Evidence map›Paper›PMID 38979896›Full record

Trial reportJournal of clinical nursing2025

Implementation of an external female urinary catheter strategy on prevention of skin breakdown in acute care: A quality improvement study.

Carla M Baxter, Carol L Matthews, Cecilia Zamarripa, Jessica R Johnston, Robin Lane, Ashley Chung, Katie Palladino, Paula L Kip, Rachel L Zapf, Suzanne Wagester and 1 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Carla M BaxterQuality, Safety, and Innovation, Wolff Center-UPMC, Pittsburgh, Pennsylvania, USA.
Carol L MatthewsWound Care, UPMC Presbyterian/Shadyside, Pittsburgh, Pennsylvania, USA.
Cecilia ZamarripaWound Care, UPMC Presbyterian/Shadyside, Pittsburgh, Pennsylvania, USA.
Jessica R JohnstonWound Care, UPMC Passavant, Pittsburgh, Pennsylvania, USA.
Robin LaneSupply Chain Management, UPMC, Pittsburgh, Pennsylvania, USA.
Ashley ChungQuality, Safety, and Innovation, Wolff Center-UPMC, Pittsburgh, Pennsylvania, USA.
Katie PalladinoInfection Prevention and Control, UPMC Mercy, Pittsburgh, Pennsylvania, USA.
Paula L KipQuality, Safety, and Innovation, Wolff Center-UPMC, Pittsburgh, Pennsylvania, USA.ORCID 0000-0001-8337-4777
Rachel L ZapfQuality, Safety, and Innovation, Wolff Center-UPMC, Pittsburgh, Pennsylvania, USA.
Suzanne WagesterQuality, Safety, and Innovation, Wolff Center-UPMC, Pittsburgh, Pennsylvania, USA.
Graham M SnyderInfection Prevention and Control, UPMC Presbyterian, Pittsburgh, Pennsylvania, USA.ORCID 0000-0001-5562-8880

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIM(S): To evaluate the incidence of skin-related complications attributable to incontinence-associated dermatitis (IAD) using an external female urinary catheter device strategy for urinary incontinent (UI) patients in acute care.

designMulticenter quality improvement study.

methodsRandomized allocation of two commercially available external female urinary catheter devices was used in hospitalized UI female patients. Daily nursing skin assessments were documented in the electronic health record before, during and after external catheter device application. Methods and results were reported following SQUIRE guidelines.

resultsThree hundred and eighty-one patients from 57 inpatient care units were included in the analysis. Both catheter devices were associated with an overall low risk (5 %) of new or worsening skin breakdown.

conclusionThe overall benefit of external catheters is most persuasive for skin integrity, rather than infection prevention. IMPACT: Significant negative outcomes are associated with UI patients. External female urinary catheters are a non-invasive alternative strategy to reduce exposure of regional skin to urine contamination and IAD-related skin complications. Use of external female urinary catheters in hospitalized UI female patients offers low risk (5%) of new or worsening overall skin breakdown. PATIENT CONTRIBUTION: Hospitalized UI female patients were screened for external catheter device eligibility by the bedside nurse. The quality improvement review committee waved consent because the intervention was considered standard care.

Indexed as

DermatitisQuality ImprovementUrinary CathetersAgedAged, 80 and overFemaleHumansMiddle AgedUrinary CatheterizationUrinary Incontinencecatheter‐associated urinary tract infectionincontinence‐associated dermatitisurinary incontinence

Identifiers

PMID38979896
PMCPMC11655418

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.