Intermittent Urinary Catheterization: The Impact of Training on a Low-Fidelity Simulator on the Self-Confidence of Patients and Caregivers

Rehabil Nurs. 2017 Mar/Apr;42(2):97-103. doi: 10.1002/rnj.226.

Abstract

Purpose: The purpose of this study was to identify how training on a low-fidelity simulator impacts the confidence of caregivers and patients with neurogenic bladder who use clean intermittent urinary catheterization.

Design: Quasi-experimental study.

Methods: Developed in a rehabilitation center in Brazil including patients who use clean intermittent urinary catheterization and caregivers from September to November 2013. After Ethics approval (Opinion 146/2012) during the nursing consultation, data were collected before and after training on a low-fidelity simulator.

Findings: A total of 36 respondents (72.0%) patients and 14 (28.0%) caregivers participated. The self-confidence acquired after training on low-fidelity simulators was significant.

Conclusions: In this study sample, low-fidelity simulation was demonstrated to be an effective strategy for the development of self-confidence.

Clinical relevance: Low-fidelity simulation training enables patients and caregivers to increase their self-confidence when performing clean intermittent urinary catheterization and should be used as a training strategy by healthcare professionals.

MeSH terms

  • Adult
  • Aged
  • Brazil
  • Caregivers / psychology
  • Female
  • Humans
  • Intermittent Urethral Catheterization / nursing*
  • Male
  • Middle Aged
  • Patient Simulation*
  • Patients / psychology
  • Self Efficacy*
  • Teaching / standards*