Implementation of instructional videos improves nursing comfort with commonly encountered urinary catheter care scenarios.

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Citation: Canadian Journal of Urology. 28(5):10858-10864, 2021 10.PMID: 34657659Institution: MedStar Washington Hospital CenterDepartment: MedStar Georgetown University Hospital/MedStar Washington Hospital Center | Urology | Urology Residency-Advanced | Urology Residency-Advanced | Urology Residency-CategoricalForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Urinary Catheters | Humans | HumansYear: 2021ISSN:
  • 1195-9479
Name of journal: The Canadian journal of urologyAbstract: CONCLUSIONS: Prior formal training as well as baseline nursing comfort levels for common catheter related techniques tend to be low and the implementation of simple instructional videos via an online platform may be a useful strategy for improving nursing comfort. This study demonstrates a reproducible strategy for disseminating catheter education for nurses on a larger scale.INTRODUCTION: Placement of coude catheters, manual irrigation of urinary catheters, and management of continuous bladder irrigation (CBI) are routine interventions for which nurses often receive little or no formal education. In this study, our aim was to determine factors associated with higher comfort levels for these catheter-care techniques and to assess whether online instructional videos could be used to improve nursing comfort.MATERIALS AND METHODS: Three 5-minute videos were created to demonstrate proper technique for coude catheter placement, manual irrigation of a catheter, and management of CBI. An online module with pre- and post-video surveys was created and administered to all nursing staff at MedStar Georgetown University Hospital.RESULTS: A total of 821 nurses participated in this study and completed the online module with both pre-- and post-video surveys. Using a 10-point Likert scale, pre-video median comfort levels for coude catheter placement, manual irrigation of a catheter, and management of CBI were 5, 6, and 5, respectively. Post-video median comfort levels increased significantly to 9, 8, and 8, respectively (p < 0.001). In the linear regression models, prior formal training was significantly associated with higher baseline comfort levels for all three techniques (p < 0.001).All authors: Alger J, Dall CP, Hankins R, Hays E, Krasnow RE, Muthigi AOriginally published: Canadian Journal of Urology. 28(5):10858-10864, 2021 10.Fiscal year: FY2022Date added to catalog: 2022-05-11
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Journal Article MedStar Authors Catalog Article 34657659 Available 34657659

CONCLUSIONS: Prior formal training as well as baseline nursing comfort levels for common catheter related techniques tend to be low and the implementation of simple instructional videos via an online platform may be a useful strategy for improving nursing comfort. This study demonstrates a reproducible strategy for disseminating catheter education for nurses on a larger scale.

INTRODUCTION: Placement of coude catheters, manual irrigation of urinary catheters, and management of continuous bladder irrigation (CBI) are routine interventions for which nurses often receive little or no formal education. In this study, our aim was to determine factors associated with higher comfort levels for these catheter-care techniques and to assess whether online instructional videos could be used to improve nursing comfort.

MATERIALS AND METHODS: Three 5-minute videos were created to demonstrate proper technique for coude catheter placement, manual irrigation of a catheter, and management of CBI. An online module with pre- and post-video surveys was created and administered to all nursing staff at MedStar Georgetown University Hospital.

RESULTS: A total of 821 nurses participated in this study and completed the online module with both pre-- and post-video surveys. Using a 10-point Likert scale, pre-video median comfort levels for coude catheter placement, manual irrigation of a catheter, and management of CBI were 5, 6, and 5, respectively. Post-video median comfort levels increased significantly to 9, 8, and 8, respectively (p < 0.001). In the linear regression models, prior formal training was significantly associated with higher baseline comfort levels for all three techniques (p < 0.001).

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