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Preventing IUC infections in Tanzanian patients; nurses´knowledge, clinical practice and patients´views
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
2008 (English)In: International Journal of Urological Nursing, ISSN 1749-7701, Vol. 2, no 1, 33-41 p.Article in journal (Refereed) Published
Abstract [en]

Nosocomial infections related to indwelling urinary catheters (IUC) are   a worldwide problem. While this is true in areas of the globe where   care facilities are optimal, it is even more the case that in countries   where care conditions are compromised or when practice is lacking a   substantial knowledge base. The primary aim of this study was to   investigate nurses' knowledge and clinical practise regarding care of patients with IUC in preventing nosocomial infections in four hospitals   in Tanzania. Additionally, the study investigated patients' views about   received care relating to the presence of an IUC. Registered and   enrolled nurses (n = 135) working in four hospitals in Dar-es-Salaam   municipality completed a questionnaire about IUC procedures. Four nurse   students performed bedside observations of nurses (n = 127) on the care   for patients with IUC. Sixty patients were interviewed about their   views of the care given in relation to IUC. The nurses' overall   knowledge was good, but there was a discrepancy between knowledge and   clinical practice. Hand washing prior to care for patients with IUC was   poor due to lack of water and soap. Half of the patients experienced   problems; haematuria, offensive smell, pus around the catheter and   swelling of the scrotum in male patients. Patients expressed   frustration regarding the care of IUC. There was a shortage of trained   hospital staff, shortage of beds to the extent that patients had to   share beds and appropriate equipment was not available. Although the   nurses' knowledge in IUC care was relatively good, the nursing care for   patients with IUC in the studied hospitals ought to be improved. This   can be done by developing evidence-based, culturally congruent   guidelines for assurance of quality care. Many of the problems that   were considered to increase the risk of nosocomial infections were   identified as being related to the logistics of the wards and lack of   staff. Therefore, on the strength of these findings, it is recommended   that unnecessary use of IUC should be avoided particularly where weak   infrastructure has been identified.

Place, publisher, year, edition, pages
2008. Vol. 2, no 1, 33-41 p.
Keyword [en]
Developing countries, Indwelling urinary catheters, Infrastructure, Nosocomial infections, Prevention
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-124621DOI: 10.1111/j.1749-771X.2008.00044.xISI: 000268963600005OAI: oai:DiVA.org:uu-124621DiVA: diva2:317782
Available from: 2010-05-05 Created: 2010-05-05 Last updated: 2011-05-18Bibliographically approved

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