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Secher Cailleteau P, Cadon L, Paille C, Olivier E, Rulleau T. Assessment of perceived patient comfort and ease of bedpan handling by caregivers, a cross-sectional survey. PLoS One 2024; 19:e0306773. [PMID: 38990820 PMCID: PMC11239000 DOI: 10.1371/journal.pone.0306773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Accepted: 06/24/2024] [Indexed: 07/13/2024] Open
Abstract
INTRODUCTION Since its creation in the 18th century, bedpan has remained more or less the same. Its unique material composition varies from one model to another, but its shape remains relatively similar. The environment is one of the four pillars of the nursing paradigm. It is therefore essential to question this device in the nursing discipline. AIM To assess perceived patient comfort and ease of bedpan handling by nurses and their assistants. METHOD A cross-sectional survey via an online questionnaire was conducted among nurses and nursing assistants, nursing students, and health executives using the bedpan for their patients to assess their feelings and their level of satisfaction. The questionnaire asks professionals about the ease of handling the bedpan and the patient's perceived comfort. RESULTS 431 responses were obtained out of 3007 persons interviewed (14.3%). 83.0% believe that the cause of poor elimination by the patient is often or very often due to physical discomfort on the bedpan. 62.6% find the installation of the bedpan rather tough or very difficult. 59.2% find the removal of the bedpan rather tough or very difficult. DISCUSSION Our study confirms our hypothesis and highlights a lack of comfort in the bedpan as perceived by professionals. This analysis is the first step in enabling the nurse researcher to support change in the transformation paradigm.
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Affiliation(s)
- Pia Secher Cailleteau
- CHU Nantes, Movement - Interactions - Performance, MIP, UR 4334, Nantes Université, Nantes, France
| | - Lucie Cadon
- CHU Nantes, Movement - Interactions - Performance, MIP, UR 4334, Nantes Université, Nantes, France
| | - Cécile Paille
- CHU Nantes, Movement - Interactions - Performance, MIP, UR 4334, Nantes Université, Nantes, France
| | - Elise Olivier
- CHU Nantes, Movement - Interactions - Performance, MIP, UR 4334, Nantes Université, Nantes, France
| | - Thomas Rulleau
- CHU Nantes, Movement - Interactions - Performance, MIP, UR 4334, Nantes Université, Nantes, France
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Fader M, Murphy CL, Bliss DZ, Buckley BS, Cockerell R, Cottenden AM, Kottner J, Ostaszkiewicz J. Technology for managing incontinence: What are the research priorities? Proc Inst Mech Eng H 2024; 238:688-703. [PMID: 38503718 PMCID: PMC11318214 DOI: 10.1177/09544119241233639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Accepted: 02/02/2024] [Indexed: 03/21/2024]
Abstract
Incontinence and toileting difficulties can often be successfully addressed by treating their underlying causes. However, (complete) cure is not always possible and continence products to prevent or contain unresolved leakage or to facilitate toileting are in widespread use. Many people use them successfully but identifying the product(s) most likely to meet individual needs can be challenging and the recently published Seventh International Consultation on Incontinence includes a chapter which draws on the literature to provide evidence-based recommendations to help clinicians and product users to select appropriate products. This paper is based on the same evidence, but reviewed from the different perspective of those keen to identify unmet needs and develop improved products. For each of the main continence product categories it (i) outlines the design approach and key features of what is currently available; (ii) provides a generic functional design specification; (iii) reviews how well existing products meet the requirements of their main user groups; and (iv) suggests priorities for the attention of product designers. It also flags some core scientific problems which - if successfully addressed - would likely yield benefits in multiple incontinence product contexts.
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Affiliation(s)
- Mandy Fader
- School of Health Sciences, University of Southampton, Southampton, UK
| | - Cathy L Murphy
- School of Health Sciences, University of Southampton, Southampton, UK
| | - Donna Z Bliss
- School of Nursing, University of Minnesota, Minneapolis, MN, USA
| | - Brian S Buckley
- Department of Surgery, University of the Philippines Manila, Philippines
| | - Rowan Cockerell
- Continence Foundation of Australia, Melbourne, VIC, Australia
| | - Alan M Cottenden
- Department Medical Physics and Biomedical Engineering, University College London, UK
| | - Jan Kottner
- Institute for Clinical Nursing Science, Charité-Universitätsmedizin Berlin, Berlin, Germany
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Kamarudin M, Chong WK, Hamdan M, Adlan AS, Saaid R, Tan PC. Micturition in the toilet compared with bedpan in laboring Nulliparas: a randomized controlled trial. BMC Pregnancy Childbirth 2022; 22:812. [PMCID: PMC9635173 DOI: 10.1186/s12884-022-05162-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Accepted: 10/17/2022] [Indexed: 11/06/2022] Open
Abstract
Abstract
Background
Bladder overdistension in labor may lead to prolonged postpartum urinary retention. We hypothesized that nulliparas mobilizing to toilet is more likely to achieve satisfactory micturition.
