title: The introduction of a "trial without catheter" model in primary care.
abstract: Action research was used to compare and evaluate the current nursing practice of urinary catheter removal. The aim of this study was to plan, implement and evaluate a trial without catheter (TWOC) model in primary care and compare it with the clinical procedure being performed in the secondary care setting. Two sample groups were used; the first sample consisted of 10 patients who had undergone a TWOC in hospital, and the second consisted of 10 patients who had a TWOC in the community. An interview with the urology nurse specialist was also undertaken to gain further qualitative data. Statistics were analysed using an unpaired t-test. Results showed that 80% of hospital patients and all community patients stated that given the choice they would prefer to have their TWOC at home. Infection rates were monitored and 40% of hospital TWOC patients developed a urine infection, whereas no infection was reported in the community group. From this small study, it was evident that there were major benefits to providing a TWOC service within the community setting.
authors.affiliation: District Nursing Team, Dudley Beacon and Castle Primary Care Trust, Grange Road Surgery, Dudley, West Midlands, UK.
authors.forename: Mary
authors.initials: M
authors.lastname: Warrilow
authors.forename: Dawn
authors.initials: D
authors.lastname: Williams
authors.forename: Jayne
authors.initials: J
authors.lastname: Guest
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005240:Feasibility Studies; D006699:Home Care Services / Q000458:organization & administration; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D016896:Treatment Outcome; D006113:United Kingdom; D014546:Urinary Catheterization / Q000379:methods* / Q000451:nursing