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Alex J, Ferguson C, Ramjan LM, Fishburn ML, Montayre J, Salamonson Y. Development and evaluation of a spaced eLearning intervention for nurses in enhancing urinary catheter management - A co-design study in partnership with research end-users. NURSE EDUCATION TODAY 2024; 144:106448. [PMID: 39395219 DOI: 10.1016/j.nedt.2024.106448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/18/2024] [Revised: 09/12/2024] [Accepted: 10/01/2024] [Indexed: 10/14/2024]
Abstract
BACKGROUND Nurses play a critical role in supporting patients in self-managing their indwelling urinary catheters and preventing avoidable hospital presentations. This study aimed to explore the effectiveness of a co-designed educational approach developed to enhance nurses' ability to provide optimal care for patients with catheters. AIM The primary aim of this study was to enhance nurses' knowledge and skills in urinary catheterisation, care, and management. The secondary aim was to transform their current catheter management practices to improve patient outcomes. SETTING Nurses (n = 127) from one New South Wales, Australia region participated in the study. These nurses provided healthcare across various community settings. Ethics approval was received from the Local Health District (HREC/2019/ETH12575) and the study was registered in ANZCTR (ACTRN12621000683831). METHODS A mixed-methods approach was used, collecting data at baseline and after the intervention. Quantitative data were analysed using descriptive statistics, tests for normality, and bivariate analysis with the Wilcoxon Signed Ranks test to identify differences between variables. Qualitative data were analysed using a directed content analysis approach to categorise occurrences of specific phenomena. RESULTS The composite mean knowledge score increased from 65.03 to 84.30 following the intervention (p < 0.001). In addition, the magnitude of knowledge score improvement in seven out of eight questions following the intervention were: Financial support: 1.1 %; Bladder spasm/urine leakage: 3.3 %; Blockage: 3.5 %; Catheter-Associated Urinary Tract Infection (CAUTI): 4.4 %; Self-management: 6.1 %; Sexuality: 7.9 %; and Urinary catheterisation: 11.3 %. Qualitative findings confirmed that the eLearning module was effective in transforming participants' clinical practice, towards improving patient outcomes. CONCLUSIONS The co-designed eLearning module effectively addressed the learning needs of nurses, enhancing their knowledge and skills in urinary catheter management. Incorporating a theoretical model and contextual approach in the intervention delivery increased relevance, personalisation, and engagement, facilitating the behaviour change required to transform current practices.
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Affiliation(s)
- Joby Alex
- Integrated & Community Health, Western Sydney Local Health District, School of Nursing, University of Wollongong, Mt Druitt Community Health Centre, Cnr Buran & Kelly Cl, Mount Druitt, NSW 2770, Australia.
| | - Caleb Ferguson
- School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong & Centre for Chronic & Complex Care Research, Blacktown Hospital, Western Sydney Local Health District, Western Sydney University, University of Technology, Queensland University of Technology, Locked Bag 8813, Wollongong, NSW 2522, Australia.
| | - Lucie M Ramjan
- Western Sydney University, School of Nursing and Midwifery, University of Wollongong, COHORT, Ingham Institute for Applied Medical Research, Locked Bag 1797, Penrith, NSW 2751, Australia.
| | - Michelle Louise Fishburn
- Westmead/Auburn Chronic & Complex Nursing, Integrated & Community Health Directorate WSLHD, The Hills Community Health Centre, 183-187 Excelsior Ave, Castle Hill, NSW 2154, Australia.
| | - Jed Montayre
- Centre of Evidence-based Practice for Health Care Policy, The Hong Kong Polytechnic University, University of Wollongong, Hung Hom, Hong Kong.
| | - Yenna Salamonson
- School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Australia, Australian Centre for Integration of Oral Health (ACIOH), Ingham Institute for Applied Medical Research, Building 41: Room 118, University of Wollongong, NSW, 2522, Australia.
