Gokhan Calik, Zeynep Bahadır, Berk Madendere, Ozgur Arikan, Vahit Guzelburc, Engin Evci, Suleyman Sami Cakir, Bulent Altay, Pilar Laguna, Mehmet Kocak, Selami Albayrak, Rahim Horuz, Kubilay Sabuncu, Mustafa Boz, Bulent Erkurt, Mohamad Aosama Alrifaai, Abdullah Al Chaabawi, Mahmoud Alrais, Ibrahim Abdi Ali, Shaban M S Ashour, Jean de la Rosette
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引用次数: 0
Abstract
Background: Patients may suffer from the sequela of complicated transurethral catheterization (TUC) such as urethral injury, infection, and stricture formation. We assessed the self-confidence, knowledge, and experience of healthcare professionals performing TUC.
Methods: A multi-center, prospective, cross-sectional questionnaire-based study was performed among healthcare workers from 5 university hospitals. Data was transferred to an online Data Management System and self-confidence, knowledge, and experience levels among different healthcare roles were compared.
Findings: Of all 747 participants, 8% did not feel confident, had enough knowledge or preparation skills regarding TUC. 23% never asked for help while performing TUC whereas 42% always asked for assistance (p < 0.0001). Healthcare roles did not differ statistically in terms of TUC knowledge and understanding. However, healthcare workers in surgical specialties felt more confident in their knowledge (29% vs 21%). Confidence in male catheterization skills rated as 'well' and 'very well' were reported highest by paramedics (71%, 20%) followed by nurses (48%, 20%), physicians (53%, 30%) and residents (50%, 36%). In the event of difficult catheterizations, physicians mostly preferred the assistance of "urologists and urology residents" (64%) while nurses mostly reached out to other nurses (39%). Paramedics were the least likely to ask for assistance (40%) followed by nurses (26%), doctors (24%), and residents (13%) (p < 0.0001).
Conclusion: A significant proportion of healthcare workers do not have the necessary knowledge and understanding of TUC and do not feel confident in their catheterization and preparation skills when challenged by a difficult TUC, which requires the reassessment of the training programs pre- and post-graduation. This will facilitate and create a safer environment for both the patient and the healthcare professionals.
期刊介绍：
The WORLD JOURNAL OF UROLOGY conveys regularly the essential results of urological research and their practical and clinical relevance to a broad audience of urologists in research and clinical practice. In order to guarantee a balanced program, articles are published to reflect the developments in all fields of urology on an internationally advanced level. Each issue treats a main topic in review articles of invited international experts. Free papers are unrelated articles to the main topic.
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