Abstract
OT practitioners’ perceived role, education, and competency in addressing the occupational participation of clients who use clean intermittent self-catheterization (CISC) for bladder management and practice scope.
Primary Author and Speaker: Abigail Hernandez
Contributing Authors: Cassandra Ginn
This study collected data about practice trends of occupational therapy (OT) practitioners in client management of clean intermittent self-catheterization (CISC), including perceived competency, education and training, and frequency and extent of involvement in supporting clients with CISC needs. This descriptive study examines current practice trends. Participants recruited through convenience and network sampling were OT practitioners working in the U.S. and had current experience in CISC management. The study utilized an original survey to collect quantitative and qualitative data. The survey had 18 participants. The quantitative data was examined using descriptive statistical analysis, and the qualitative data was analyzed using thematic analysis (Braun & Clarke, 2006). The survey results indicate that OT practitioners take a collaborative, goal-directed role in improving occupational participation in CISC. Practitioners collaborate with the interdisciplinary team, which includes nurses, physicians, urology professionals, case management, catheter representatives, product vendors, and physical therapists. Practitioners seek to enhance occupational participation in CISC, including independence and self-advocacy. Practitioners indicate that on-the-job training was key to successfully learning treatment strategies and improving occupational participation in CISC. Practitioners report inadequate preparation in entry-level education to address clients’ needs who utilize CISC. In conclusion, OT practitioners provide vital services to enhance the occupational participation of clients who utilize CISC as a treatment strategy. To ensure the ongoing competency of OT practitioners, entry-level education and knowledgeable colleagues should continue to disseminate knowledge about OT’s role in CISC. The results of this survey will drive knowledge and progress in occupational therapy practitioners’ vital role in enhancing occupational participation in CISC.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
Housman, D. (2023). Special Issues in Urology Nursing: All Hands on Deck: Collaboration with the Occupational Therapist for Intermittent Catheterization. Urologic Nursing, 43(4), 172. https://doi.org/10.7257/2168-4626.2023.43.4.172
Kane, M. L. (2022). Preoperative occupational therapy in children with neurogenic bladder: Improving independence with bladder management and self-catheterization. Current Bladder Dysfunction Reports, 17(2), 55–68. https://doi.org/10.1007/s11884-021-00643-2
Goldstine, J., Leece, R., Samas, S., & Zonderland, R. (2019). In Their Own Words: Adults’ Lived Experiences With Intermittent Catheterization. Journal of Wound, Ostomy & Continence Nursing, 46(6), 513–518. https://doi.org/10.1097/WON.0000000000000591
