Ramm, Dianne and Kane, Ros (2011) A qualitative study exploring the emotional responses of female patients learning to perform clean intermittent self-catheterisation. Journal of Clinical Nursing, 20 (21-22). pp. 3152-3162. ISSN 0962-1067
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Aim. This paper is a report of a study exploring the lived experiences and emotional responses of female patients learning to perform clean intermittent self-catheterisation (CISC).
Background. There is general consensus that CISC should be considered in preference to in-dwelling catheterisation wherever feasible. Published literature has tended to focus on quality of life issues and technical and physical aspects. There has been less investigation into patients’ initial perceptions of CISC and into their subsequent experiences of learning the technique.
Design. This qualitative study used a phenomenological research design.
Method. Aseries ofsemi-structured, in-depth interviews were held with a purposive sample of adult female patients performing CISC aged 34–64 years. Interviews were tape recorded and transcribed verbatim. Data were analysed using the ‘Framework’ method.
Results. This study identified six recurrent themes: grief and loss, lack ofknowledge(regarding femaleanatomy,bladder dysfunction and catheters), negative associations and stigma, psychological aversion and embarrassment, nursing approaches and coping mechanisms.
Conclusion. Loss of normal bladder function may represent a devastating event and trigger emotional responses associated
with grief and loss. Patientsmayexperience a range of reactions whilst learning CISC, including embarrassment and aversion, which may not dissipate over time. However, psychological distress is not inevitable and varies enormously between individuals. The nursing approach is vital, as individualised, empathic care is recognised and valued.
Relevance to clinical practice. This study adds to an emerging body of knowledge providing an enhanced understanding of the lived experiences of patients learning CISC. Nurses need to be alert to a range of potential emotional responses. This will facilitate the adoption of individualised teaching and learning strategies, designed to optimise the patient’s assimilation of CISC into
their lifestyle, promoting physical health, psychological wellbeing and independent living.
|Keywords:||bladder dysfunction, clean intermittent self-catheterisation, female catheterisation, incontinence, phenomenology|
|Subjects:||B Subjects allied to Medicine > B700 Nursing|
|Divisions:||College of Social Science > School of Health & Social Care|
|Deposited On:||24 Oct 2011 22:09|
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