Methods
One hundred sixteen (58 in each arm) term nulliparas in labor with filled bladders were randomized to mobilizing to the toilet or using bedpan to micturate. Primary outcome was satisfactory micturition defined as ultrasound derived post-void bladder volume < 150 ml. Following unsatisfactory micturition, participants crossover to the opposed intervention. Participants were catheterized if after crossover, residual bladder volume was ≥250 ml.
Results
Satisfactory micturition rates were 55/58 (95%) vs. 43/58 (74%) RR 1.28 95%CI 1.08–1.51 NNTb 4.8 95%CI 3.0–12.4 P = 0.008, failure to micturate 1/58 (2%) vs. 8/58 (14%) RR 0.13 95%CI 0.02–0.97 NNTb 8.3 95%CI 4.6–38.7 P = 0.047. After cross over following unsatisfactory bladder voiding, satisfactory micturition rates were 0/3 (0%) vs 13/15 (87%) P = 0.024, bladder catheterization rates were 3/58 (5%) vs. 2/58 (4%) RR 95%CI 1.5 (0.26–8.65) P = 0.648, maternal satisfaction with allocated intervention 55/58 (95%) vs. 9/58 (16%) RR 95%CI 6.1 (3.3–11.2) NNTb 95%CI 1.3 (1.1–1.5) P < 0.0001 and preference for mobilizing to the toilet if micturition was needed again during labor 55/58 (95%) vs. 53/58 (92%) for mobilizing to the toilet compared to bedpan use arms respectively. Labor and neonatal outcomes were similar.
Conclusion
Satisfactory micturition was more frequently achieved with mobilization to the toilet than bedpan use. Women in both arms overwhelmingly prefer to mobilize to the toilet to urinate.
Trial registration
This study was registered with ISRCTN on 17/07/2019 with trial identification number: ISRCTN17787339. First participant was recruited on 31/07/2019. The last patient was recruited on 18/12/2019.
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Bagnasco A, Zanini M, Dasso N, Rossi S, Timmins F, Galanti MC, Aleo G, Catania G, Sasso L. Dignity, privacy, respect and choice-A scoping review of measurement of these concepts within acute healthcare practice. J Clin Nurs 2020; 29:1832-1857. [PMID: 32220088 DOI: 10.1111/jocn.15245] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2019] [Revised: 01/23/2020] [Accepted: 03/12/2020] [Indexed: 12/16/2022]
Abstract
AIMS AND OBJECTIVES To synthesise and review literature related to instruments that measure psychosocial aspects of fundamental care in acute hospital care settings. BACKGROUND Psychosocial aspects of care often receive less priority in terms of care provision in acute care environments. At the same time, if these elements are overlooked, there may be consequences. Despite the availability of many instruments designed to measure specific aspects of care, these concepts are often not studied within the broader context of fundamentals of care, but rather coexist as isolated explorations of specific subelements. DESIGN A scoping review was conducted, based on Arksey & O'Malley's (2005) methodological framework and following the PRISMA checklist. METHODS Using the five recommended steps-identifying the research question; identifying relevant studies; study selection; charting the data; and summarising and reporting the results-three databases were searched: MEDLINE/PubMed, CINAHL and EMBASE, in February 2019. RESULTS Following independent screening by two of the authors, 48 papers were included. From these 48 papers, 33 instruments were identified. Only five of these tools thoroughly assessed psychosocial aspects elements of care (dignity, respect, privacy and patients' choice) through dedicated items. CONCLUSIONS This review provides nurses with a synthesis of 33 instruments that assess the psychosocial aspects of care. This provides an important resource to guide measurement of dignity, respect, privacy and patients' choice. The findings also provide guidance to future research in this field. RELEVANCE TO CLINICAL PRACTICE This paper reviews and synthesises these instruments to provide a resource to nurses to inform their decisions and practice around measurement and evaluation of these key aspects of care. This provides a useful guide to measure and monitor the improvement of fundamental care delivery in practice and points to strengths and weaknesses of the instruments concerned.
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Affiliation(s)
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Nicoletta Dasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Silvia Rossi
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Fiona Timmins
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | | | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Gianluca Catania
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
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Medical bed with integrated toilet: design considerations and utilization by a bedridden patient. HEALTH AND TECHNOLOGY 2019. [DOI: 10.1007/s12553-019-00340-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Kohler M, Mayer H, Kesselring J, Saxer S. (Can) Not talk about it - Urinary incontinence from the point of view of stroke survivors: a qualitative study. Scand J Caring Sci 2017; 32:371-379. [PMID: 28544132 DOI: 10.1111/scs.12471] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2016] [Accepted: 03/29/2017] [Indexed: 10/19/2022]
Abstract
PURPOSE The current study intends to gain an in-depth understanding of stroke survivors' lived experience of urinary incontinence and its treatment in an inpatient rehabilitation clinic. METHODS A qualitative approach was chosen. Semi-structured individual interviews with ten stroke survivors suffering from urinary incontinence were conducted in an inpatient rehabilitation clinic and analysed using qualitative content analysis with an inductive approach. RESULTS '(Can) not talk about it' was identified as the first main category. The affected persons do not talk about urinary incontinence because they are ashamed. At the same time, no one asks them about this issue. Psychological strain is so high that patients feel the need to talk about incontinence, but from their point of view, conversations with nurses - if they indeed occur - are superficial or nurses do not listen. Therefore, patients' needs and concerns are not properly considered. 'Trying to command incontinence' was also identified as a main category. Participants reported that they try to command incontinence and to develop their own strategies in order to hide urinary incontinence and prevent shameful situations. However, this proved mostly unsuccessful and resulted in resignation to their condition. CONCLUSION It is important to raise awareness within the treatment team of urinary incontinence in stroke survivors. Team members should be able to communicate about urinary incontinence in an open and empathic way. Obviously, there is great potential for supporting stroke survivors in dealing with incontinence.
