IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v20y2011i21-22p3152-3162.html
   My bibliography  Save this article

A qualitative study exploring the emotional responses of female patients learning to perform clean intermittent self‐catheterisation

Author

Listed:
  • Dianne Ramm
  • Ros Kane

Abstract

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. A series of semi‐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 of knowledge (regarding female anatomy, 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. Patients may experience 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.

Suggested Citation

  • Dianne Ramm & Ros Kane, 2011. "A qualitative study exploring the emotional responses of female patients learning to perform clean intermittent self‐catheterisation," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(21‐22), pages 3152-3162, November.
  • Handle: RePEc:wly:jocnur:v:20:y:2011:i:21-22:p:3152-3162
    DOI: 10.1111/j.1365-2702.2011.03779.x
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/j.1365-2702.2011.03779.x
    Download Restriction: no

    File URL: https://libkey.io/10.1111/j.1365-2702.2011.03779.x?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Hanny Cobussen‐Boekhorst & Erna Hermeling & John Heesakkers & Betsie van Gaal, 2016. "Patients’ experience with intermittent catheterisation in everyday life," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(9-10), pages 1253-1261, May.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:20:y:2011:i:21-22:p:3152-3162. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.