Does evening removal of urinary catheters shorten hospital stay among general hospital patients? A randomized controlled trial

Article

Webster, Joan, Osborne, Sonya, Woollett, Kaylene, Shearer, Julie, Courtney, Mary and Anderson, Debra. 2006. "Does evening removal of urinary catheters shorten hospital stay among general hospital patients? A randomized controlled trial." Journal of Wound Ostomy and Continence Nursing. 33 (2), pp. 156-163. https://doi.org/10.1097/00152192-200603000-
Article Title

Does evening removal of urinary catheters shorten hospital stay among general hospital patients? A randomized controlled trial

ERA Journal ID14132
Article CategoryArticle
AuthorsWebster, Joan (Author), Osborne, Sonya (Author), Woollett, Kaylene (Author), Shearer, Julie (Author), Courtney, Mary (Author) and Anderson, Debra (Author)
Journal TitleJournal of Wound Ostomy and Continence Nursing
Journal Citation33 (2), pp. 156-163
Number of Pages8
Year2006
Place of PublicationUnited States
ISSN1071-5754
1528-3976
Digital Object Identifier (DOI)https://doi.org/10.1097/00152192-200603000-
Web Address (URL)http://www.scopus.com/inward/record.url?eid=2-s2.0-33748438109&partnerID=MN8TOARS
Abstract

OBJECTIVE: Literature indicates that removing urinary catheters at midnight facilitates earlier discharge among urology patients, but the effect of evening removal on the general patient population is unknown. The objective of this study was to investigate whether removing a urinary catheter at 22.00 hours compared to 06.00 hours among a general hospital population would lead to earlier hospital discharge.

DESIGN: Randomized controlled trial.

SETTING AND SUBJECTS: The study was conducted in a large tertiary hospital in Brisbane, Australia. Two hundred and ten general surgical and medical patients who had an indwelling catheter as part of their routine care were included.

RESULTS: Length of hospital stay after catheter removal was not significantly affected by the timing of its removal among general hospital patients: mean hours morning 186.1; mean evening 209.3, (P =.309). In a cohort of surgical patients, the hospital stay was shorter in the evening removal group (mean hours morning 186.1; mean evening 209.3), but this result was not statistically significant (P =.127). Patients in the evening group were more likely to have a longer time period between catheter removal and the first postcatheter void, mean hours morning, 3.76 vs evening, 4.89 (t = -2.59, Cl - 1.99 to -0.27). Timing of removal of the urinary catheter had no effect on the volume of the first void, mean volume morning, 214.7 mL vs evening, 221.4 mL. Twenty-five (12.1%) patients were recatheterized, but the rate of recatheterization between groups was similar. There were no differences in postdischarge problems between groups.

CONCLUSION: Among general hospital patients, removing an indwelling urinary catheter at 22:00 hours does not shorten the length of stay and is effective in increasing the time to first void.

