ESPU-Nurses Meeting on Friday 19, April 2024, 09:35 - 10:15
09:35 - 09:45
SN7-1 (OP)
Nienke KAMER-VAN DER SCHOOT 1, Martine KOOIJ-VAN GENT 2, Keetje DE MOOIJ 2 and Anka NIEUWHOF-LEPPINK 2
1) Wilhelmina's Children's Hospital, University Medical Center Utrecht, The Netherlands., Urology/Urotherapy, Utrecht, NETHERLANDS - 2) Wilhelmina's Children's Hospital, University Medical Center Utrecht, The Netherlands., Utrecht, NETHERLANDS
PURPOSE
Lower Urinary Tract Symptoms (LUTS) are a common condition affecting up to 20% in school-aged children. Although it's not a serious condition, it can be quite uncomfortable and often leads to feelings of embarrassment or topics that children are reluctant to discuss. This video has been created to explain the causes of LUTS and what children can do to help themselves.
MATERIAL AND METHODS
A popular Dutch children's TV presenter explains how the bladder and urinary tract work. She also explains the effects of bladder problems and how children can take control of their bladder problems. The format and content are based on a previously developed video by our team. This video, developed in 2005, is outdated but is still widely used. It has been viewed more than 20,000 times on You Tube. As the content and format are still very strong, it was decided to renew this film.
RESULTS
CONCLUSIONS
Many children experience LUTS, but most children and their parents are unaware of possible solutions. An engaging and easy-to-understand video that explains how the bladder works and provides an insight into the standard elements of urotherapy can empower many children to overcome their problems.
09:45 - 09:55
SN7-2 (OP)
Noreen GORAYA 1, Lauren ERDMAN 2, Armando J LORENZO 3, Juliane RICHTER 3, Joana DOS SANTOS 3 and Mandy RICKARD 3
1) The Hospital for Sick Children, Social Work, Toronto, CANADA - 2) The Hospital for Sick Children, Centre for Computational Medicine, Toronto, CANADA - 3) The Hospital for Sick Children, Urology, Toronto, CANADA
PURPOSE
To describe the implementation of a virtual support group for parents of children with PUV and their lived experience.
MATERIAL AND METHODS
The support group was initiated in January2023 and is led by a social worker. The format of the sessions range from open discussions between families to dedicated topics. Upon completion, participants are asked to complete a survey about their experiences of parenting a child with PUV. Survey questions include parent and child demographics, their PUV knowledge level, and exploratory questions about their lived experiences. Responses were summarized as sample statistics where possible and coded for summarization where long-form answers were provided.
RESULTS
A total of 38 participants completed the survey. The median age of the child was 3.5y(0-16), mother's age was 36y(19-55) and father 38y(19-50). Most ranked their PUV knowledge level as limited or average (63%). In response to the 3 most important topics parents want to know about, the majority were concerned about quality of life(QoL) (17), kidney function(14), and disease course(14). In response to the 3 things parents are most worried about, most stated the need for future interventions such as transplant/dialysis(16), followed by QoL(12), and catheterization(11). The issues parents most want providers to know about what it's like to have a child with PUV is that they have fear and anxiety (17), they feel mental health should be more prioritized(3), and expenses associated with care are a burden(2).
CONCLUSIONS
Families of children with PUV feel isolated due to the condition's rarity. The main things they worry about are the long-term implications for their child, including kidney function, the need for transplant, potential need for catheterization and QoL. The overall feedback is reassuring and these data may prove helpful when advocating for resources for this population.
09:55 - 10:05
SN7-3 (OP)
Claire FOSTER 1, Elizabeth MOORE 2 and Anu PAUL 1
1) Evelina London Children's Hospital, Paediatric Urology, London, UNITED KINGDOM - 2) Evelina London Children's Hospital, Paediatric Urology- Education, London, UNITED KINGDOM
PURPOSE
Training new generations of nurses is paramount to maintain high quality care for every patient and particularly to those undergoing complex reconstructive procedures. The onset of the Covid pandemic made it not possible to organise face-to-face practical courses but gave us the opportunity to develop an alternative method to teach. We created a virtual simulation presenting an unfolding scenario of a patient becoming acutely unwell following bladder reconstruction surgery. We aimed to gain feedback from the students to assess the effectiveness of the new teaching format and highlight any areas for improvement.
MATERIAL AND METHODS
We invited students to respond to a qualitative and free text questionnaire on google which was made available via web link.
RESULTS
17 of the 30 students (57%) over 3 years completed the feedback. All respondents were happy watching a recorded simulation and reported that it was a positive learning opportunity.
Students valued the opportunity to observe, reflect and discuss the case and felt they improved their knowledge of caring for a patient post bladder reconstruction.
CONCLUSIONS
The introduction of a virtual simulation in the teaching of complex urology conditions and surgery has been very well received. We have recently updated our recording to include a more complex and diverse post-operative scenario. We have been able to provide a high level of theory and practical knowledge using this format.
Feedbacks have highlighted the positive benefits of using video technology and virtual simulations to provide teaching across a wider audience nationally and possibly internationally.
10:05 - 10:15
SN7-4 (OP)
Katie CLEARY 1, Ganesh VYTHILINGAM 1, Kevin CAO 1, Roger IDI 1, Neetu KUMAR 1, Imran MUSHTAQ 1, Abraham CHERIAN 1, David DE BEER 2 and Navroop JOHAL 1
1) Great Ormond Street Hospital, Urology, London, UNITED KINGDOM - 2) Great Ormond Street Hospital, Anaesthetics, London, UNITED KINGDOM
PURPOSE
Enhanced recovery after surgery (ERAS) is a multidimensional approach, enabling patients to be the principals of their own recovery as well as empowering nurses to take an active role in clinical decision making. The cost and resource utilisation benefits of ERAS in paediatric urology are substantial but the process of engaging nurses to lead on ERAS is not well described. We present on the essential role of nurses in the implementation of this and how we can take a leading role in improving post-operative care and progress.
In 2018, we set up a multidisciplinary team to identify elements of post-operative care which hinder good recovery. We established which of those elements are nurse-critical and created a protocol with key nurse-led interventions to empower nurses to take steps in progressing patient recovery.
MATERIAL AND METHODS
We present the process of identifying key nurse-led interventions and engaging nurse participation:
Interviews with key players
Training
Shared protocol writing
Pilot programme
Feedback sessions
This resulted in the data capture of 40 patients undergoing bladder reconstruction over two years.
We also established a nurse-led quality of life and cost-effectiveness assessment framework, empowering nursing staff to assess the outputs of new quality improvement programmes.
RESULTS
| Nurse-Led Interventions | Nurse-Led ERAS (mean no. of days post-op) | Doctor-Led Traditional Care (mean no. of days post-op) | Impact of Nurse-Led Care (days) |
| Removing Nasogastric Tube | 2 | 4 | -2 |
| Stopping Intravenous Fluids | 5 | 7 | -2 |
| Allowing Oral Intake | 1 | 4 | -3 |
| Mobilising to Chair | 2 | 6 | -4 |
CONCLUSIONS
In our experience, nurse-led ERAS enables early discharge with no reduction in clinical outcomes and no significant reduction in patient satisfaction compared to traditional management. We wish to present our experience with establishing this programme and impart our learning to other nursing teams who wish to create these programmes at their centres, as well as how to establish a complete package assessment framework. There are dramatic advantages in empowering the most valuable players in post-operative recovery - nurses.