Factors Influencing Nursing Care Of Patients Admitted with Indwelling Urinary Catheter At Surgical Ward St. Francis Hospital Mutolere, Kisoro District.

Nursing care of patients admitted with indwelling urinary catheter contributes a lot in acquiring
catheter associated urinary tract infections and other related complications such as prostatitis,
urethritis.
The study aimed at identifying the factors influencing nursing care of patients admitted with
indwelling urinary catheter at surgical ward St. Francis hospital Mutolere, Kisoro District.
A descriptive cross sectional study design was used and 20 patients admitted with indwelling
urinary catheter with 10 health workers were chosen to participate in the study using purposive
sampling method. Data was collected using pre-tested semi structured questionnaires for health
workers, interview guide for patients and observational checklist for health workers on surgical
ward.
Data was then analyzed using statistical package for social science (SPSS) version16.0 and
presented in form of tables and figures using Microsoft excel version 2010.
It was established that 85% of the patients admitted with indwelling urinary catheter receive
nursing care from health workers only twice daily. This means that catheter care is done once
during day time and once during night time. This low nursing care is attributed to health workers
related factors influencing nursing care of patients admitted with indwelling urinary catheter
such as heavy work load on ward, lack of equipment to use, low level of health worker
motivation, poor health workers’ attitude on patient care and frequency of health education to
patients on catheter care. Whereas patient related factors influencing nursing care of patients
admitted with indwelling urinary catheter are the level of health care costs, comfortability of the
patient to live with a catheter, patients’ beliefs and misconceptions about indwelling urinary
catheters and the level of patients’ hygiene.
There is a need to recruit more nurses on surgical ward to reduce on the heavy work load and
provision of adequate equipment to use during nursing care of patients admitted with indwelling
urinary catheter.
The health workers on surgical ward are encouraged to always health educate patients admitted
with indwelling urinary catheter to improve on selfcare, do personal hygiene to prevent the risks
of acquiring catheter associated urinary tract infections
The nurses encouraged to always be self-motivated and always attend to patients admitted with
indwelling urinary catheter as required to improve their overall health.