Resident Performance in Complex Simulated Urinary Catheter Scenarios

Abstract Introduction Urinary catheter insertion is a common procedure performed in hospitals. Improper catheterization can lead to unnecessary catheter associated urinary tract infections and urethral trauma, increasing patient morbidity. To prevent such complications, guidelines were created on ho...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of surgical research 2016-09, Vol.205 (1), p.121-126
Main Authors: Nathwani, J.N., MD, Law, K.E., MS, Ray, R.D., PhD, O’Connell Long, B.R., BS, Fiers, R.M, D'Angelo, A.D, DiMarco, S.M., BA, Pugh, C.M., MD, PhD
Format: Article
Language:English
Subjects:
Clinical Competence - statistics & numerical data
Female
Humans
Internship and Residency - statistics & numerical data
Male
Surgery
Surgical assessment
Surgical education
Urinary catheterization
Urinary Catheterization - standards
Urinary Catheterization - statistics & numerical data
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Introduction Urinary catheter insertion is a common procedure performed in hospitals. Improper catheterization can lead to unnecessary catheter associated urinary tract infections and urethral trauma, increasing patient morbidity. To prevent such complications, guidelines were created on how to insert and troubleshoot urinary catheters. As nurses have an increasing responsibility for catheter placement, resident responsibility has shifted to more complex scenarios. This study examines the clinical decision making skills of surgical residents during simulated urinary catheter scenarios. We hypothesize that during urinary catheterization, residents will make inconsistent decisions relating to catheter choices and clinical presentations. Methods Forty-five general surgery residents (PGY 2-4) in Midwest training programs were presented with three of four urinary catheter scenarios of varying difficulty. Residents were allowed 15 minutes to complete the scenarios with five different urinary catheter choices. A Chi Square test was performed to examine the relation between initial and subsequent catheter choices and to evaluate for consistency of decision making for each scenario. Results 82% of residents performed scenario A; 49% performed scenario B; 64% performed scenario C and 82% performed scenario D. For initial attempt for scenario A-C, the 16 French Foley catheter was the most common choice (38%, 54%, 50%, p's
ISSN:0022-4804
1095-8673
DOI:10.1016/j.jss.2016.06.021