Abstract
Ureteral stent is a hollow tube with multiple side holes that is used widely by the urologists in many urological procedures. This study was carried out to determine the effect of nursing Staff development regarding ureteral stent management on nurses' knowledge and practice. A quasi-experimental research design was utilized to achieve the aim of the study. A design of one group pre/post test was used. This study was conducted in urological department of university Hospital in Menoufiya. A purposive sample of 70 nurses were selected. These nurses provided care for patients admitted to the urological department in the previously mentioned setting. I- Structured Interviewing Questionnaire: II- and An Observational Checklist. Study findings shows that none of the nurses in the study sample had satisfactory total knowledge and practice at the pre-program implementation. Although few of them had satisfactory knowledge regarding some aspect, the majority had unsatisfactory knowledge regarding ureteral stent management, patient's teaching and stent removal which shows that there is a need of educational programmes in order to improve their knowledge level. The score of total knowledge and practice were significantly increased immediately after the program, and continued to be higher at the follow-up period, this may indicate that, educational programme leads to gain knowledge, and improve practice which might have an impact on improvement of ureteral stent management. The current study shows that none of the nurses in the study sample had satisfactory total knowledge at the pre-program implementation, indicating that the respondents lacked knowledge. However, the score of total knowledge increased immediately after the program, and continued to be higher at the follow-up phase, indicating that the nurses gained knowledge after the teaching program which was implemented. On the other hand, it was observed that there was an association between age, years of experience, and knowledge, and practice of nurses regarding uretral stent management. As well, age, years of experience, and education were found to have an impact on knowledge scores. Nurses should take initiative to improve their knowledge and practices by using online education, virtual learning, booklets, posters, brochures, charts etc.
Highlights
Ureteral stent is a hollow tube with multiple side holes that is used widely by the urologists in many urological procedures such as relieving ureteral stricture or obstruction related to cancer or renal calculi, reducing pain that is experienced with kidney stones, facilitating drainage in the presence of infection and facilitating flow of urine from the kidney to the bladder [1]
This study was carried out to determine the effect of nursing Staff development regarding ureteral stent management on nurses' knowledge and practice
The current study shows that none of the nurses in the study sample had satisfactory total knowledge at the preprogram implementation, indicating that the respondents lacked knowledge
Summary
Ureteral stent is a hollow tube with multiple side holes that is used widely by the urologists in many urological procedures such as relieving ureteral stricture or obstruction related to cancer or renal calculi, reducing pain that is experienced with kidney stones, facilitating drainage in the presence of infection and facilitating flow of urine from the kidney to the bladder [1]. The stent designs are aimed at improving patient's comfort, handling of stent and reducing the incidence of urinary tract infection and American Journal of Nursing Science 2019; 8(6): 317-323 encrustation [1, 4]. It is inserted with cystoscopic guidance in the operating room since fluoroscopy is needed to verify accurate placement. The stent is inserted by using a soft guidewire which is introduced up the ureter [2, 4, 5] It shouldn’t remain more than 3 months, when it is left more than this period; the removal of the stent will be difficult because of developing a stone directly on it [2]
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