International Journal of Urological Nursing最新文献

{"title":"Introduction of Hormone Therapy Injection Hubs (i-hub) for Prostate Cancer","authors":"Jason Alcorn","doi":"10.1111/ijun.70075","DOIUrl":"https://doi.org/10.1111/ijun.70075","url":null,"abstract":"<div>\u0000 \u0000 <p>Prostate cancer is the most common cancer in men in the UK, with rising incidence placing increasing demand on hormone therapy delivery. Traditional Clinical Nurse Specialist-led injection clinics have become increasingly unsustainable due to growing referral numbers. This article describes the development and implementation of a dedicated injection hub (i-hub) for prostate cancer hormone therapy within an NHS Trust in the North of England, delivered in partnership with a pharmaceutical company and a healthcare service company (HSC). Service redesign was guided by Lewin's three-stage change management framework (Unfreeze, Change, Refreeze). The i-hub model introduced HSC nurses to deliver hormone injections and manage simple toxicities, freeing the CNS team to focus on complex assessment and counselling. Implementation involved governance review, staff training, joint stakeholder meetings and patient communication, with progress and patient satisfaction data monitored throughout. In the first 6 months, 178 new patients were seen, with a patient satisfaction rate exceeding 99%. The new model increased clinic capacity by 77%, from 704 to 1248 appointment slots annually, while remaining cost-neutral to the Trust. The prostate cancer i-hub demonstrates that nurse-led, partnership-based service redesign can increase capacity and improve patient experience while maintaining safety and cost neutrality. Success depended on strong governance, clear role definition and sustained communication across multiple stakeholders. Further research is needed to evaluate replicability across other NHS Trusts and to assess the operational, economic and workforce implications of wider adoption.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"20 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149258371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging the Communication Gap on Complementary and Alternative Medicine in Prostate Cancer Care: A Scoping Review of Interventions","authors":"Astrid Næraa Høeg Vendelsøe,&nbsp;Trine Stub,&nbsp;Miek Jong,&nbsp;Louise Faurholt Øbro,&nbsp;Knud Ryom,&nbsp;Helene Jung,&nbsp;Mette Stie","doi":"10.1111/ijun.70074","DOIUrl":"https://doi.org/10.1111/ijun.70074","url":null,"abstract":"","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"20 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149145904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vulnerability in the Operating Room—Patients' Experiences with Robot-Assisted Nephrectomy","authors":"Grevsen Janne Horsted,&nbsp;Keldorf Mai Rye,&nbsp;Jung Helene Ulrik,&nbsp;Handberg Charlotte,&nbsp;Jensen Bente Thoft,&nbsp;Øbro Louise Faurholt","doi":"10.1111/ijun.70073","DOIUrl":"https://doi.org/10.1111/ijun.70073","url":null,"abstract":"","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"20 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149146695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating Adherence to Enhanced Recovery After Surgery (ERAS) Protocols in Laparoscopic Nephrectomy: A Retrospective Two-year Cohort Study","authors":"Christina Ravndrup,&nbsp;Trine P. Hansen,&nbsp;Peter B. Hjort,&nbsp;Jacob B. Nielsen,&nbsp;Susanne A. Rasmussen,&nbsp;Bente T. Jensen","doi":"10.1111/ijun.70072","DOIUrl":"https://doi.org/10.1111/ijun.70072","url":null,"abstract":"","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"20 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149048181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fluid Balance—A Fundamental Component of Nursing Care and the Treatment of the Frail Patient","authors":"Maja Maria Rudkjøbing Pedersen,&nbsp;Camilla Bredahl,&nbsp;Louise Faurholt Øbro","doi":"10.1111/ijun.70071","DOIUrl":"https://doi.org/10.1111/ijun.70071","url":null,"abstract":"","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"20 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149048180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Evolving Role of Perioperative Nurses in Retrograde Intrarenal Surgery: A Narrative Review","authors":"Yananan Ratanatherawichian,&nbsp;Benjamas Preechakoon,&nbsp;Pitchayapa Vassara,&nbsp;Phongthara Vichitvejpaisal","doi":"10.1111/ijun.70070","DOIUrl":"https://doi.org/10.1111/ijun.70070","url":null,"abstract":"<div>\u0000 \u0000 <p>Retrograde intrarenal surgery (RIRS) is an established minimally invasive approach for the management of renal stones. As the procedure has become increasingly technology-dependent, perioperative nurses have assumed broader responsibilities in patient preparation, intraoperative coordination, safety management and postoperative surveillance. This structured narrative review examined the evolving role of perioperative nurses in RIRS. PubMed, CINAHL and Scopus were searched for English-language literature published between