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Telenursing Intervention for Clean Intermittent Urinary Catheterization Patients: A Pilot Study

de Souza-Junior, Valtuir Duarte RN, MSN; Mendes, Isabel Amélia Costa PhD, RN; Mazzo, Alessandra PhD, RN; de Godoy, Simone PhD, RN; dos Santos, Cristiano Alves BSN

CIN: Computers, Informatics, Nursing: December 2017 - Volume 35 - Issue 12 - p 653–660
doi: 10.1097/CIN.0000000000000370

Telenursing is a promising strategy to make nursing care feasible in different health situations, mainly to help patients with chronic illnesses. The aim in this study was to test the feasibility (acceptability and usability) of a telenursing intervention in care delivery to patients using clean intermittent urinary catheterization. This descriptive study focused on an intervention involving urology outpatients. The telenursing intervention was implemented synchronously by audio calls and chat and asynchronously by e-mail as part of a pilot study. The contact between nurse and patient was undertaken through an active search or on spontaneous demand, in which the patient contacted the nurse when necessary. During the 5 weeks of study, 21 telenursing care sessions took place, including 13 (61.9%) on spontaneous demand and eight (38.1%) on active demand. With regard to the technological resource used, 13 telenursing sessions (61.9%) took place by telephone call and eight (30.1%) by e-mail. The pilot study demonstrated the potential of the telenursing intervention to achieve important results, and as a complement to the patients' traditional health treatment. In addition, it revealed various barriers that need to be overcome for this type of care to take place effectively.

Author Affiliation: College of Nursing/WHO Collaborating Centre for Nursing Research, University of Sao Paulo, Ribeirao Preto, Brazil.

This research received funding from the Coordination for the Improvement of Higher Education Personnel and Provost for Culture and Extension (Community Service) of the University of São Paulo.

The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article.

Corresponding author: Isabel Amélia Costa Mendes, PhD, RN, College of Nursing/WHO Collaborating Centre for Nursing Research, University of Sao Paulo, Bandeirantes Ave, 3900 Campus Universitário, Bairro Monte Alegre, Ribeirão Preto, Brazil 14040–902 (

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