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A guideline for adults with an indwelling urinary catheter in different health care Settings - methodological
Isabelle Barbezat1, Rita Willener2, Giovanna Jenni3
11 Bereich Fachentwicklung, Direktion Pflege / MTT, Insel Gruppe, Bern.
Insights
Adapting an existing guideline for indwelling urinary catheter care to the Swiss context is a viable, though resource-intensive, alternative to de novo development. This process ensures evidence-based practice for catheter management.
Area of Science:
- Nursing
- Clinical Practice Guidelines
- Healthcare Management
Background:
- Indwelling urinary catheters are associated with frequent complications.
- Healthcare professionals require clear guidance for effective catheter management.
- Clinical guidelines are essential for evidence-based healthcare practices.
Purpose of the Study:
- To translate and adapt an existing guideline for indwelling urinary catheter care.
- To tailor the guideline for the specific context of Switzerland.
- To provide comprehensive care recommendations for acute, long-term, and home settings.
Main Methods:
- Systematic and pragmatic approach to guideline adaptation.
- Identification of clinical questions and evaluation of existing guidelines.
- Expert review and iterative refinement of the adapted guideline.
Main Results:
- Successful translation and adaptation of an English guideline for urinary catheter care.
- The adapted guideline was reviewed, revised, and approved by experts.
- The project spanned 34 months, requiring 145 person-working days.
Conclusions:
- Guideline adaptation is an effective alternative to de novo guideline development.
- Significant professional and methodological resources are crucial for successful adaptation.
- A dedicated team is essential for efficient guideline development and implementation.
Abstract:
Background: People with an indwelling urinary catheter often suffer from complications and health care professionals are regularly confronted with questions about catheter management. Clinical guidelines are widely accepted to promote evidence-based practice. In the literature, the adaptation of a guideline is described as a valid alternative to the development of a new one. Aim: To translate a guideline for the care for adults with an indwelling urinary catheter in the acute and long term care setting as well as for home care. To adapt the guideline to the Swiss context. Method: In a systematic and pragmatic process, clinical questions were identified, guidelines were searched and evaluated regarding clinical relevance and quality. After each step, the next steps were defined. Results: An English guideline was translated, adapted to the local context and supplemented. The adapted guideline was reviewed by experts, adapted again and approved. After 34 months and an investment of a total of 145 man working days, a guideline for the care for people with an indwelling urinary catheter is available for both institutions. Conclusions: Translation and adaptation of a guideline was a valuable alternative to the development of a new one; nevertheless, the efforts necessary should not be underestimated. For such a project, sufficient professional and methodological resources should be made available to achieve efficient guideline work by a constant team.