January 2015 and December 2024 using terms related to RIRS, flexible ureteroscopy, perioperative nursing, patient safety, infection prevention, laser safety, training, competency and digital innovation. To maintain clinical relevance, selected major guideline documents and key publications published up to 2026 were also incorporated where directly relevant to current RIRS practice. Eligible sources included guidelines, reviews and original studies relevant to perioperative nursing and endourological care. The literature was synthesised thematically. As a narrative review, formal risk-of-bias assessment was not undertaken. The literature consistently identified perioperative nursing contributions in preoperative assessment and education, equipment preparation, infection prevention, laser safety, intraoperative workflow coordination, patient positioning and postoperative monitoring. However, most available evidence was procedure-focused rather than nursing-specific, and direct evaluation of nurse-led interventions in RIRS remained limited. Current evidence supports the clinical relevance of perioperative nursing practice, but measurable outcome data linked specifically to nursing actions is still insufficient. Perioperative nurses play an important role across the RIRS pathway by supporting procedural safety, team coordination and recovery-oriented care. Their contribution is especially relevant to infection prevention, laser safety, positioning and postoperative surveillance. Future research should move beyond descriptive accounts and evaluate the measurable impact of perioperative nursing interventions on infectious complications, workflow efficiency and patient recovery.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"20 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149048065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Service Redesign and Capacity Improvement Through Nurse Practitioner Role Expansion in Prostate Cancer Diagnostics in a District General Hospital","authors":"Kathlene Rose Gumahad,&nbsp;Katarina Bunce,&nbsp;Terri Hess,&nbsp;Mudassir Hussain,&nbsp;Sarosh Janardanan,&nbsp;Michael Mikhail","doi":"10.1111/ijun.70068","DOIUrl":"https://doi.org/10.1111/ijun.70068","url":null,"abstract":"","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"20 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148993967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urinary Incontinence, Pads and Health-Related Quality of Life After Robot-Assisted Radical Prostatectomy","authors":"Kansuke Kawaguchi","doi":"10.1111/ijun.70069","DOIUrl":"https://doi.org/10.1111/ijun.70069","url":null,"abstract":"<div>\u0000 \u0000 <p>Robot-assisted radical prostatectomy is a widely used treatment for prostate cancer but is associated with postoperative urinary incontinence, which may necessitate the use of pads and ultimately affect health-related quality of life. Studies suggest that postoperative urinary incontinence and pad usage may negatively affect cancer-specific and urinary health-related quality of life. However, the relationship between general health-related quality of life and postoperative urinary incontinence remains unclear. This study examined the relationship between the frequency of postoperative urinary incontinence, number of pads used and general health-related quality of life within the first year after robot-assisted radical prostatectomy. A prospective survey was conducted preoperatively with 90 patients who underwent robot-assisted radical prostatectomy. Data were collected preoperatively and at 1, 3, 6, 9 and 12 months postoperatively using a self-administered questionnaire. Outcome measures included the frequency of urinary incontinence, number of pads and 8-item Short-Form Health Survey scores for general health-related quality of life assessment. Analysis of covariance was used to compare the Short-Form Health Survey scores based on frequency of urinary incontinence and pad usage. Almost all participants experienced frequent urinary incontinence and required multiple pads within 1 month after surgery. Although postoperative urinary incontinence decreased over time, approximately 70.0% of the patients continued to experience urinary incontinence or used pads 1 year after robot-assisted radical prostatectomy. However, no significant differences were observed in Short-Form Health Survey scores based on the frequency of urinary incontinence and pad usage used at each postoperative timepoint. These findings suggest that the frequency of postoperative urinary incontinence and pad usage may not be related to general health-related quality of life assessment. Along with long-term continence care, general health-related quality of life assessment may be improved by supporting daily living despite urinary incontinence and pad use.