%0 Journal Article
%T Clean or sterile technique when inserting indwelling urinary catheter: An evaluation of nurses¡¯ and assistant nurses¡¯ interpretations of a guideline at an acute
%A Ann Tammelin
%A Aysel Kulbay
%J Nordic Journal of Nursing Research
%@ 2057-1593
%D 2019
%R 10.1177/2057158518800261
%X Insertion of indwelling urinary catheters should be performed in a way that minimizes the risk of introducing bacteria to the urinary bladder. Nurses and assistant nurses from three departments at an acute-care hospital in Sweden answered a questionnaire about their insertion of urinary catheterization. Of the 563 nurses, 92% answered the questionnaire. Among the 492 who performed catheterization, 58% (n£¿=£¿287) said that they followed the hospital guideline. Two-thirds of those following the hospital guideline said that they used clean technique and one-third sterile technique. In all, 82% considered the catheter should be kept sterile while inserted but only 16% described all the prerequisites to achieve this. Over 90% of the respondents performed catheterization less than once a week. Our conclusion is that a guideline should describe every step of catheterization in detail and that an evidence-based process for implementation of the guideline is necessary to achieve uniformity in performance
%K clean technique
%K healthcare-associated urinary tract infection
%K indwelling urinary catheterization
%K insertion technique
%K sterile technique
%U https://journals.sagepub.com/doi/full/10.1177/2057158518800261