Training of nurses on Foley catheter insertion in intensive care unit patients: limits and possibilities

Backgound and Objectives: Nursing has an important role in urinary tract infection prevention and control. Urinary catheters insertion represents the local topography with the highest rate of hospital infection. Foley catheter placement is performed solely by the nurse and requires aseptic techniqu...

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Main Author: Magno Conceição Merces
Format: Article
Language:Portuguese
Published: Universidade de Santa Cruz do Sul 2013-04-01
Series:Revista de Epidemiologia e Controle de Infecção
Online Access:https://online.unisc.br/seer/index.php/epidemiologia/article/view/3157
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author Magno Conceição Merces
author_facet Magno Conceição Merces
author_sort Magno Conceição Merces
collection DOAJ
description Backgound and Objectives: Nursing has an important role in urinary tract infection prevention and control. Urinary catheters insertion represents the local topography with the highest rate of hospital infection. Foley catheter placement is performed solely by the nurse and requires aseptic techniques during its performance, thus preventing risks to the patients. The study aimed to evaluate the training of nurses on Foley catheter insertion and point out limits and possibilities of this practice in patients at the Intensive Care Unit (ICU) of Hospital Geral do Interior da Bahia (HGIB). Methods: This was a qualitative, exploratory and descriptive study. Data collection was carried out through semi-structured interviews. After data analysis, two categories were evaluated, namely: the training of nurses on Foley catheter insertion in ICU patients and the limits and possibilities of Foley catheter insertion practice by nurses in ICU patients. Bardin analysis was used for data analysis. Results: The study shows that the nurse’s practice on Foley catheter insertion in ICU patients is based on the use of aseptic techniques for urinary tract infection prevention, theoretical and practical knowledge on Foley catheter insertion in ICU patients, knowledge on urinary tract infections and associations with catheter insertion, whereas the limits and possibilities of Foley catheter insertion practice by nurses are understood through measures to minimize the risk of hospital infection caused by long-term catheter use in the ICU. Nurses point out that the risks of hospital infection are inherent to long-term catheter use. This is an important fact, as the knowledge or its absence may constitute a limit or possibility for Foley catheter insertion practice by the nurse in ICU patients. Conclusion: Nurses must seek the systematization of knowledge, which warrants support for the team, as well as information, safety and prompt care, allowing the reduction of urinary tract infection rates and its complications in critically-ill patients. Training of the multidisciplinary team is necessary, as well as continuing education, interaction and communication with the medical team and the Hospital Infection Control Committee (CCIH) to prevent and fi ght against hospital infections. KEYWORDS: Nursing. Hospital Infection Control. Intensive Care Unit. Catheter Folley.
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spelling doaj.art-2ac889a277ec41e98410ef42045c17c42022-12-22T03:48:02ZporUniversidade de Santa Cruz do SulRevista de Epidemiologia e Controle de Infecção2238-33602013-04-0132556110.17058/reci.v3i2.31571875Training of nurses on Foley catheter insertion in intensive care unit patients: limits and possibilitiesMagno Conceição MercesBackgound and Objectives: Nursing has an important role in urinary tract infection prevention and control. Urinary catheters insertion represents the local topography with the highest rate of hospital infection. Foley catheter placement is performed solely by the nurse and requires aseptic techniques during its performance, thus preventing risks to the patients. The study aimed to evaluate the training of nurses on Foley catheter insertion and point out limits and possibilities of this practice in patients at the Intensive Care Unit (ICU) of Hospital Geral do Interior da Bahia (HGIB). Methods: This was a qualitative, exploratory and descriptive study. Data collection was carried out through semi-structured interviews. After data analysis, two categories were evaluated, namely: the training of nurses on Foley catheter insertion in ICU patients and the limits and possibilities of Foley catheter insertion practice by nurses in ICU patients. Bardin analysis was used for data analysis. Results: The study shows that the nurse’s practice on Foley catheter insertion in ICU patients is based on the use of aseptic techniques for urinary tract infection prevention, theoretical and practical knowledge on Foley catheter insertion in ICU patients, knowledge on urinary tract infections and associations with catheter insertion, whereas the limits and possibilities of Foley catheter insertion practice by nurses are understood through measures to minimize the risk of hospital infection caused by long-term catheter use in the ICU. Nurses point out that the risks of hospital infection are inherent to long-term catheter use. This is an important fact, as the knowledge or its absence may constitute a limit or possibility for Foley catheter insertion practice by the nurse in ICU patients. Conclusion: Nurses must seek the systematization of knowledge, which warrants support for the team, as well as information, safety and prompt care, allowing the reduction of urinary tract infection rates and its complications in critically-ill patients. Training of the multidisciplinary team is necessary, as well as continuing education, interaction and communication with the medical team and the Hospital Infection Control Committee (CCIH) to prevent and fi ght against hospital infections. KEYWORDS: Nursing. Hospital Infection Control. Intensive Care Unit. Catheter Folley.https://online.unisc.br/seer/index.php/epidemiologia/article/view/3157
spellingShingle Magno Conceição Merces
Training of nurses on Foley catheter insertion in intensive care unit patients: limits and possibilities
Revista de Epidemiologia e Controle de Infecção
title Training of nurses on Foley catheter insertion in intensive care unit patients: limits and possibilities
title_full Training of nurses on Foley catheter insertion in intensive care unit patients: limits and possibilities
title_fullStr Training of nurses on Foley catheter insertion in intensive care unit patients: limits and possibilities
title_full_unstemmed Training of nurses on Foley catheter insertion in intensive care unit patients: limits and possibilities
title_short Training of nurses on Foley catheter insertion in intensive care unit patients: limits and possibilities
title_sort training of nurses on foley catheter insertion in intensive care unit patients limits and possibilities
url https://online.unisc.br/seer/index.php/epidemiologia/article/view/3157
work_keys_str_mv AT magnoconceicaomerces trainingofnursesonfoleycatheterinsertioninintensivecareunitpatientslimitsandpossibilities