Comportamenti e motivazioni degli infermieri sulla ginnastica vescicale

The aim of the study was to assess the variability of implementation of bladder training (BT) before removal of indwelling catheter and the reasons for implementing it or not. Methods. A multicentre survey was conducted administering a questionnaire to 338 nurses of 28 wards (medicine, surgery, urology and orthopedic wards) of 6 large hospitals in the Turin area. Seven clinical cases were proposed and for each nurses were asked to specify if they would use bladder training and the reasons for doing it or not. Results. Two hundred and forty questionnaires (71%) were returned. Overall, only 10% of nurses (24) routinely implement BT; 24.2% (58) only occasionally while 65,8% (158) never. The BT is used mostly in surgical and urological wards. When considering behaviors related to the proposed cases, in 63.3% nurses would not consider BT. The choice of using it is not associated to basic training (p=0.43) neither to professional experience (p=0.62) but to the experience of the patients' conditions. In fact, less frequent is the experience with the patients' clinical case, more frequent the performance of BT. Conclusions. The use of BT is limited, but due to the lack of evidences and indications, behaviours vary across wards. Even in wards were BT is never used, nurses would practice it in situations where they lack of clinical experience