Dataset Information

Reuse of intermittent catheters: a qualitative study of IC users' perspectives.

ABSTRACT:

Objectives

To explore the views of intermittent catheter (IC) users regarding the advantages and disadvantages of single-use or reuse of catheters.

Design

Qualitative study with semi-structured interviews. The interviews were recorded, transcribed and analysed thematically.

Setting

Participant's own homes in Hampshire and Dorset, UK.

Participants

A convenience sample of 39 IC users, aged 23-86 years, using IC for at least 3 months.

Results

The analysis revealed four main themes: concerns regarding risk of urinary tract infection (UTI); cleaning, preparation and storage; social responsibility; practicalities and location. The main concern was safety, with the fear that reuse could increase risk of UTI compared with single-use sterile catheters. If shown to be safe then around half of participants thought they might consider reusing catheters. The practicalities of cleaning methods (extra products, time and storage) were considered potentially burdensome for reuse; but for single-use, ease of use and instant usability were advantages. Always having a catheter without fear of 'running out' was considered an advantage of reuse. Some participants were concerned about environmental impact (waste) and cost of single-use catheters. The potential for reuse was usually dependent on location. The analysis showed that often the disadvantages of single-use could be off-set by the advantages of reuse and vice versa, for example, the need to take many single-use catheters on holiday could be addressed by reuse, while the burden of cleaning would be obviated by single-use.

Conclusions

If shown to be safe with a practical cleaning method, some participants would find reuse an acceptable option, alongside their current single-use method. The choice to use a mixture of single-use and reuse of catheters for different activities (at home, work or holiday) could optimise the perceived advantages and disadvantages of both. The safety and acceptability of such an approach would require testing in a clinical trial.

SUBMITTER: Avery M

PROVIDER: S-EPMC6104744 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Reuse of intermittent catheters: a qualitative study of IC users' perspectives.

Avery Miriam M Prieto Jacqui J Okamoto Ikumi I Cullen Samantha S Clancy Bridget B Moore Katherine N KN Macaulay Margaret M Fader Mandy M

BMJ open 20180817 8

<h4>Objectives</h4>To explore the views of intermittent catheter (IC) users regarding the advantages and disadvantages of single-use or reuse of catheters.<h4>Design</h4>Qualitative study with semi-structured interviews. The interviews were recorded, transcribed and analysed thematically.<h4>Setting</h4>Participant's own homes in Hampshire and Dorset, UK.<h4>Participants</h4>A convenience sample of 39 IC users, aged 23-86 years, using IC for at least 3 months.<h4>Results</h4>The analysis reveale ...[more]

PMID: 30121601

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Project description:The United Nations has called for countries to improve access to mobility devices when needed. The World Health Organization has published guidelines on the provision of manual wheelchairs in less-resourced settings. Yet little is known about the extent to which appropriate wheelchairs are available and provided according to international guidelines. This study's purpose was to describe wheelchair users' experiences receiving services and acquiring wheelchair skills in urban and peri-urban areas of Kenya and the Philippines.Local researchers in Nairobi and Manila interviewed 48 adult basic wheelchair users, with even distribution of those who had and had not received wheelchair services along with their wheelchair. Recordings were transcribed in the local language and translated into English. The study team coded transcripts for predetermined and emergent themes, using Atlas-ti software. A qualitative content analysis approach was taken with the WHO service delivery process as an organizing framework.Wheelchair users frequently described past experiences with ill-fitting wheelchairs and little formal training to use wheelchairs effectively. Through exposure to multiple wheelchairs and self-advocacy, they learned to select wheelchairs suitable for their needs. Maintenance and repair services were often in short supply. Participants attributed shorter duration of wheelchair use to lack of repair. Peer support networks emerged as an important source of knowledge, resources and emotional support. Most participants acknowledged that they received wheelchairs that would have been difficult or impossible for them to pay for, and despite challenges, they were grateful to have some means of mobility. Four themes emerged as critical for understanding the implementation of wheelchair services: barriers in the physical environment, the need for having multiple chairs to improve access, perceived social stigma, and the importance of peer support.Interventions are needed to provide wheelchairs services efficiently, at scale, in an environment facilitating physical access and peer support, and reduced social stigma.Not applicable since this was a descriptive study.

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Dataset Information

Reuse of intermittent catheters: a qualitative study of IC users' perspectives.

Objectives

Design

Setting

Participants

Results

Conclusions

Publications

Reuse of intermittent catheters: a qualitative study of IC users' perspectives.

Similar Datasets

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