Medical Records and Interviews
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Jang Keum-Seong
Ryu Se-Ang
Yang Jin-Ju
Kim Nam-Young
Choi Ja-Yun
Chung Kyung-Hee
Park Soon-Joo
Sim Jae-Yeun
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Abstract
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Purpose: The purpose of this study was to identify nursing activities and to analyze patient outcomes related to indwelling urinary catheterization.
Method: A review was done of 628 medical records from five units for patients admitted between January 1 and June 30, 2006. Twelve nurses who worked in the same units were interviewed.
Results: In the interviews, nurses reported considering several non-invasive interventions prior to catheterization but there were no medical records of this activity. Results from the in-depth interviews showed that infection control activities such as urinary bag management were conducted but again there were no medical records. Seventy-five percent of the catheters were removed without prescription. In the medical records there were no notes for approximately 15%, on the time of first voiding and 80%, on volume of first voiding after removal of catheter. There was a significant difference in hospitalization days between the group catheterized for 5 days or less and the group catheterized for 6 days or more.
Conclusion: Results indicate a need to close the gap between recorded and described activities and between current and best evidence based practice. Further study is needed to develop a standard recording system and guidelines related indwelling catheterization to decrease the gaps identified in this research.
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KEYWORD
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Urinary catheterization, Professional practice, Outcome assessment
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