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Feasibility Testing of a Nurse-Invented Urinary Drainage Bag Securement Device
Karen Meade1, Bridgette Kreuz, Loraine Sinnott
1Author Affiliations: Clinical Nurse Specialist (Ms Meade), Gynecology Oncology & Urology, James Cancer Hospital and Solove Research Institute, The Ohio State University Wexner Medical Center; Occupational Therapist (Dr Kreuz), OhioHealth; Consulting Research Statistician (Dr Sinnott), Data Coordination and Analysis Center, College of Optometry, The Ohio State University; Clinical Quality and Patient Safety Coordinator (Ms Kuhn), James Cancer Hospital and Solove Research Institute; Clinical Nurse Specialist-Acute Care Nursing (Dr Potts) and Clinical Nurse Specialist-Surgical (Ms Ring), The Ohio State University Wexner Medical Center East Hospital; and Nurse Consultant (Dr Brown), Zenith Healthcare Solutions, Columbus, Ohio.
The Bag Below Bladder (B3) Buddy device is highly acceptable and usable for securing urinary drainage bags during patient ambulation. This nurse-invented device shows promise for improving patient mobility and care.
Area of Science:
- Nursing Innovation
- Medical Device Usability
- Patient Mobility Aids
Background:
- Urinary drainage bags can impede patient ambulation.
- Securement devices are needed to facilitate safe patient movement.
- Nurse-led inventions can address clinical challenges.
Purpose of the Study:
- To evaluate the feasibility of the Bag Below Bladder (B3) Buddy.
- To assess the usability and acceptability of the B3 Buddy for securing urinary drainage bags.
- To determine the device's effectiveness during patient ambulation.
Main Methods:
- An intervention study involving patient-clinician dyads.
- Participants ambulated at least 90 feet in an inpatient setting with the B3 Buddy.
- Validated tools (Acceptability of Implementation Measure, System Usability Scale) were used for data collection.
Main Results:
- All 21 patients found the B3 Buddy acceptable (95% CI: 83.9%-100%), exceeding the 70% threshold.
- Clinicians reported high usability, with an average System Usability Scale (SUS) score of 90.1 (95% CI: 84.9-95.3).
- Higher SUS scores were noted for clinicians with bachelor's degrees and registered nurses.
Conclusions:
- The B3 Buddy device is acceptable and usable for end-users.
- The findings support the feasibility of the B3 Buddy for clinical use.
- The inventors are seeking manufacturing partnerships for further development.

