NURE Investigación (Jul 2008)
Impact of a formative nursing program in the implantation and following-up of the care protocol to the vesical catheter carrier patient
Abstract
Objective: To determine upon completion of a formative training program the differing hospital procedures followed by nursing personnel on the application of urinary catheter safeguards.Methods: A two-phased descriptive cross-section study was carried out over a period of two consecutive years. By means of a questionnaire, diverse features of hospital protocol, revised and updated in 2004, were assessed. An adaptation percentage was selected as indicator and chi square test as comparative reference.Results: A total of 463 hospital in-patients were studied overall. Two hundred and ten (210) patients had entered hospital in one given day in 2004 of whom 14.2% had been fitted with a vesicle catheter. In November 2005, two hundred and fifty three (253) entered hospital of which 9% had also thus been fitted. In nine (9) out of the twelve (12) variables evaluated, the result was significantly better in 2004 although only in 2 cases were significant differences detected, to wit: the under bladder draining conduit and the time interval at which emptying should be appropriately carried out. Percentage of unsoiled valves for not having touched the ground as well as record deeding of the clinical history of catheter used and the patient’s perception of its technique improved in 2005 although no significant differences were perceived.Conclusions: Adequate training of nursing personnel accounts not only for appropriate training on catheter usage techniques but aids also to achieve better medical results and increase patient’s confidence.
