Primary Health Care nurses’ role in treating Lower Urinary Tract Dysfunction

Assis, Gisela Maria; Rodrigues, Nayara dos Santos; Oliveira, Franciele de Freitas de; Silva, Camilla Pinheiro Cristaldi da; Arruda, Drielle Fernanda; Nunes, Ana Carolina Silvy; Martins, Gisele

doi:10.1590/1980-220X-REEUSP-2023-0146en

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ORIGINAL ARTICLE • Rev. esc. enferm. USP 58 • 2024 • https://doi.org/10.1590/1980-220X-REEUSP-2023-0146en copy

Primary Health Care nurses’ role in treating Lower Urinary Tract Dysfunction^* * Extracted from the thesis “O uso do Design Thinking na proposição de soluções para o cenário Brasileiro de Disfunção do Trato Urinário Inferior”, Universidade de Brasília, Brasília, 2021.

Papel de la enfermera de Atención Primaria de Salud en el tratamiento de la Disfunción del Tracto Urinario Inferior

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To understand Primary Health Care nurses’ role in treating Lower Urinary Tract Dysfunction.

Method:

Cross-sectional multi-methodological research, composed of quantitative and qualitative steps, independently and sequentially. Data collected remotely, through a questionnaire and focus group, analyzed using descriptive statistics and thematic analysis by Braun and Clarke, respectively. The project was approved under Opinion 22691119.0.0000.0030.

Results:

A total of 145 nurses participated in the study in the quantitative step and 20 in the qualitative step, working in Primary Health Care in Brazil. Of the 93.1% nurses who reported having already cared for people with Urinary Tract Dysfunction, only 54.4% provided guidance, mainly for training the pelvic floor muscles.

Conclusion:

Even though they have legal support and access to demand, nurses do not have the knowledge to offer conservative treatment for Lower Urinary Tract Dysfunction. Despite this, they were motivated to do so as long as they received specific training.

DESCRIPTORS
Education, Nursing; Lower Urinary Tract Symptoms; Primary Health Care; Enterostomal Therapy

Region and states	N	%
North	10	6.9
Acre	2	1.4
Amazonas	4	2.8
Rondônia	4	2.8
Northeast	33	22.8
Bahia	5	3.4
Ceará	7	4.8
Maranhão	3	2.1
Pernambuco	1	0.7
Piauí	15	10.3
Rio Grande do Norte	1	0.7
Sergipe	1	0.7
Center-West	31	21.4
Distrito Federal	17	11.7
Goiás	2	1.4
Mato Grosso do Sul	12	8.3
Southeast	44	30.3
Espírito Santo	2	1.4
Minas Gerais	4	2.8
Rio de Janeiro	28	19.3
São Paulo	10	6.9
Sul	27	18.6
Paraná	10	6.9
Rio Grande do Sul	9	6.2
Santa Catarina	8	5.5
Total	145	100

Activity or guidance	N	%^* *Percentages calculated on the total number of participants who stated that they had carried out an activity or guidance and answered what they were (n = 66).
Pelvic floor strengthening exercises	50	75.8
Clean intermittent catheterization	13	19.7
Guidance for water intake	8	12.1
Care with indwelling bladder catheterization	5	7.6
Guidance on reducing potential bladder irritants	4	6.1
Urinary frequency control	3	4.5
Vaginal pessary	1	1.5

Impediment	n	%^* *Percentages calculated from the total number of participants who answered the question about what would prevent them from applying the knowledge acquired (n = 119).
Nothing	43	36.1
Time/demand/schedule	24	20.2
Insecurity/insufficient knowledge	24	20.2
Lack of physical or material resources	16	13.4
Patient non-acceptance	9	7.6
Lack of management support	7	5.9
Lack of support from the class council	3	2.5
Lack of protocol	3	2.5

Initial topics	Number of codes
Previous knowledge on the topic	14
Previous workshop experience	7
Demand/possibilities of action	35
Management of LUTD cases at PHC	17
Perception regarding nurses’ role today	7
Approach to the topic in graduation	8
Approach to the topic in graduate studies	8
Approach to the topic in PHC practice
Perception regarding the possibilities for nurses	28
Emotions and feelings regarding the topic	26
Workshop assessment	32
Service perspectives	68
Relationship with the team	14
Relationship with the manager	9
Relationship with the population	8
Fears/uncertainties/challenges/limitations	34
Schedule/demand/overload	13

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Nayara dos Santos Rodrigues, Campos Universitário Darcy Ribeiro, s/n, Asa Norte, 70910-900 – Brasília, DF, Brazil, nsrodrigues94@gmail.com

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Primary Health Care nurses’ role in treating Lower Urinary Tract Dysfunction* * Extracted from the thesis “O uso do Design Thinking na proposição de soluções para o cenário Brasileiro de Disfunção do Trato Urinário Inferior”, Universidade de Brasília, Brasília, 2021.

Papel de la enfermera de Atención Primaria de Salud en el tratamiento de la Disfunción del Tracto Urinario Inferior

ABSTRACT

Objective:

Method:

Results:

Conclusion:

Primary Health Care nurses’ role in treating Lower Urinary Tract Dysfunction^* * Extracted from the thesis “O uso do Design Thinking na proposição de soluções para o cenário Brasileiro de Disfunção do Trato Urinário Inferior”, Universidade de Brasília, Brasília, 2021.