Attitudes among junior doctors towards improving the transurethral catheterisation process

Objectives To evaluate the subjective opinions of junior doctors on their adequacy of training and confidence levels for performing transurethral catheterisation (TUC) and to investigate their subjective interest in a ‘safety mechanism’ that would eliminate the potential for urethral trauma during T...

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Bibliographic Details
Published in:Irish journal of medical science 2015-06, Vol.184 (2), p.365-367
Main Authors: Davis, N. F., Mooney, R. O. C., O’Brien, M. F., Walsh, M. T.
Format: Article
Language:English
Subjects:
Attitude of Health Personnel
Data Collection
Family Medicine
General Practice
Humans
Incidence
Internal Medicine
Ireland
Male
Medical Staff, Hospital - education
Medical Staff, Hospital - statistics & numerical data
Medicine
Medicine & Public Health
Middle Aged
Original Article
Urethra
Urinary Catheterization - methods
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Summary:Objectives To evaluate the subjective opinions of junior doctors on their adequacy of training and confidence levels for performing transurethral catheterisation (TUC) and to investigate their subjective interest in a ‘safety mechanism’ that would eliminate the potential for urethral trauma during TUC. Methods An anonymous online survey was emailed to all interns that had a documented email address on the Royal College of Surgeons Ireland registry (2012–2013). The survey consisted of eight questions pertaining to TUC of male patients. Results The survey was delivered to 252 email addresses and the response rate was 52 % (130/252). The vast majority (99 %; n  = 128) of interns felt confident inserting a transurethral catheter independently and 73 % ( n  = 95) subjectively received appropriate training for catheterising male patients. The incidence of trauma after mistakenly inflating the catheter’s anchoring balloon in the urethra was 3 % ( n  = 4). The majority (90 %; n  = 116) of respondents were interested in a safety mechanism for preventing urethral trauma and 71 % ( n  = 92) felt that a safety mechanism for urethral trauma prevention should be compulsory for all transurethral catheterisation among male patients. Conclusion Despite pre-emptive training programmes, it appears that iatrogenic urethral trauma secondary to TUC remains a persistent morbidity in healthcare settings. Designing a safer transurethral catheter may be necessary to eliminate the risk of unnecessary urethral trauma in patients.
ISSN:0021-1265
1863-4362
DOI:10.1007/s11845-014-1120-5