Mizerek and Wolf (2015) investigated nurse’s opinions on when a urinary catheter should be placed and when it should not be placed. The objective of the research study was to gather information from emergency floor nurses about environmental and individual factors that can affect clinical decision-making when dealing with urinary catheters. The sample included 23 English speaking emergency nurses where a semi-structured interview was used to answer questions about when should a urinary catheter be placed, when should it be discontinued, and who is involved in the decision making process. The results of this study showed that nurses felt there was a decrease in inserting urinary catheters because of the protocols that are in place for when and how a patient should receive a urinary catheter. Also, nurses stated that they use mostly, “clinical judgment” for when a patient should be placed with a urinary catheter. A shocking part of the article was the fact nurses in the emergency room (ER) felt that it was not an issue that belongs to the ER and did not feel as much ownership of the potentially resultant infection, even though they held themselves accountable of the decision to place the catheter in the first place (Mizerek ; Wolf, 2015). Thus, it is important that ER nurses understand that, even though they do not have these patients for long periods of time due to the amount of times patients are declared inpatient send them off to inpatients units, does not mean they are not accountable for potentially causing a urinary infection for that patient that they are inserting an indwelling catheter to.
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