From the Swiss Patient Safety Foundation, Zurich.
J Patient Saf. 2020 Jun;16(2):e82-e89. doi: 10.1097/PTS.0000000000000502.
Indwelling urinary catheters (IUCs) are commonly used devices in acute care that may lead to catheter-associated urinary tract infections or noninfectious complications. Responsibilities for IUC are usually shared between nurses and physicians, and a common mental model among the two professional groups is thus essential for a successful reduction in catheter use. The aim of this study was to determine variation in the perceptions of current practices and culture regarding IUC use between these two groups.
Nurses and physicians (N = 1579) from seven Swiss hospitals completed a written survey on safe IUC use in their institution. The survey assessed participant's perceptions of current practices and culture in their institution, and their perceived responsibilities related to IUC care. t tests and logistic regression were used to examine differences in responses between physicians and nurses.
Nurses and physicians each have their own tasks but also share responsibilities for catheter placement, care, and removal. Overall, nurses were more positive than physicians about current practices and culture regarding IUC use within their institution (mean scale scores = 5.4 for nurses versus 5.1 for physicians, P < 0.001). Perceptions of the two professional groups diverged most strongly on practices to avoid unnecessary placement of IUCs, the presence of shared values and attitudes in support of restrictive catheter use, and the other group's leadership commitment.
Indwelling urinary catheter management is a strong interprofessional domain and a shared responsibility. It is crucial that measures to raise awareness and to communicate new standards target both nurses and physicians and are discussed in interprofessional formats.
留置导尿管（IUC）是急性护理中常用的装置，可能导致导管相关性尿路感染或非感染性并发症。护士和医生通常共同负责 IUC，因此这两个专业群体之间存在共同的心理模型对于成功减少导管使用至关重要。本研究旨在确定这两个群体对当前 IUC 使用实践和文化的看法存在差异。
来自瑞士 7 家医院的护士和医生（N=1579）完成了一份关于其机构中安全使用 IUC 的书面调查。该调查评估了参与者对其机构中当前实践和文化的看法，以及他们对 IUC 护理的感知责任。t 检验和逻辑回归用于检查医生和护士之间的反应差异。
护士和医生各自有自己的任务，但也共同负责导管的放置、护理和移除。总体而言，护士对其机构内 IUC 使用的当前实践和文化比医生更为积极（护士的平均量表评分=5.4，医生的平均量表评分=5.1，P<0.001）。两个专业群体的看法差异最大的是避免不必要放置 IUC 的实践、支持限制性导管使用的共同价值观和态度的存在以及其他群体的领导承诺。
留置导尿管管理是一个强大的跨专业领域，也是共同的责任。提高认识和沟通新标准的措施必须针对护士和医生，并在跨专业的模式下进行讨论，这一点至关重要。