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Alex J, Ramjan LM, Ferguson C, Fishburn ML, Montayre J, Salamonson Y. Development and psychometric evaluation of the catheter assessment, management and performance (CAMP) scale for nurses. Nurse Educ Pract 2024; 80:104122. [PMID: 39265473 DOI: 10.1016/j.nepr.2024.104122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2024] [Revised: 08/22/2024] [Accepted: 08/28/2024] [Indexed: 09/14/2024]
Abstract
AIM To develop and test the psychometric properties of a self-administered scale to assess the knowledge, skills, attitudes and behaviour of nurses to support the self-management of patients living with indwelling urinary catheters. BACKGROUND Nurses are pivotal in supporting patients with urinary catheter self-management to prevent potentially avoidable hospital presentations. However, no validated scale is available to assess nurses' attitudes and readiness for this task. DESIGN A quasi-experimental design was used to collect survey data both at baseline and after the completion of the intervention. A total of 128 participants were recruited from the Western Sydney region (New South Wales, Australia), who were working in community healthcare settings. Research Electronic Data Capture (REDCap™) database was used to manage the survey data collected for data analysis purposes. This study has been registered with the Australian New Zealand Clinical Trials Registry (ACTRN126210 0 0683831) METHODS: Using a three-stage process of concept identification, item construction and pilot testing to develop the Catheter Assessment, Management and Performance (CAMP) scale, followed by factorial and discriminant validity and reliability testing. This 23-item CAMP scale is theoretically informed by the COM-B (Capability, Opportunity, Motivation-Behaviour) model, recognised for its effectiveness in understanding and influencing behaviour change. The scale was distributed to nurses working in three community health care settings to assess their knowledge, attitude and behaviour regarding catheter management and performance. RESULTS Four factors were identified using scree plot, accounting for 63.36 % of total explained variance, which reflected the four dimensions of the COM-B model. Cronbach's alpha of the overall CAMP scale (0.93) and subscales (0.92, 0.87, 0.85 and 0.86) indicate good internal consistencies. The CAMP scale was able to detect changes in nurses' self-reported behaviour change following educational intervention (85.53 versus 95.98, p < 0.001). CONCLUSION The CAMP scale is valid and reliable scale, capable of assessing nurses' capability, opportunity and motivation to support patients, through delivery of catheter self-management education that can potentially prevent catheter-related complications and avoid hospital presentations. Future research could explore using CAMP scale among non-specialist nurses and in various clinical settings to enhance its effectiveness and generalisability.
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Affiliation(s)
- Joby Alex
- Mt Druitt Community Health Centre, Integrated & Community Health, Western Sydney Local Health District, Cnr Buran & Kelly Cl, Mount Druitt, NSW 2770, Australia.; School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Australia.
| | - Lucie M Ramjan
- School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797 Penrith NSW 2751, Australia.; School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Australia.
| | - Caleb Ferguson
- Centre for Chronic & Complex Care Research, Blacktown Hospital, Western Sydney Local Health District, Australia; School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Australia.
| | - Michelle Louise Fishburn
- The Hills Community Health Centre, Westmead, Auburn Chronic & Complex Nursing, Integrated & Community Health Directorate, Western Sydney Local Health District, Australia.
| | - Jed Montayre
- Centre of Evidence-based Practice for Health Care Policy, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, SAR.; School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Australia.
| | - Yenna Salamonson
- School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Australia; Australian Centre for Integration of Oral Health (ACIOH), Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool NSW 2170, Australia.
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Alex J, Ferguson C, Ramjan LM, Maneze D, Montayre J, Salamonson Y. Development and psychometric evaluation of an expanded urinary catheter self-management scale: A cross-sectional study. J Adv Nurs 2024; 80:3199-3210. [PMID: 38297914 DOI: 10.1111/jan.16081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2023] [Revised: 11/24/2023] [Accepted: 01/15/2024] [Indexed: 02/02/2024]
Abstract
AIM To develop and test the psychometric properties of an expanded catheter self-management scale for patients with in-dwelling urinary catheters. DESIGN A cross-sectional validation study. Despite the utility of the original 13-item catheter self-management scale, this instrument did not include bowel management, general hygiene and drainage bag care, which are fundamental skills in urinary catheter self-management to prevent common problems resulting in unnecessary hospital presentations. The expanded catheter self-management scale was developed with 10 additional items to comprehensively assess all five essential aspects of urinary catheter self-management. METHODS A total of 101 adult community-dwelling patients living with indwelling urinary catheters were recruited from Western Sydney, Australia. Using exploratory factor analysis with Varimax rotation, the number of factors to be extracted from the expanded 23-item expanded catheter self-management scale was determined using a scree plot. The reliability of the overall scale and subscales was measured using Cronbach's alpha. Convergent validity was assessed using Spearman's correlations between clinical characteristics, overall scale and subscales. RESULTS The 23-item expanded catheter self-management scale yielded a 5-factor solution, labelled as: (i) self-monitoring of catheter function, (ii) proactive, help-seeking behaviour function, (iii) bowel self-care function, (iv) hygiene-related catheter site function and (v) drainage bag care function. Cronbach's alpha of the expanded catheter self-management scale indicating all 23 items contributed to the overall alpha value. Convergent validity results showed a negative correlation between the overall expanded catheter self-management scale and catheter-related problems. CONCLUSION The 5-factor structure provided a comprehensive assessment of key aspects of urinary catheter self-management essential to reduce the likelihood of catheter-related hospital presentations. IMPLICATIONS The expanded catheter self-management scale can be used to assess and monitor effective patient-centred interventions for optimal self-management to prevent catheter-related problems and improve the quality of life of patients. IMPACT Many patients start their journey of living with a urinary catheter unexpectedly and are not supported with quality information to care for their catheter. The findings of this study show the correlation between catheter self-management skills and catheter-related problems. The expanded catheter self-management scale (E-CSM) assists with analysing the self-management skills of patients living with a catheter and developing tailored interventions to prevent problems and improve their quality of life. In addition, this screening tool can be included in policies, guidelines, and care plans as a standard for improving catheter management and developing educational resources for patients. REPORTING METHOD STROBE checklist was used to report all aspects of this study comprehensively and accurately. PATIENT OR PUBLIC CONTRIBUTION Patients living with indwelling urinary catheter and their carers have participated in surveys, interviews and co-designing interventions. This paper reports the psychometric analysis of the expanded catheter self-management scale (E-CSM) used in the patient survey as part of the main study 'Improving Quality of Life of Patients Living with Indwelling Urinary Catheters: IQ-IDC Study' (Alex et al. in Collegian, 29:405-413, 2021). We greatly value our consumers' contributions and continue to communicate the progress of the study to them. Their contributions will be acknowledged in all publications and presentations. In addition, all participants will be provided the option of receiving the interventions and publications generated from this study.
