This is an exciting opportunity for a health services researcher to join an experienced team to undertake a CSO funded project to study the management of long-term urinary catheters in community patients. With 25% of all older people in residential care and 3% of people in the community using long-term urinary catheters, appropriate and effective management is essential. Recurrent problems with long-term catheters are however extremely common. Prevalence rates of 70% for catheter associated urinary tract infection have been found and 33% for catheter blockage, expulsion or dislodgement. These problems lead to very significant pain and distress for the patients, unplanned callouts, unnecessary admission to accident and emergency units and hospitalisation, and ultimately 2100 deaths in the UK annually. Catheter washouts are being used to treat blockages, however, the rationale for their use is unclear. Our recent Cochrane review concluded that there was insufficient good quality evidence to guide clinicians regarding the benefit or indeed harm to patients associated with the use of catheter washouts.
The project to be undertaken is a feasibility and acceptability study for a randomised controlled trial of urinary catheter washout solutions to prevent blockage in long-term catheter users.
This study aims to explore:
What issues are likely to arise in recruiting to and running a trial with a “treatment” versus a “control” arm from the perspectives of patients and healthcare staff?
What is current practice in relation to the use of catheter washouts in Scotland?
What are patients’ needs and preferences when they experience catheter blockage?
Part time, 0.8 (FTE), Fixed Term Contract for 6 Months
The closing date for applications is midnight on Thursday 17 November 2016.