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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 G
|Mackay WG, MacIntosh T, Kydd A, Fleming A, O'Kane K, Shepherd A, Hagen S, Williams C, Rodgers F, MacLachlan M, Galbraith R, Rankin J & McIver V (2018) Living with an indwelling urethral catheter in a community setting: exploring triggers for unscheduled community nurse "out of hours" visits. Journal of Clinical Nursing, 27 (3-4), pp. 866-875. https://doi.org/10.1111/jocn.14117
|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.
|This item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study. This is the peer reviewed version of the following article: Mackay WG, MacIntosh T, Kydd A, et al. Living with an indwelling urethral catheter in a community setting: Exploring triggers for unscheduled community nurse “out‐of‐hours” visits. Journal of Clinical Nursing 2018;27:866–875, which has been published in final form at https://doi.org/10.1111/jocn.14117. This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.
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