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Intermittent Urinary Catheterization

The Impact of Training on a Low-Fidelity Simulator on the Self-Confidence of Patients and Caregivers

Silva, Dayane R. A. BSN; Mazzo, Alessandra PhD, RN; Jorge, Beatriz M. RN; Souza Júnior, Valtuir D. RN; Fumincelli, Laís RN; Almeida, Rodrigo G. S. RN

doi: 10.1002/rnj.226
Continuing Education

Purpose: The purpose of this study was to identify how training on a low-fidelity simulator impacts the confidence of caregivers and patients with neurogenic bladder who use clean intermittent urinary catheterization.

Design: Quasi-experimental study.

Methods: Developed in a rehabilitation center in Brazil including patients who use clean intermittent urinary catheterization and caregivers from September to November 2013. After Ethics approval (Opinion 146/2012) during the nursing consultation, data were collected before and after training on a low-fidelity simulator.

Findings: A total of 36 respondents (72.0%) patients and 14 (28.0%) caregivers participated. The self-confidence acquired after training on low-fidelity simulators was significant.

Conclusions: In this study sample, low-fidelity simulation was demonstrated to be an effective strategy for the development of self-confidence.

Clinical Relevance: Low-fidelity simulation training enables patients and caregivers to increase their self-confidence when performing clean intermittent urinary catheterization and should be used as a training strategy by healthcare professionals.

University of São Preto College of Nursing-Brazil, Ribeirão Paulo at Ribeirão Preto, Brazil.

Correspondence: Alessandra Mazzo, University of São Paulo at Ribeirão Preto College of Nursing, Av. Bandeirantes, 3900 Campus Universitãrio -Bairro Monte Alegre Ribeirão Preto, SP CEP: 14040-902, Brazil. E-mail:

Accepted May 9, 2015.

Cite this article as: Silva D. R., Mazzo A., Jorge B. M., Souza Júnior V. D., Fumincelli L., & Almeida R. G. (2017). Intermittent Urinary Catheterization: The Impact of Training on a Low-Fidelity Simulator on the Self-Confidence of Patients and Caregivers. Rehabilitation Nursing, 42(2), 97–103. doi: 10.1002/rnj.226

© 2017 Association of Rehabilitation Nurses.
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