ANZSRC Field of Research 2020420501. Acute care
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Byline AffiliationsDepartment of Health, Queensland
Queensland University of Technology
Institution of OriginUniversity of Southern Queensland
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An integrated educational model for continuing nurse education
Duff, Beverley, Gardner, Glenn and Osborne, Sonya. 2014. "An integrated educational model for continuing nurse education." Nurse Education Today. 34 (1), pp. 104-111. https://doi.org/10.1016/j.nedt.2012.11.022
The primacy of vital signs – Acute care nurses’ and midwives’ use of physical assessment skills: a cross sectional study
Osborne, Sonya, Douglas, Clint, Reid, Carol, Jones, Lee and Gardner, Glenn. 2015. "The primacy of vital signs – Acute care nurses’ and midwives’ use of physical assessment skills: a cross sectional study." International Journal of Nursing Studies. 52 (5), pp. 951-962. https://doi.org/10.1016/j.ijnurstu.2015.01.014
Preoperative bathing or showering with skin antiseptics to prevent surgical site infection (Review)
Webster, Joan and Osborne, Sonya. 2015. "Preoperative bathing or showering with skin antiseptics to prevent surgical site infection (Review)." Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD004985.pub5
Perioperative nursing
Sutherland-Fraser, Sally, Osborne, Sonya and Bryant, Kim. 2016. "Perioperative nursing." Hamlin, Lois, Davies, Menna, Richardson-Tench, Marilyn and Sutherland-Fraser, Sally (ed.) Perioperative nursing: an introduction. Marrickville, Australia. Elsevier. pp. 1-29
Author response: missed opportunity related to statistical methods
Osborne, Sonya Ranee, Jones, Lee and Webster, Joan. 2014. "Author response: missed opportunity related to statistical methods." AORN Journal. 99 (6), pp. 675-677. https://doi.org/10.1016/j.aorn.2014.04.002
Incidence and predictors of lower limb split-skin graft failure and primary closure dehiscence in day-case surgical patients
Stankiewicz, Monica, Coyer, Fiona, Webster, Joan and Osborne, Sonya. 2015. "Incidence and predictors of lower limb split-skin graft failure and primary closure dehiscence in day-case surgical patients." Dermatologic Surgery. 41 (7), pp. 775-783. https://doi.org/10.1097/DSS.0000000000000391
The skin safety model: reconceptualizing skin vulnerability in older patients
Campbell, Jill L, Coyer, Fiona M. and Osborne, Sonya R.. 2016. "The skin safety model: reconceptualizing skin vulnerability in older patients." Journal of Nursing Scholarship. 48 (1), pp. 14-22. https://doi.org/10.1111/jnu.12176
Skin preparation of the patient – more than skin deep
Levada, Lilliana and Osborne, Sonya. 2017. "Skin preparation of the patient – more than skin deep." Journal of Perioperative Nursing. 30 (2), pp. 57-59.
Making evidence-based perioperative practices stick: an introduction to an implementation science approach
Osborne, Sonya. 2017. "Making evidence-based perioperative practices stick: an introduction to an implementation science approach." Journal of Perioperative Nursing. 30 (4), pp. 53-55.
New ACORN guideline: perioperative nursing management of posthumous organ procurement
Gore, Amanda and Osborne, Sonya. 2017. "New ACORN guideline: perioperative nursing management of posthumous organ procurement." Journal of Perioperative Nursing. 30 (1 - Autumn), pp. 56-59.
Nursing physical assessment for patient safety in general wards: reaching consensus on core skills
Douglas, Clint, Booker, Catriona, Fox, Robyn, Windsor, Carol, Osborne, Sonya and Gardner, Glenn. 2016. "Nursing physical assessment for patient safety in general wards: reaching consensus on core skills." Journal of Clinical Nursing. 25 (13-14), pp. 1890-1900. https://doi.org/10.1111/jocn.13201
Intrathecal morphine–related perioperative hypothermia in women undergoing cesarean delivery: a retrospective case-control study
Munday, Judy, Osborne, Sonya and Yates, Patsy. 2018. "Intrathecal morphine–related perioperative hypothermia in women undergoing cesarean delivery: a retrospective case-control study." Journal of PeriAnesthesia Nursing. 33 (1), pp. 3-12. https://doi.org/10.1016/j.jopan.2016.04.142
Preoperative warming versus no preoperative warming for maintenance of normothermia in women receiving intrathecal morphine for cesarean delivery: a single-blinded, randomized controlled trial
Munday, Judy, Osborne, Sonya, Yates, Patsy, Jones, Lee and Gosden, Edward. 2018. "Preoperative warming versus no preoperative warming for maintenance of normothermia in women receiving intrathecal morphine for cesarean delivery: a single-blinded, randomized controlled trial." Anesthesia and Analgesia. 126 (1), pp. 183-189. https://doi.org/10.1213/ANE.0000000000002026
Nursing service innovation: a case study examining emergency nurse practitioner service sustainability
Fox, Amanda, Gardner, Glenn and Osborne, Sonya. 2018. "Nursing service innovation: a case study examining emergency nurse practitioner service sustainability." Journal of Advanced Nursing. 74 (2), pp. 454-464. https://doi.org/10.1111/jan.13454
Cohort study of a specialist social worker intervention on hospital use for patients at risk of long stay
Osborne, Sonya, Harrison, Gai, O'Malia, Angela, Barnett, Adrian Gerard, Carter, Hannah E. and Graves, Nicholas. 2018. "Cohort study of a specialist social worker intervention on hospital use for patients at risk of long stay." BMJ Open. 8 (12), pp. 1-6. https://doi.org/10.1136/bmjopen-2018-023127
Stress, COMT polymorphisms, and depressive symptoms in older Australian women: an exploratory study
