TUBITAK Destekli Projelerden Çıkan Yayınlar Topluluğu
Published January 1, 2025 | Version v1
Journal article Open

Knowledge and self-confidence of healthcare workers to perform transurethral catheterization: a matter deserving attention!

Creators

  • 1. Istanbul Medipol Univ, Sch Med, Istanbul, Turkiye
  • 2. Goztepe Prof Dr Suleyman Yalcin City Hosp, Dept Urol, Istanbul, Turkiye
  • 3. Medipol Mega Univ Hosp, Istanbul Medipol Univ, Fac Med, Dept Urol, Istanbul, Turkiye
  • 4. Istanbul Medipol Univ, Pendik Hlth Applicat & Res Ctr, Urol Clin, Istanbul, Turkiye
  • 5. Istanbul Medipol Univ, Fac Med, Sefakoy Hlth Applicat & Res Ctr, Dept Urol, Istanbul, Turkiye
  • 6. Istanbul Medipol Univ, Kosuyolu Medipol Hosp, Fac Med, Dept Urol, Istanbul, Turkiye
  • 7. Istanbul Medipol Univ, Multi Design & Anal Studio MODAS SABITA, Istanbul, Turkiye
  • 8. Istanbul Medipol Univ, Int Sch Med, Istanbul, Turkiye

Description

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. Trial registry: ClinicalTrials.gov NCT05334225

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