Evidence Based Practices Part TWO Factors Affecting Compliance Related to Management of Short Term indwelling Urinary Catheter

Abstract

In a world with an ever-increasing number of clinicians, patients, and diseases, evidence-based medicine(EBM) has developed as an important means by which clinicians can integrate rapid developments of science with every individual patient's needs. Evidence-based practice has become the most recent trend influencing health care policy. Rise in the evidence-based practice (EBP) movement has to be viewed as a global phenomenon, Aim of the study 1. To investigate whether nurses and physicians have adopted the evidence-based recommendation related to short-term management of indwelling urinary catheter. 2. To identify barriers affecting compliance to the evidence-based recommendation. Methodology:Questionnaire: concerned with demographic characteristics of the studied subjects and evidence Based Practice Information Sheet for Management of indwelling urethral Catheters (PIS) developed by Joanna Briggs Institute 2000. And observation checklist adopted from Evidence-Based Guideline for Management of Indwelling Urinary Catheter. Results most of the nurses (96.7 %) were not aware of EBM or never heard of it, while less than half (46.7 %) of the doctors mentioned that they are aware of EBM.: 76.7 % of the nurses mentioned that they don’t have access to computer while all the doctors mentioned that they have computer skills (100%). More than half of the doctors (66.7 %) have access to research articles while only one nurse (3.3%) mentioned that she has access to research articles. Conclusion: Compliance with evidence-based guideline related to short-term management of urinary catheter is poor and not evidence-based. The best compliance was in catheter insertion and the worthiest was in intervention related to urinary drainage system care and maintenance. Nurses had a very low awareness of evidence-based practices and had limited access to computer and research articles. The study also concludes that catheters at the study site were left in situ more than they should be. , and the top two barriers as perceived by nurses were lack of time and lack of financial compensation