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"20 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148994169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing Documentation in Hospitalised Adults With an Indwelling Urinary Catheter: Retrospective Study","authors":"Rhe Perdue,&nbsp;Anna C. Quon","doi":"10.1111/ijun.70066","DOIUrl":"https://doi.org/10.1111/ijun.70066","url":null,"abstract":"<div>\u0000 \u0000 <p>Is there a relationship between required documentation and patient outcomes? Hospitals routinely conduct chart audits with no evidence that it improves patient outcomes. Using CAUTI as an exemplar, we explored if more complete required documentation is related to improved CAUTI outcomes. No research could be identified directly comparing documentation and patient outcomes. There is secondary evidence that suggests documentation is not related to patient outcomes. A 5-year retrospective chart review of nursing care documentation in 250 adult medical/surgical and intensive care patients with an indwelling urinary catheter, half with a catheter acquired urinary tract infection and half without, was executed. Required nursing care documentation included catheter continuation reason, catheter care, and catheter care post bowel movement. Differences in total nursing care shifts, total nursing care opportunities, and total bowel movements were examined. A Mann–Whitney <i>U</i> test was performed to compare nursing documentation differences between groups who did and did not develop a CAUTI. Overall non-compliance with individual or bundled charting requirements was high in those who did and did not develop a CAUTI post catheter placements. Charting compliance was generally comparable in both groups. However, of the three required charting components, a statistically significant group difference for charting compliance was found for cleaning post bowel movements. Other significant group differences included total bowel movements, total nursing shifts, and total care opportunities, with the CAUTI group having significantly more of each. Hospitals expend significant resources to improve charting compliance through audits and feedback. Most of this study's results suggest nursing care documentation is not necessarily associated with patient outcomes, and that process compliance alone should not necessarily be prioritised. However, cleaning post bowel movement is an important CAUTI prevention strategy and should be evaluated to be added to the CDC CAUTI bundle. Continued research is needed to determine if nurse documentation burden could be decreased considering the lack of clearly associated patient impact.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"20 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148942645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of Urinary Incontinence in Women Who Are Peri-Menopausal: A Systematic Review","authors":"Sharon Stanton","doi":"10.1111/ijun.70067","DOIUrl":"https://doi.org/10.1111/ijun.70067","url":null,"abstract":"<p>Urinary incontinence is commonly experienced by women during midlife and the menopausal transition. Urinary incontinence can be an unpleasant and distressing condition, with many women perceiving it as a normal part of ageing or life stage, which may contribute to underreporting and delayed engagement with healthcare professionals. The impact of urinary incontinence is complex and extends across physical, psychological, social, and functional domains, with implications for quality of life. Despite this, limited attention has been given to understanding women's experiences of urinary incontinence during the peri-menopausal transition. Therefore, there is a clinical need to synthesise the qualitative evidence exploring the lived experience of urinary incontinence in peri-menopausal women. The PRISMA 2020 guidelines were used to conduct a systematic search of qualitative literature across five databases (CINAHL, Cochrane Library, MEDLINE, PsycINFO, and Scopus). Study selection was guided by predefined inclusion and exclusion criteria. As no studies met the inclusion criteria, methodological quality appraisal was not undertaken. A total of 69 studies were identified, with 62 screened for eligibility following removal of duplicates. No studies met the inclusion criteria for this review. The absence of eligible studies highlights a critical gap in the current literature. While existing research demonstrates that urinary incontinence is prevalent and associated with significant impact in midlife women, this evidence is predominantly derived from quantitative studies using structured measures of symptoms and quality of life. As a result, the lived experience of urinary incontinence in peri-menopausal women remains unexplored. Further qualitative research is required to understand how women experience, interpret, and manage urinary incontinence during the peri-menopausal transition. Such research is essential to inform more responsive, person-centred approaches to care and to better align clinical management with women's needs and experiences.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"20 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.70067","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148696138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}