title: Securement of the Indwelling Urinary Catheter: A Prevalence Study.
abstract: OBJECTIVE
  The aims of this study were 4-fold: (1) to examine the proportion of indwelling urinary catheters that were secured in an acute care setting; (2) to determine the proportion of secured catheters that were secured correctly; (3) to examine the association of catheter securement with type of unit, age, sex, and location of insertion; and (4) to determine the proportion of units with catheter securement products available on the unit.
  
  
  METHODS
  Descriptive prevalence study.
  
  
  METHODS
  All medical and surgical units (n = 21) were surveyed for inpatients with indwelling urinary catheters in 1 urban tertiary care hospital in Western Canada. Critical care and pediatric units were excluded.
  
  
  METHODS
  During a 6-hour period, 6 RNs data collectors recorded presence and accuracy of catheter securement, area where the participant was catheterized, and availability of securement products on unit. Data were collected using a data form designed for the study.
  
  
  RESULTS
  Seventy-two of 370 inpatients had indwelling catheters on the day of the study. Of these, 61% (44/72) participated. The overall prevalence of catheter securement was 18% (8/44). Seven of the 8 secured catheters were secured correctly. The primary method of securement was a commercial adhesive device (6/8; 75%). Securement products were stocked on 47% of medicine units and 92% of surgical units.
  
  
  CONCLUSIONS
  Findings are consistent with other studies and indicate that catheter securement practices are inadequate despite several guidelines published on catheter care.
authors.affiliation: Yvonne Appah, RN, MN, NP, Supportive Living, Continuing Care Edmonton Zone, Alberta Health Services, Edmonton, Alberta, Canada. Kathleen F. Hunter, PhD, RN, NP, GNC(C), NCA, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada. Katherine N. Moore, PhD, RN, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Appah
authors.forename: Kathleen F
authors.initials: KF
authors.lastname: Hunter
authors.forename: Katherine N
authors.initials: KN
authors.lastname: Moore
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002170:Canada; D002408:Catheters, Indwelling / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014546:Urinary Catheterization / Q000706:statistics & numerical data*; D062885:Urinary Catheters / Q000706:statistics & numerical data*