Caregiver and health care provider satisfaction with volumetric bladder ultrasound.
OBJECTIVE
Conventional (nonimaged) bladder catheterization has lower first-attempt success rates (67%-72%) when compared with catheterization aided by volumetric bladder ultrasonography (US) (92%-100%), yet the total time to urine sample collection with US can be quite lengthy. Given the advantage and disadvantages, the authors assessed caregiver and health care provider satisfaction with these two methods.


METHODS
Caregivers and health care providers of children enrolled in a prospective, randomized, controlled trial examining the first-attempt urine collection success rates with these two methods completed standardized questionnaires. Each child's caregiver, nurse, and physician noted their perceptions, satisfaction, and future preferences using Likert-scale assessments.


RESULTS
Of 93 caregivers, 45 had children randomized to the conventional arm and 48 to the US arm. Nine physicians and three nurses participated. Both caregiver groups had similar previous catheterization experience; none had children undergo volumetric bladder sonography. Caregivers in the conventional group rated their children's discomfort higher (4.4 vs. 3.4; p = 0.02) and were less satisfied (4.5 vs. 6.4; p < 0.0001) than those in the US group. Nurses' satisfaction with catheterization in the conventional group was lower than in the US group (3.0 vs. 5.5), as was physicians' satisfaction (4.3 vs. 5.7; p < 0.0001). Both nurses and physicians indicated that they would be less likely to use conventional catheterization in future attempts.


CONCLUSIONS
Caregivers in the conventional group rated their children's discomfort higher than did caregivers in the US group. Both caregivers and health care providers expressed greater satisfaction with US and were more likely to prefer this imaging modality with future catheterization attempts.
Baumann
Brigitte M
BM
Department of Emergency Medicine, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School at Camden, NJ, USA. baumann-b@cooperhealth.edu
McCans
Kathryn
K
Stahmer
Sarah A
SA
Leonard
Mary B
MB
Shults
Justine
J
Holmes
William C
WC
D001291:Attitude of Health Personnel; D017028:Caregivers; D002675:Child, Preschool; D003258:Consumer Behavior; D016529:Emergency Nursing / Q000379:methods; D006801:Humans; D007223:Infant; D009929:Organ Size; D010371:Pediatric Nursing / Q000379:methods; D010372:Pediatrics / Q000379:methods; D011446:Prospective Studies; D013048:Specimen Handling / Q000379:methods / Q000451:nursing; D014463:Ultrasonography; D001743:Urinary Bladder / Q000000981:diagnostic imaging*; D014546:Urinary Catheterization / Q000379:methods* / Q000451:nursing; D014556:Urine