Seib, Charrlotte, Whiteside, Eliza, Voisey, Joanne, Lee, Kathryn, Alexander, Kimberly, Humphreys, Janice, Chopin, Lisa and Anderson, Debra. 2016. "Stress, COMT polymorphisms, and depressive symptoms in older Australian women: an exploratory study." Genetic Testing and Molecular Biomarkers. 20 (8), pp. 478-481. https://doi.org/10.1089/gtmb.2015.0028
Stress, lifestyle, and quality of life in midlife and older Australian women: results from the stress and the health of women study
Seib, Charrlotte, Whiteside, Eliza, Lee, Kathryn, Humphreys, Janice, Dao Tran, Tiet Hanh, Chopin, Lisa and Anderson, Debra. 2014. "Stress, lifestyle, and quality of life in midlife and older Australian women: results from the stress and the health of women study." Women's Health Issues. 24 (1), pp. e43-e52. https://doi.org/10.1016/j.whi.2013.11.004
A longitudinal study of the impact of chronic psychological stress on health-related quality of life and clinical biomarkers: protocol for the Australian Healthy Aging of Women Study
Seib, Charrlotte, Whiteside, Eliza J., Humphreys, Janice, Lee, Kathryn, Thomas, Patrick, Chopin, Lisa, Crisp, Gabrielle, O'Keeffe, Angela, Kimlin, Michael, Stacey, Andrew and Anderson, Debra. 2014. "A longitudinal study of the impact of chronic psychological stress on health-related quality of life and clinical biomarkers: protocol for the Australian Healthy Aging of Women Study." BMC Public Health. 14 (1), pp. 1-8. https://doi.org/10.1186/1471-2458-14-9
Does preoperative oral carbohydrate reduce hospital stay? A randomized trial
Webster, Joan, Osborne, Sonya Ranee, Gill, Richard, Chow, Carina Faran Kalan, Wallin, Siobhan, Jones, Lee and Tang, Annie. 2014. "Does preoperative oral carbohydrate reduce hospital stay? A randomized trial." AORN Journal. 99 (2), pp. 233-242. https://doi.org/10.1016/j.aorn.2013.12.003
Quantitative data collection and study validity
Osborne, Sonya and Schneider, Zevia. 2013. "Quantitative data collection and study validity." Schneider, Zevia, Whitehead, Dean, LoBiondo-Wood, Geri and Haber, Judith (ed.) Nursing and midwifery research: methods and appraisal for evidence-based practice. Australia. Elsevier - Mosby. pp. 200-217
Infection control
Osborne, Sonya. 2013. "Infection control." Crisp, Jackie, Potter, Patricia Ann, Taylor, Catherine, Rebeiro, Geraldine and Douglas, Clint (ed.) Potter and Perry's fundamentals of nursing. Chatswood, NSW, Australia. Elsevier - Mosby. pp. 703-752
The ACORN standards - our aide-memoire to professional practice
Osborne, Sonya. 2013. "The ACORN standards - our aide-memoire to professional practice." ACORN: the journal of perioperative nursing in Australia. 26 (4), pp. 14-15.
Clinically-indicated replacement versus routine replacement of peripheral venous catheters [Review]
Webster, Joan, Osborne, Sonya, Rickard, Clare M. and New, Karen. 2013. "Clinically-indicated replacement versus routine replacement of peripheral venous catheters [Review]." Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD007798.pub3
Nursing management: intraoperative care
Shoup, Anita, Reilly, Maureen, Kless, Jack and Osborne, Sonya. 2012. "Nursing management: intraoperative care." Brown, Diane and Edwards, Helen (ed.) Lewis's medical surgical nursing: assessment and management of clinical problems. Australia. Elsevier. pp. 402-420
Type of housing predicts rate of readmission to hospital but not length of stay in people with schizophrenia on the Gold Coast in Queensland
Browne, Graeme, Courtney, Mary and Meehan, Tom. 2004. "Type of housing predicts rate of readmission to hospital but not length of stay in people with schizophrenia on the Gold Coast in Queensland." Australian Health Review. 27 (1), pp. 65-72.
Exploring the experience of people with schizophrenia who live in boarding houses or private homes: a grounded theory study
Browne, Graeme and Courtney, Mary. 2005. "Exploring the experience of people with schizophrenia who live in boarding houses or private homes: a grounded theory study." Contemporary Nurse. 18 (3), pp. 233-246.
Exploring the culture of non-reporting in the perioperative environment
Marshall, J. and Osborne, Sonya. 2007. "Exploring the culture of non-reporting in the perioperative environment." ACORN: the journal of perioperative nursing in Australia. 20 (2), pp. 10-21.
Imperatives and strategies for developing an evidence-based practice in perioperative nursing
Osborne, Sonya and Gardner, Glenn. 2004. "Imperatives and strategies for developing an evidence-based practice in perioperative nursing." ACORN: the journal of perioperative nursing in Australia. 17 (1), pp. 18-24.
Occupational exposures: balancing the costs of prevention vs treatment in operating theatres, with particular focus on double gloving practices
Osborne, Sonya. 2001. "Occupational exposures: balancing the costs of prevention vs treatment in operating theatres, with particular focus on double gloving practices." ACORN: the journal of perioperative nursing in Australia. 14 (2), pp. 16-21.
Care and preventative maintenance of surgical instrumentation: the scrub nurse's responsibility
Osborne, Sonya R.. 1999. "Care and preventative maintenance of surgical instrumentation: the scrub nurse's responsibility." ACORN: the journal of perioperative nursing in Australia. 12 (4), pp. 10-13.
Latex allergy: a perioperative environmental hazard
Osborne, Sonya R.. 1998. "Latex allergy: a perioperative environmental hazard." ACORN: the journal of perioperative nursing in Australia. 11 (4), pp. 26-28.