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Affiliation(s)
- Myrta Kohler
- Institute of Applied Nursing Science, University of Applied Sciences St.Gallen, St.Gallen, Switzerland.,Rehabilitation Centre Valens, Valens, Switzerland.,Department of Nursing Science, University of Vienna, Vienna, Austria
| | - Hanna Mayer
- Department of Nursing Science, University of Vienna, Vienna, Austria
| | | | - Susi Saxer
- Institute of Applied Nursing Science, University of Applied Sciences St.Gallen, St.Gallen, Switzerland
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Hope K, Ferguson M, Reidlinger DP, Agarwal E. “I don’t eat when I’m sick”: Older people’s food and mealtime experiences in hospital. Maturitas 2017; 97:6-13. [DOI: 10.1016/j.maturitas.2016.12.001] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2016] [Revised: 12/02/2016] [Accepted: 12/09/2016] [Indexed: 12/18/2022]
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Farrington N, Hill T, Fader M, Richardson A. Supporting women with toileting in palliative care: use of the female urinal for bladder management. Int J Palliat Nurs 2016; 22:524-533. [PMID: 27885906 DOI: 10.12968/ijpn.2016.22.11.524] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
AIMS AND OBJECTIVES This study explored whether a female urinal is an acceptable, safe and effective product to meet the toileting requirements of women receiving palliative care on oncology wards in hospitals. BACKGROUND There is minimal evidence on how urinary incontinence should be managed in women receiving palliative care. Female urinals may present an option. There have been two general reviews of products, but no formal evaluation since 1999. METHODS This qualitative interview study used semi-structured interviews. Eleven healthy volunteers, 9 patients and 7 staff members used (or assisted with) a VernaFem (Vernacare) female urinal and were subsequently interviewed. Directed content analysis was used to analyse the interviews. RESULTS User testing confirmed that the VernaFem is an acceptable, safe and effective product. Design improvements were suggested. CONCLUSIONS While unlikely to be suitable for all patients, hospitals should consider offering a female urinal to patients in receipt of palliative care.
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Affiliation(s)
- Naomi Farrington
- Clinical Academic Fellow and Staff Nurse, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - Tamsin Hill
- Emergency Nurse Practitioner, RN BN, University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - Mandy Fader
- Professor of Continence Technology, University of Southampton, Southampton, UK
| | - Alison Richardson
- Clinical Professor of Cancer Nursing and End of Life Care, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK
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Lim SF, Ong SY, Tan YL, Ng YS, Chan YH, Childs C. Incidence and predictors of new-onset constipation during acute hospitalisation after stroke. Int J Clin Pract 2015; 69:422-8. [PMID: 25656963 DOI: 10.1111/ijcp.12528] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/24/2013] [Accepted: 07/18/2014] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVES We investigated new-onset constipation in patients with stroke compared with orthopaedic conditions and explored the predictors associated with constipation during acute hospitalisation. METHODS This was a prospective matched cohort study of 110 patients comparing stroke patients (n = 55) with orthopaedic patients (n = 55) admitted to a large tertiary acute hospital. Both cohorts were matched by age and sex. The incidence of new-onset constipation which occurred during a patient's acute hospitalisation was determined. Demographics, comorbidity, clinical factors, laboratory parameters and medications were evaluated as possible predictors of constipation. RESULTS The incidence of new-onset constipation was high for both stroke (33%) and orthopaedic patients (27%; p = 0.66). Seven stroke patients (39%) and four orthopaedic patients (27%) developed their first onset of constipation on day 2 of admission. Mobility gains (RR 0.741, p < 0.001) and the use of prophylactic laxatives (RR 0.331, p < 0.01) had a protective effect against constipation. Bedpan use (RR 2.058, p < 0.05) and longer length of stay (RR 1.032, p < 0.05) increased the risk of developing new-onset constipation. CONCLUSIONS New-onset constipation is common among patients admitted for stroke and orthopaedic conditions during acute hospitalisation. The early occurrence, on day 2 of admission, calls for prompt preventive intervention for constipation.
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Affiliation(s)
- S-F Lim
- Specialist Nursing Services, Department of Rehabilitation Medicine, Singapore General Hospital, Singapore; Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
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