Ms Jane Wickins1,2,5, Doctor Nicole Marsh2,3, Doctor Claire Rickard3,5, Mr Daniel Wickins6, Mrs. Leanne Morton4, Ms Patricia Gabett-Thomas4, Ms Jessica Doellinger4, Doctor Deanne August2,3
1The Prince Charles Hospital, Brisbane, Australia, 2Nursing and Midwifery Centre, Royal Brisbane and Women's Hospital, Brisbane, Australia, 3Griffith University, Brisbane, Australia, 4Urology and Continence Services, Royal Brisbane and Women's Hospital , Brisbane, Australia, 5Herston Infectious Diseases Research Institute , Brisbane, Australia, 6Queensland University of Technology, Brisbane, Australia
Biography:
Jane is a doctoral candidate focused on the critical role of securing indwelling urinary catheters (IDCs) in preventing complications, including infections. With over 20 years of experience in clinical nursing, project management, and research, she aims to enhance patient safety for individuals requiring IDCs in the adult population.
Abstract:
Background
Securement of indwelling urinary catheters (IDCs) to prevent complications such as infection, remains a frequently overlooked aspect of IDC management. We aimed to explore the knowledge, beliefs, and clinical practices of Australian clinicians regarding IDC securement.
Methods
A national online survey targeting Australian neonatal, paediatric, and adult clinicians involved in IDC care and education. The 27-question survey included domains such as IDC securement knowledge, beliefs, and clinical practices. A survey link was distributed through professional organisations, and remained open for 3 months, Reporting will follow the Consensus-Based Checklist for Reporting of Survey Studies (CROSS).
Results and future actions
Of 231 respondents, were primarily nurses (n=205, 89%), followed by medical staff (n=23, 10%) and allied health professionals (n=3, 1%). Most respondents had over 10 years of clinical experience (n=170, 75%), and were employed in hospital settings (n=177, 77%), in metropolitan areas (n=194, 84%). Respondents represented all Australian states and territories, with most employed in the public sector (n=182, 80%), and the remainder in private sector (n=46, 20%). Of respondents, 51% (n=117) reported the existence of workplace IDC securement policies, 35% (n=79) were unsure, and 14% (n=32) reported no policies. Regarding clinical beliefs, 66% (n=151) believed securement reduces infection risk, 24% (n=53) were unsure, and 10% (n=25) disagreed. These findings will inform future research including a randomized controlled trial to compare different securement products, policy development, and quality improvement initiatives to strengthen IDC securement practices.