title: Intermittent Urinary Catheterization: The Impact of Training on a Low-Fidelity Simulator on the Self-Confidence of Patients and Caregivers.
abstract: OBJECTIVE
  The purpose of this study was to identify how training on a low-fidelity simulator impacts the confidence of caregivers and patients with neurogenic bladder who use clean intermittent urinary catheterization.
  
  
  METHODS
  Quasi-experimental study.
  
  
  METHODS
  Developed in a rehabilitation center in Brazil including patients who use clean intermittent urinary catheterization and caregivers from September to November 2013. After Ethics approval (Opinion 146/2012) during the nursing consultation, data were collected before and after training on a low-fidelity simulator.
  
  
  RESULTS
  A total of 36 respondents (72.0%) patients and 14 (28.0%) caregivers participated. The self-confidence acquired after training on low-fidelity simulators was significant.
  
  
  CONCLUSIONS
  In this study sample, low-fidelity simulation was demonstrated to be an effective strategy for the development of self-confidence.
  
  
  CONCLUSIONS
  Low-fidelity simulation training enables patients and caregivers to increase their self-confidence when performing clean intermittent urinary catheterization and should be used as a training strategy by healthcare professionals.
authors.affiliation: University of São Preto College of Nursing-Brazil, Ribeirão Paulo at Ribeirão Preto, Brazil.
authors.forename: Dayane R A
authors.initials: DRA
authors.lastname: Silva
authors.forename: Alessandra
authors.initials: A
authors.lastname: Mazzo
authors.forename: Beatriz M
authors.initials: BM
authors.lastname: Jorge
authors.forename: Valtuir D
authors.initials: VD
authors.lastname: Souza Júnior
authors.forename: Laís
authors.initials: L
authors.lastname: Fumincelli
authors.forename: Rodrigo G S
authors.initials: RGS
authors.lastname: Almeida
mesh_terms: D000328:Adult; D000368:Aged; D001938:Brazil; D017028:Caregivers / Q000523:psychology; D005260:Female; D006801:Humans; D057928:Intermittent Urethral Catheterization / Q000451:nursing*; D008297:Male; D008875:Middle Aged; D016544:Patient Simulation; D010361:Patients / Q000523:psychology; D020377:Self Efficacy; D013663:Teaching / Q000592:standards*