Title

Urinary Catheterization Skills: One Simulated Checkoff Is Not Enough

Keywords

Aseptic technique; Competency; Competency validation; Masterly learning; Nursing education; Perishable skill; Simulation; Skills mastery; Skills training; Sterile technique; Urinary catheterization

Abstract

Background: Skills in aseptic technique are essential competencies for preventing infection; yet, aseptic technique is a difficult concept to master. During urinary catheter insertion, failure to properly adhere to strict aseptic technique has been linked to infections and sepsis. This pilot study used simulation to identify the most common breaches in aseptic technique during urinary catheter insertion. Methods: Baccalaureate nursing students with prior documentation of competency were recruited to demonstrate performance of urinary catheterization on a task trainer. The procedure was recorded, and breaches in technique were identified through review of the digital recordings. Results: Data were available for 13 participants. Participants ranged in age from 21 to 43years (mean, 26.6). Ten participants (77%) were female and three (23%) were male. The participants' mean self-rating of confidence was 3.6 on a 5-point scale (range, 3-5), indicating some confidence in performing the skill. Examination of the video recorded data showed that 10 participants (77%) breached aseptic technique in at least one category and in some instances several categories. The most common breach was cleansing the meatus; seven participants (54%) performed it incorrectly. Conclusions: One-time competency validation using a simulator is not enough to ensure skill mastery or retention. Urinary catheter insertion is a high-risk skill and therefore should be afforded ample time to practice. Innovative approaches to ensure skill mastery, including urinary catheterization and other skills requiring sterile techniques, are needed. © 2014 International Nursing Association for Clinical Simulation and Learning.

Publication Date

1-1-2014

Publication Title

Clinical Simulation in Nursing

Volume

10

Issue

9

Number of Pages

455-460

Document Type

Article

Personal Identifier

scopus

DOI Link

https://doi.org/10.1016/j.ecns.2014.07.002

Socpus ID

84906509626 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/84906509626

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