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Securement of the Indwelling Urinary Catheter: A Prevalence Study

Appah, Yvonne; Hunter, Kathleen F.; Moore, Katherine N.

Journal of Wound, Ostomy and Continence Nursing: March/April 2016 - Volume 43 - Issue 2 - p 173–177
doi: 10.1097/WON.0000000000000176

PURPOSE: 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.

DESIGN: Descriptive prevalence study.

SUBJECTS AND SETTING: 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.

CONCLUSION: Findings are consistent with other studies and indicate that catheter securement practices are inadequate despite several guidelines published on catheter care.

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.

Correspondence: Kathleen F. Hunter, PhD, RN, NP, GNC(C), NCA, University of Alberta Faculty of Nursing, Level 3, Edmonton Clinic Health Academy, 11405 87 Ave, Edmonton, AB T6G 1C9, Canada (

There are no conflicts of interest to declare.

© 2016 by the Wound, Ostomy and Continence Nurses Society.