Living with an indwelling urethral catheter in a community setting: exploring triggers for unscheduled community nurse ‘out of hours’ visits

William MacKay, Teresa MacIntosh, Angela Kydd, Anne Fleming, Catherine O'Kane, Ashley Shepherd, Suzanne Hagen, Craig Williams, Fiona Rodgers, Margaret MacLachlan, Rhona Galbraith, Jeanie Rankin, Val McIver

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Abstract

Aims and Objective

To explore the experiences of community patients living with a urethral catheter and those caring for them.

Background

Living at home with an indwelling urethral catheter often results in consequences that create a double-edged burden; firstly, on patients and their relative carers, and secondly in terms of unscheduled community nurse service ‘out of hours’ provision.

Design

One-to-one interviews, were conducted with patients living at home, their relative carers, qualified community nurses, augmented home carers, and health care assistant. Quantitative data in relation to frequency, duration and reason for visits were extracted from the community nurse ‘out of hours’ service database.

Results

Quantitative data showed that 20% of all community nurses, unscheduled ‘out of hour’ visits were triggered by an indwelling urethral catheter consequence. Qualitative data revealed that health and social care staff felt knowledgeable and skilled in urethral catheter management. Conversely, patients and relative carers felt poorly equipped to manage the situation when something went wrong. The majority of patients described the catheter as being a debilitating source of anxiety and pain that reduced their quality of life.

Conclusion

Urethral catheter complications are frequent and impact seriously on quality of life with informal carers also affected. Community nurses experienced frequent unscheduled visits. Patients often feel isolated as well as lacking in knowledge, skills and information on catheter management. Having better urethral catheter information resources could increase patient and relative carer confidence, encourage self-care and problem solving, as well as facilitate meaningful consistent dialogue between patients and those who provide them with help and support.

Relevance to Clinical Practice

Better patient information resources regarding urethral catheter management have potential to improve patient and relative carer quality of life and reduce service provision burden.
Original languageEnglish
Pages (from-to)866-875
JournalJournal of Clinical Nursing
Volume27
Issue number3-4
Early online date27 Dec 2017
DOIs
Publication statusPublished - 1 Feb 2018

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Urinary Catheters
Indwelling Catheters
Nurses
Caregivers
Catheters
Quality of Life
Delivery of Health Care
Social Welfare
Home Care Services
Self Care
Anxiety
Databases
Interviews
Pain

Cite this

MacKay, William ; MacIntosh, Teresa ; Kydd, Angela ; Fleming, Anne ; O'Kane, Catherine ; Shepherd, Ashley ; Hagen, Suzanne ; Williams, Craig ; Rodgers, Fiona ; MacLachlan, Margaret ; Galbraith, Rhona ; Rankin, Jeanie ; McIver, Val . / Living with an indwelling urethral catheter in a community setting : exploring triggers for unscheduled community nurse ‘out of hours’ visits. In: Journal of Clinical Nursing. 2018 ; Vol. 27, No. 3-4. pp. 866-875.
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abstract = "Aims and ObjectiveTo explore the experiences of community patients living with a urethral catheter and those caring for them.BackgroundLiving at home with an indwelling urethral catheter often results in consequences that create a double-edged burden; firstly, on patients and their relative carers, and secondly in terms of unscheduled community nurse service ‘out of hours’ provision.DesignOne-to-one interviews, were conducted with patients living at home, their relative carers, qualified community nurses, augmented home carers, and health care assistant. Quantitative data in relation to frequency, duration and reason for visits were extracted from the community nurse ‘out of hours’ service database.ResultsQuantitative data showed that 20{\%} of all community nurses, unscheduled ‘out of hour’ visits were triggered by an indwelling urethral catheter consequence. Qualitative data revealed that health and social care staff felt knowledgeable and skilled in urethral catheter management. Conversely, patients and relative carers felt poorly equipped to manage the situation when something went wrong. The majority of patients described the catheter as being a debilitating source of anxiety and pain that reduced their quality of life.ConclusionUrethral catheter complications are frequent and impact seriously on quality of life with informal carers also affected. Community nurses experienced frequent unscheduled visits. Patients often feel isolated as well as lacking in knowledge, skills and information on catheter management. Having better urethral catheter information resources could increase patient and relative carer confidence, encourage self-care and problem solving, as well as facilitate meaningful consistent dialogue between patients and those who provide them with help and support.Relevance to Clinical PracticeBetter patient information resources regarding urethral catheter management have potential to improve patient and relative carer quality of life and reduce service provision burden.",
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Living with an indwelling urethral catheter in a community setting : exploring triggers for unscheduled community nurse ‘out of hours’ visits. / MacKay, William; MacIntosh, Teresa; Kydd, Angela; Fleming, Anne; O'Kane, Catherine; Shepherd, Ashley; Hagen, Suzanne; Williams, Craig; Rodgers, Fiona; MacLachlan, Margaret ; Galbraith, Rhona ; Rankin, Jeanie; McIver, Val .