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Affiliation(s)
- Joby Alex
- Integrated and Community Health, Western Sydney Local Health District, North Parramatta, New South Wales, Australia
- School of Nursing, Western Sydney Local Health District, Wollongong, New South Wales, Australia
- Mt Druitt Community Health Centre, Cnr Buran & Kelly Cl, Mount Druitt, New South Wales, Australia
| | - Caleb Ferguson
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
- Centre for Chronic and Complex Care Research, Blacktown Hospital, Western Sydney Local Health District, North Parramatta, New South Wales, Australia
- Western Sydney University, University of Technology, Queensland University of Technology, Brisbane City, Queensland, Australia
| | - Lucie M Ramjan
- Western Sydney University, School of Nursing and Midwifery, University of Wollongong, Wollongong, New South Wales, Australia
- COHORT, Ingham Institute for Applied Medical Research, Penrith, New South Wales, Australia
| | - Della Maneze
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
| | - Jed Montayre
- Centre of Evidence-based Practice for Health Care Policy, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
- University of Wollongong, Wollongong, New South Wales, Australia
| | - Yenna Salamonson
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
- Western Sydney University, Penrith, New South Wales, Australia
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Paiva-Santos F, Santos-Costa P, Bastos C, Graveto J. Nurses' Adherence to the Portuguese Standard to Prevent Catheter-Associated Urinary Tract Infections (CAUTIs): An Observational Study. NURSING REPORTS 2023; 13:1432-1441. [PMID: 37873827 PMCID: PMC10594504 DOI: 10.3390/nursrep13040120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Revised: 09/22/2023] [Accepted: 10/01/2023] [Indexed: 10/25/2023] Open
Abstract
Urinary tract infections are among the most prevalent types of healthcare-associated infections (HAIs) in hospitals and nursing homes, and they are primarily a result of unnecessary catheter usage and inadequate care. In Portugal, epidemiological data indicate that catheter-associated urinary tract infections (CAUTIs) remain widespread in clinical settings, resulting in increased morbidity and mortality rates among vulnerable populations. This study aimed to assess urinary catheter use in an oncology ward in Portugal and to evaluate nurses' adherence to the government-endorsed standards for preventing CAUTIs. An observational study was conducted over a four-month period with daily assessments of nurses' practices during urinary catheter insertion and maintenance using a government-endorsed auditing tool. Data were collected through on-site observations and nurses' feedback. The findings revealed a urinary catheter utilization rate of 17.99%. However, there was a lack of complete adherence to government-endorsed standards among oncology nurses (0%). These results indicate that current practices lack evidence-based standardization. Therefore, there is a need to develop and implement quality improvement initiatives to enhance patient safety and experiences.
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Affiliation(s)
- Filipe Paiva-Santos
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal; (P.S.-C.); (J.G.)
- School of Medicine and Biomedical Sciences (ICBAS), University of Porto, 4050-313 Porto, Portugal
| | - Paulo Santos-Costa
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal; (P.S.-C.); (J.G.)
| | | | - João Graveto
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal; (P.S.-C.); (J.G.)
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Welk B, Fenderski K, Myers JB. Catheter Use in Neurogenic Lower Urinary Tract Dysfunction—Can Shared Decision-Making Help Us Serve Our Patients Better? CURRENT BLADDER DYSFUNCTION REPORTS 2022. [DOI: 10.1007/s11884-022-00682-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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