Empowering Nursing Practices: Enhancing Patient Care Through Knowledge, Attitude and Practice Towards Urinary Catheterisation in Taicang City.
Lihong Zhang, Hong Zhang, Yaxuan Wang and 4 others
PMID 39639465WHAT IT FOUND
Nurses showed moderate knowledge and positive attitudes towards urinary catheterisation, but specific gaps remained.
Only 12.88% correctly identified that persistent urinary tract infections are not a suitable indicator for catheterisation. Knowledge and attitude both predicted better practice.
Key findings
01Most nurses erroneously considered persistent urinary tract infections and bedridden status as indicators for catheterisation, with only 12.88% accuracy on the infection item.
02Structural equation modelling showed that knowledge and attitude had direct significant effects on practice, but knowledge did not significantly predict attitude.
03Nurses generally agreed that catheter removal assessment is equally important for doctors and nurses, with 56.22% supporting this shared role.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Single-centre study in China, limiting generalisability to other healthcare systems or regions. Reliance on self-reported data, which may be subject to social desirability bias. Sample size of 233 valid responses was lower than the 439 approached due to exclusions. Participants were predominantly female and undergraduate-educated, potentially limiting applicability to other demographic groups.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not assume that high practice scores equate to safe or necessary catheter use. The study found significant knowledge gaps regarding indications for insertion, meaning nurses may be performing catheterisation correctly but for patients who do not need it.