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Published on: July 13, 2019
Paediatric catheterisation: exploring and understanding children's nurses' perceptions and practice in an acute
Lucy Bray1, Caroline Sanders, Anita Flynn
1Evidence-based Practice Research Centre, Edge Hill University, Ormskirk, UK. brayl@edgehill.ac.uk
Journal of Clinical Nursing
|November 3, 2010
Summary
Children's nurses struggle with urethral catheterization confidence despite training. Lack of practice and fear of litigation are key barriers, suggesting targeted training is needed for pediatric nurses.
Area of Science:
- Pediatric Nursing
- Clinical Skills Training
- Urethral Catheterization
Background:
- Limited evidence exists on children's nurses' clinical skills training effectiveness.
- The impact of competencies and educational documents on pediatric nursing practice is unclear.
- There is a need to inform training programs in acute pediatric settings.
Purpose of the Study:
- To explore factors influencing children's nurses' ability to perform urethral catheterization.
- To identify barriers and facilitators to competency in pediatric catheterization.
- To inform the design of future pediatric nursing training programs.
Main Methods:
- A mixed-methods study utilizing questionnaires and focus groups.
- Data collected from 34 nurses via questionnaires (88% response rate).
- Two focus groups with 10 trained children's nurses explored influencing factors.
Main Results:
- Barriers included lack of exposure, awareness of litigation, and specialist roles.
- Most nurses felt training improved knowledge/skills, yet only 55% felt confident.
- Confidence in performing urethral catheterization remains a challenge for pediatric nurses.
Conclusions:
- Comprehensive training may not guarantee competency in infrequent skills like catheterization.
- Resources may be better allocated to ensure optimal care for children and families.
- Maintaining competency in infrequently used skills is a challenge for multi-skilled pediatric nurses.
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