1College of Nursing, Chonnam National University, Chonnam Research Institute of Nursing Science 2Department of Nursing, Nambu University 3College of Nursing, Chonnam National University, Chonnam Research Institute of Nursing Science 4Department of Nursing, Gwangju Health College University 5Department of Nursing Chodang University 6Department of Nursing, Dongshin University 7Chonnam National University Hospital 8Department of Nursing, Chonnam National University Hospital
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.
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