Conectar
Commentary on: Maassel NL, Graetz E, Schneider EB, et al. Hospital Admissions for abusive head trauma before and during the COVID-19 pandemic. JAMA Pediatr 2023;177(12):1342-47
Implications for practice and research The COVID-19 pandemic was associated with reductions in abusive head trauma (AHT) among children. Improved assessment of parental roles and earlier detection of family violence and coercive control present opportunities to prevent AHT. Strengthening social supports by mitigating effects of financial strain on families may also reduce AHT.
Child abuse or neglect is estimated to occur in 10–30 per 100 000 infants in developed countries but is likely under-reported.
The aim of this study was to investigate the point prevalence and the rate of adherence to evidence-based guidelines for patients who had indwelling urinary catheters in three Australian acute care hospitals.
A cross-sectional observational design was used.
A multisite cross-sectional observational design was utilised in three acute hospitals across Australia. Data were collected from each site in a single day directly from observation of the patient, the bedside notes and medical records. The data collected included observations of clinical care and scrutiny of the documentation of the insertion details and catheter care using best practice guidelines.
Of the 1730 patients audited, 47% were female. The mean point prevalence of catheters in situ across three sites was 12.9%. Correct documentation compliance was reported to be, on average, 40%. Documentation was significantly better when a template was available to guide information recorded: this was regardless of whether it was hard copy or electronic. Overall, clinical care compliance with best practices was 77%. Of note for improvement was the fixing of the urinary catheter to the thigh in highly dependent patients.
It was identified that there is a need for improvement across all three sites: specifically regarding securement of the urinary catheter to the patient’s thigh within the ICU. In addition, it was identified that there is a need for documentation of the urine bag change in ward areas. Documentation may be improved by incorporating templates into healthcare documentation systems in the future. Further work is needed to ensure nurses are aware of the adverse effects of urinary catheters and thus, the need to adhere to best practice guidelines.
There has been no patient or public contribution.
We have adhered to the STROBE guidelines for reporting.
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