Aim: To explore the impact of educational interventions for patients living with indwelling urinary catheters. Methods: Systematic scoping review in accordance with PRISMA guidelines, guided by Cochrane methodology, quality appraisal using Centre for Evidence-Based Medicine (CEBM) Joanna Briggs Institute (JBI), GRADE criteria and Quality Improvement Minimum Quality Criteria Set Version 1. 0 (QI-MQCS V 1.0) tools. Studies (n= 446) were retrieved from CINAHL, Cochrane Library, Scopus and Medline from 2000 to 2020. Results: A total of 15 primary research studies were included in the narrative thematic synthesis, nine were from the USA, two from Australia, two from the UK,one from Italy and one from Turkey. These 15 studies were published between 2003 and 2019 and accounted for 19918 patients with an age range 15 to 99 years. Study design varied; there were 11 quantitative and 4 qualitative studies. Studies were of low-moderate quality. A total of four themes were identified; i) information needs of patients living with long-term catheters; ii) core learning content and educational approaches; iii) feasibility and effectiveness of educational interventions to reduce complications and improve quality of life; and iv) common outcome measures. Conclusion: The dissemination of information and the delivery of urinary catheter education to patients is inadequate. Core components of educational interventions should address fluid intake, bowel management, hygiene and self-monitoring/management, including adverse events. There is a need for future robust trials of educational and self-management interventions to improve the quality of life of patients living with indwelling urinary catheters in the community. Impact: This review addressed the educational needs of patients living with indwelling urinary catheters and the impact of educational interventions. Despite the heterogeneity in educational interventions, all studies included in this review reported the specific approach undertaken was effective in minimising catheter-associated complications and improving the quality of life of patients.
Contemporary nurse. 2020 Oct 12 [Epub ahead of print]
Joby Alex, Yenna Salamonson, Lucie M Ramjan, Jed Montayre, Jennifer Fitzsimons, Caleb Ferguson
CNC Continence, Integrated & Community Health, Western Sydney Local Health District, Mt Druitt Community Health Centre, Cnr Buran & Kelly Cl | Mount Druitt, NSW 2770., Professor, Western Sydney University, School of Nursing and Midwifery | Locked Bag 1797, Penrith, NSW 2751, E: ORCID: 0000-0002-7429-4086., Associate Professor, Western Sydney University, School of Nursing and Midwifery | Locked Bag 1797, Penrith NSW 2751, E: , ORCID: 0000-0001-7815-3005., Senior Lecturer Nursing, Western Sydney University, School of Nursing and Midwifery | Locked Bag 1797, Penrith, NSW 2751, E: , ORCID: 0000-0002-2435-8061., Director of Nursing and Clinical Governance, Integrated & Community Health, Western Sydney Local Health District, Blacktown Campus | PO Box 792, Seven Hills 2147, E: ., Senior Research Fellow, Western Sydney Nursing & Midwifery Research Centre, Western Sydney Local Health District, Western Sydney University, COHORT, Ingham Institute for Applied Medical Research | Locked Bag 1797, Penrith NSW 2751, E: , ORCID: 0000-0002-2417-2216.