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    Karen Presentation

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    Copyright:

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    Download as pptx, pdf, or txt
    11 views23 pages

    Karen Presentation

    Uploaded by

    neggie.yambao10

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 23

    .

    THE URINARY CATHETER


    PASSPORT
    Presenter:

    Karen Mae T. Elca BN 3651


    Staff Nurse I – Women’s Health Unit
    “A QUALITATIVE STUDY
    EXPLORING THE VALUE OF A
    CATHETER PASSPORT”
    THE PROBLEM
    • A urinary catheter can be very frustrating to patients, they may feel anxious and
    disempowered especially if the catheter is prescribed to be kept longer than their
    hospital stay. Healthcare professionals need to provide support, reassurance and
    information to patients leaving the hospital with catheter in order to receive
    optimum care standards and experience.

    • Inadequate support on discharge from hospital means that patients’ physical and
    practical needs are often unmet, compromising patient safety.

    • Evidence also suggest that healthcare providers from the community receive
    patients from hospital without a clear information of the patient’s catheter care
    plan.
    SIGNIFICANCE OF THE PROBLEM

    • Currently, we have no clear guidelines for discharging patients with indwelling


    catheter. Providing patient information on discharge is essential to ensure safe, high-
    quality care for patient by improving communication between patients, nursing staff
    and hospitals.

    • Dangers of infections associated with catheters are well reported and catheter-
    associated urinary tract infections (CAUTIs) can result in extended and costly re-
    admission to hospital care.
    GOALS
    • To develop an evidence-based tool that will increase patients' understanding on
    urethral catheter use, promote self-care and management and to improve
    communication between healthcare provider when the patient passes from one
    healthcare provider to another, from the hospital to the community, throughout
    the patient’s catheter journey, within the year 2023.

    • To establish a clear guidelines for discharging patients with indwelling catheter


    within the year 2023.
    INITIAL EBP QUESTION:

    In all adult male and female patients to be discharged with indwelling catheter,
    how can the existing information gap be bridged, promote self-care and help
    patients adjust to their catheter and improve hand-over communication between
    healthcare providers?
    PICO QUESTION
    P - All adult male and female patients to be discharged with indwelling catheter.

    I - Hand-over communication between healthcare providers

    C - N/A

    O - Self-care, catheter care, improve care, patient experience, CAUTI


    REVISED EBP QUESTION:

    How can the patient-held urinary catheter passport promote self-care and bridge the
    existing information gap between healthcare providers in all adult male and female
    patients discharged with indwelling catheter?
    METHODOLOGY

    Literature search

    4 articles were found

    2 were excluded
    Research Evidence/Qualitative
    Level III/High Quality
    2 supported the use of catheter passport
    Non-Research Evidence (QI Report)
    Level V/Good Quality
    SYNTHESIS
    • Based on the synthesis the overall characteristics of the body of evidences, both
    studies were found with strong/good and compelling evidences, consistent
    results. They both supported the use of patient-held catheter passport to
    promote patient engagement, self-care and to improve communication among
    healthcare providers.

    • No evidence of inconsistencies found among the 2 articles.


    RECOMMENDATION

    Recommendations are reliable; evaluate for organizational translation.


    PILOT PHASE

    Setting: All adult in-patient units

    Population: All male and female to be discharged with indwelling catheter


    (Foley’s catheter and suprapubic catheter)

    Exclusion Criteria: Pediatric patients, patients discharged on clean intermittent


    catheterization

    Time Frame: 90 days (Aug-Oct 2023)


    THE PASSPORT
    PATIENT AND STAFF FEEDBACK
    Now the thing is more easy after I received information from the passport. This makes
    me feel comfortable and confident in managing my catheter at home. I will also share
    this to my family members so they will also learn how to take care of my catheter.
    Patient 01

    This passport is a good idea. There was one time when my catheter size was wrongly
    changed. I am using size 14 and the nurse inserted size 16 and I experienced bladder
    discomfort. I will bring this passport to my next appointment as a reference for correct
    catheter placement.
    Patient 02
    PATIENT AND STAFF FEEDBACK
    Some of the patients we receive on admission from other hospital with either Foley
    catheter or suprapubic catheter are not aware of the important details about their
    catheter. They forgot when the last catheter insertion was and when the next due catheter
    change is. This passport will provide us with vital information the patient and/or the
    family may not be able to provide and this will ensure safe continuity of care.
    Staff Nurse 01

    The passport is a very essential source of information for the receiving facility when we
    discharge the patient with indwelling urinary catheter. It will provide them accurate
    catheterization details that supports a safe continuity of patient care.
    Staff Nurse 02
    PATIENT
    TESTIMONIAL
    VIDEO
    EBP UPDATE AFTER THE PILOTING PHASE
    7 patients were given out the passport prior to discharge:

    4 patients – utilized the passport (signed by the community nurse) after one month
    follow up

    1 patient – the community refused to sign the passport as reported by the patient

    2 patient - did not pick up the follow up phone call after one month
    EBP UPDATE AFTER THE PILOTING PHASE
    - The passport is now in to be fully implemented in all patients to be discharged with
    indwelling catheter (Foley’s catheter or suprapubic catheter)

    - The passport is integrated in the P&P and in Continence Care and Management
    Pathway
    EBP CORE TEAM

    Team Leader: Ms. Rhez Plando, Continence Nurse Specialist


    Team Members:
    • Mr. Melvin Mateo, Staff Nurse, Brain Injury Unit
    • Ms. Fatima Ibrahim, Diabetic Educator

    Reviewer: Dr. Khalid Al Saadon, Consultant Urologist


    Thank you!

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