Patient and community nurse perspectives on recruitment to a randomized controlled trial of urinary catheter washout solutions.
Ashley Shepherd, Emma Steel, Anne Taylor and 2 others
PMID 31367414WHAT IT FOUND
Patients and community nurses worried a catheter washout trial would stop helpful washouts or add weekly bladder interruptions.
Nurses saw randomization as the main barrier; patients who agreed did so when they expected personal benefit or helping others.
Key findings
01Community nurses' concerns fell into three themes: randomization, removing treatment patients found beneficial, and temporary extra nurse contact.
02Patients who agreed to hypothetical trial participation cited perceived personal benefit, benefiting others, or indifference.
03Patients unsure or unwilling were mainly concerned that randomization could withdraw beneficial washouts or make weekly washouts intrusive.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Participants were from Scotland only, so views may not represent other health systems. The trial was hypothetical; no patients were randomized, and no washout outcomes were measured. Only 11 patients were interviewed, so this is not evidence of how many patients would refuse or agree. No member checking was done.
Declared interests
No conflict of interest was noted for any author.
The easy way to misread this
Do not treat these acceptance themes as proof that weekly washouts reduce blockages or infections. No washout outcomes were measured, and the trial was hypothetical.