Related Experiment Video
Updated: Jun 17, 2025

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
Published on: June 16, 2022
Nurse-Driven Process for the Successful Removal of Urinary Catheters Among Elderly Patients After Hip Fracture
Lissa Vazhayil Joseph1, Joyce Sb Koh, Juriyah Yatim
1Author Affiliations: Nursing Division (Drs Joseph and Yatim), Department of Orthopaedic Surgery (Dr Koh), Geriatric Medicine (Dr Mamun), Singapore General Hospital, Singapore City, Singapore; and Duke University School of Nursing, Health Systems and Analytics Division, Durham VAHSC GRECC (Dr Hendrix), Durham, North Carolina.
Background:
Hip fracture is a major health concern and the use of an indwelling urinary catheter (IUC) constitutes a significant burden on elderly patients undergoing hip fracture surgery.
Local Problem:
The institution had a high rate of urinary tract infection (UTI) and IUC reinsertion after hip fracture surgery.
Methods:
A pre/post-implementation design was used for this quality improvement initiative.
Interventions:
A nurse-driven process was developed and implemented to improve the successful removal of IUC among patients after hip fracture surgery.
Results:
There was a significant reduction in post-operative urinary retention ( P = .042), UTI rate ( P = .047), and IUC reinsertion ( P = .042) in the post-implementation group. IUC duration decreased by 1.1 days, however this was not significant ( P = .206). Nurse compliance with following the new process was 93.3%.
Conclusion:
The nurse-driven process designed for elderly patients following hip fracture surgery presents a promising approach to reducing IUC reinsertion rates and UTI.
More Related Videos
Related Concept Videos
Suctioning the Nasopharyngeal Airway
Equipment Required
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Tracheostomy Suctioning II: Procedure
Suctioning the Oropharyngeal Airway
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
Tracheostomy Care I: Pre-procedural Steps
Required Equipment
The equipment necessary for tracheostomy care includes:
Tracheostomy Care II: Procedure
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...

