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Background <p>Patients may suffer from the sequela of complicated transurethral catheterization (TUC) such as urethral injury, infection, and stricture formation. We assessed the self-confidence, knowledge, and experience of healthcare professionals performing TUC. </p> Methods <p>A multi-center, prospective, cross-sectional questionnaire-based study was performed among healthcare workers from 5 university hospitals. Data was transferred to an online Data Management System and self-confidence, knowledge, and experience levels among different healthcare roles were compared. </p> Findings <p>Of all 747 participants, 8% did not feel confident, had enough knowledge or preparation skills regarding TUC. 23% never asked for help while performing TUC whereas 42% always asked for assistance (p &lt; 0.0001).</p> <p>Healthcare roles did not differ statistically in terms of TUC knowledge and understanding. However, healthcare workers in surgical specialties felt more confident in their knowledge (29% vs 21%). </p> <p>Confidence in male catheterization skills rated as ‘well’ and ‘very well’ were reported highest by paramedics (71%, 20%) followed by nurses (48%, 20%), physicians (53%, 30%) and residents (50%, 36%).</p> <p>In the event of difficult catheterizations, physicians mostly preferred the assistance of “urologists and urology residents” (64%) while nurses mostly reached out to other nurses (39%). Paramedics were the least likely to ask for assistance (40%) followed by nurses (26%), doctors (24%), and residents (13%) (p &lt; 0.0001). </p> Conclusion <p>A significant proportion of healthcare workers do not have the necessary knowledge and understanding of TUC and do not feel confident in their catheterization and preparation skills when challenged by a difficult TUC, which requires the reassessment of the training programs pre- and post-graduation. This will facilitate and create a safer environment for both the patient and the healthcare professionals.</p> <p><i>Trial registry</i>: ClinicalTrials.gov NCT05334225</p>

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Knowledge and self-confidence of healthcare workers to perform transurethral catheterization: a matter deserving attention!

  • 期刊论文

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  • 发表日期：

    2025年5月16日

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  • Gokhan Calik,
  • Zeynep Bahadır,
  • Berk Madendere,
  • Ozgur Arikan,
  • Vahit Guzelburc,
  • Engin Evci,
  • Suleyman Sami Cakir,
  • Bulent Altay,
  • Pilar Laguna,
  • Mehmet Kocak,
  • Selami Albayrak,
  • Rahim Horuz,
  • Kubilay Sabuncu,
  • Mustafa Boz,
  • Bulent Erkurt,
  • Mohamad Aosama Alrifaai,
  • Abdullah Al Chaabawi,
  • Mahmoud Alrais,
  • Ibrahim Abdi Ali,
  • Shaban M. S. Ashour,
  • Jean de la Rosette

摘要

Background

Patients may suffer from the sequela of complicated transurethral catheterization (TUC) such as urethral injury, infection, and stricture formation. We assessed the self-confidence, knowledge, and experience of healthcare professionals performing TUC.

Methods

A multi-center, prospective, cross-sectional questionnaire-based study was performed among healthcare workers from 5 university hospitals. Data was transferred to an online Data Management System and self-confidence, knowledge, and experience levels among different healthcare roles were compared.

Findings

Of all 747 participants, 8% did not feel confident, had enough knowledge or preparation skills regarding TUC. 23% never asked for help while performing TUC whereas 42% always asked for assistance (p < 0.0001).

Healthcare roles did not differ statistically in terms of TUC knowledge and understanding. However, healthcare workers in surgical specialties felt more confident in their knowledge (29% vs 21%).

Confidence in male catheterization skills rated as ‘well’ and ‘very well’ were reported highest by paramedics (71%, 20%) followed by nurses (48%, 20%), physicians (53%, 30%) and residents (50%, 36%).

In the event of difficult catheterizations, physicians mostly preferred the assistance of “urologists and urology residents” (64%) while nurses mostly reached out to other nurses (39%). Paramedics were the least likely to ask for assistance (40%) followed by nurses (26%), doctors (24%), and residents (13%) (p < 0.0001).

Conclusion

A significant proportion of healthcare workers do not have the necessary knowledge and understanding of TUC and do not feel confident in their catheterization and preparation skills when challenged by a difficult TUC, which requires the reassessment of the training programs pre- and post-graduation. This will facilitate and create a safer environment for both the patient and the healthcare professionals.

Trial registry: ClinicalTrials.gov NCT05334225