Research output

Article in Journal

Living with an indwelling urethral catheter in a community setting: exploring triggers for unscheduled community nurse 'out of hours' visits (Forthcoming/Available Online)

Citation
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 (2017) Living with an indwelling urethral catheter in a community setting: exploring triggers for unscheduled community nurse 'out of hours' visits (Forthcoming/Available Online), Journal of Clinical Nursing.

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.

Keywords
Continence; District Nursing; Education; Elder Care

StatusIn press
AuthorsMackay William G, MacIntosh Teresa, Kydd Angela, Fleming Anne, O'Kane Kate, Shepherd Ashley, Hagen Suzanne, Williams Craig, Rodgers Fiona, MacLachlan Margaret, Galbraith Rhona, Rankin Jean, McIver Val
Publication date online20/10/2017
Date accepted by journal06/10/2017
PublisherWiley-Blackwell
ISSN 0962-1067
LanguageEnglish

Journal
Journal of Clinical Nursing

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