J Korean Acad Fundam Nurs.  2008 Nov;15(4):438-448.

Nursing Activities and Outcomes Related to Indwelling Urinary Catheterization from a Review of Medical Records and Interviews

• Jang KS
• Chung KH
• Choi JY
• Yang JJ
• Park SJ
• Ryu SA
• Kim NY
• Sim JY

Abstract

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.

Keyword

Urinary catheterization; Professional practice; Outcome assessment

MeSH Terms

Catheterization
Catheters
Catheters, Indwelling
Evidence-Based Practice
Hospitalization
Humans
Infection Control
Medical Records
Prescriptions
Professional Practice
Urinary Catheterization
Urinary Catheters