Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)
- Volume 15 Issue 4
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- Pages.438-448
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- 2008
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- 1225-9012(pISSN)
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- 2287-1802(eISSN)
Nursing Activities and Outcomes Related to Indwelling Urinary Catheterization from a Review of Medical Records and Interviews
의무기록지 분석과 간호사 면담을 통한유치도뇨관 관리에 관한 간호활동 및 환자결과
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Jang, Keum-Seong
(College of Nursing, Chonnam National University, Chonnam Research Institute of Nursing Science) ;
- Chung, Kyung-Hee (Department of Nursing, Nambu University) ;
- Choi, Ja-Yun (College of Nursing, Chonnam National University, Chonnam Research Institute of Nursing Science) ;
- Yang, Jin-Ju (Department of Nursing, Gwangju Health College University) ;
- Park, Soon-Joo (Department of Nursing Chodang University) ;
- Ryu, Se-An (Department of Nursing, Dongshin University) ;
- Kim, Nam-Young (Chonnam National University Hospital) ;
- Sim, Jae-Youn (Department of Nursing, Chonnam National University Hospital)
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장금성
(전남대학교 간호대학 간호과학연구소) ;
- 정경희 (전남대학교 간호대학 간호과학연구소) ;
- 최자윤 (남부대학교 간호학과) ;
- 양진주 (전남대학교 간호대학 간호과학연구소) ;
- 박순주 (광주보건대학 간호과) ;
- 류세앙 (초당대학교 간호학과) ;
- 김남영 (동신대학교 간호학과) ;
- 심재연 (전남대학교병원 간호부)
- Published : 2008.11.30
Abstract
Purpose: The purpose of this study was to identify nursing activities and to analyze patient outcomes related to indwelling urinary catheterization. Method: A review was done of 628 medical records from five units for patients admitted between January 1 and June 30, 2006. Twelve nurses who worked in the same units were interviewed. Results: In the interviews, nurses reported considering several non-invasive interventions prior to catheterization but there were no medical records of this activity. Results from the in-depth interviews showed that infection control activities such as urinary bag management were conducted but again there were no medical records. Seventy-five percent of the catheters were removed without prescription. In the medical records there were no notes for approximately 15%, on the time of first voiding and 80%, on volume of first voiding after removal of catheter. There was a significant difference in hospitalization days between the group catheterized for 5 days or less and the group catheterized for 6 days or more. Conclusion: Results indicate a need to close the gap between recorded and described activities and between current and best evidence based practice. Further study is needed to develop a standard recording system and guidelines related indwelling catheterization to decrease the gaps identified in this research.