In: Journal of Clinical Nursing, Vol. 27, No. 3-4, 01.02.2018, p. 866-875.

Research output: Contribution to journalArticle

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T1 - Living with an indwelling urethral catheter in a community setting

T2 - exploring triggers for unscheduled community nurse ‘out of hours’ visits

AU - MacKay, William

AU - MacIntosh, Teresa

AU - Kydd, Angela

AU - Fleming, Anne

AU - O'Kane, Catherine

AU - Shepherd, Ashley

AU - Hagen, Suzanne

AU - Williams, Craig

AU - Rodgers, Fiona

AU - MacLachlan, Margaret

AU - Galbraith, Rhona

AU - Rankin, Jeanie

AU - McIver, Val

PY - 2018/2/1

Y1 - 2018/2/1

N2 - Aims and ObjectiveTo explore the experiences of community patients living with a urethral catheter and those caring for them.BackgroundLiving at home with an indwelling urethral catheter often results in consequences that create a double-edged burden; firstly, on patients and their relative carers, and secondly in terms of unscheduled community nurse service ‘out of hours’ provision.DesignOne-to-one interviews, were conducted with patients living at home, their relative carers, qualified community nurses, augmented home carers, and health care assistant. Quantitative data in relation to frequency, duration and reason for visits were extracted from the community nurse ‘out of hours’ service database.ResultsQuantitative data showed that 20% of all community nurses, unscheduled ‘out of hour’ visits were triggered by an indwelling urethral catheter consequence. Qualitative data revealed that health and social care staff felt knowledgeable and skilled in urethral catheter management. Conversely, patients and relative carers felt poorly equipped to manage the situation when something went wrong. The majority of patients described the catheter as being a debilitating source of anxiety and pain that reduced their quality of life.ConclusionUrethral catheter complications are frequent and impact seriously on quality of life with informal carers also affected. Community nurses experienced frequent unscheduled visits. Patients often feel isolated as well as lacking in knowledge, skills and information on catheter management. Having better urethral catheter information resources could increase patient and relative carer confidence, encourage self-care and problem solving, as well as facilitate meaningful consistent dialogue between patients and those who provide them with help and support.Relevance to Clinical PracticeBetter patient information resources regarding urethral catheter management have potential to improve patient and relative carer quality of life and reduce service provision burden.

AB - Aims and ObjectiveTo explore the experiences of community patients living with a urethral catheter and those caring for them.BackgroundLiving at home with an indwelling urethral catheter often results in consequences that create a double-edged burden; firstly, on patients and their relative carers, and secondly in terms of unscheduled community nurse service ‘out of hours’ provision.DesignOne-to-one interviews, were conducted with patients living at home, their relative carers, qualified community nurses, augmented home carers, and health care assistant. Quantitative data in relation to frequency, duration and reason for visits were extracted from the community nurse ‘out of hours’ service database.ResultsQuantitative data showed that 20% of all community nurses, unscheduled ‘out of hour’ visits were triggered by an indwelling urethral catheter consequence. Qualitative data revealed that health and social care staff felt knowledgeable and skilled in urethral catheter management. Conversely, patients and relative carers felt poorly equipped to manage the situation when something went wrong. The majority of patients described the catheter as being a debilitating source of anxiety and pain that reduced their quality of life.ConclusionUrethral catheter complications are frequent and impact seriously on quality of life with informal carers also affected. Community nurses experienced frequent unscheduled visits. Patients often feel isolated as well as lacking in knowledge, skills and information on catheter management. Having better urethral catheter information resources could increase patient and relative carer confidence, encourage self-care and problem solving, as well as facilitate meaningful consistent dialogue between patients and those who provide them with help and support.Relevance to Clinical PracticeBetter patient information resources regarding urethral catheter management have potential to improve patient and relative carer quality of life and reduce service provision burden.

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DO - 10.1111/jocn.14117

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JO - Journal of Clinical Nursing

JF - Journal of Clinical Nursing

SN - 0962-1067

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