Table 7 Mean, standard deviation values, and Inter-Rater reliability level of evaluators
Urinary Catheter Placement Criteria | Inter-rater Reliability | Evaluator | |||||
|---|---|---|---|---|---|---|---|
H1 | H2 | RT | AI1 | AI2 | |||
α | κ | M(Sd) | M(Sd) | M(Sd) | M(Sd) | M(Sd) | |
Introduced themselves to the patient. | 0.139 | -0.028 | 1.79 (0.6) | 2 (0.0) | 1.98 (0.1) | 1.65 (0.6) | 2 (0.0) |
Explained the procedure to be performed and obtained consent for pelvic examination (informed consent obtained). | 0.156 | -0.041 | 1.48 (0.7) | 1.98 (0.1) | 2 (0.0) | 1.81 (0.4) | 1.81 (0.5) |
Washed and dried their hands (verbal explanation was sufficient). | 0.073 | -0.001 | 1.48 (0.9) | 1.92 (0.3) | 2 (0.0) | 1.85 (0.4) | 1.90 (0.4) |
Wore sterile gloves (saying it was sufficient). | 0.102 | -0.011 | 1.60 (0.7) | 1.96 (0.2) | 2 (0.0) | 1.92 (0.3) | 1.90 (0.4) |
Indicated the injection site visually (upper outer quadrant). | 0.297 | -0.108 | 1.35 (0.5) | 2 (0.0) | 1.98 (0.1) | 1.73 (0.5) | 1.85 (0.4) |
Cleaned the penis three times with gauze soaked in antiseptic solution, starting from the external urethral orifice in expanding circular motions. | 0.103 | -0.019 | 1.94 (0.3) | 2 (0.0) | 2 (0.0) | 1.85 (0.4) | 1.54 (0.8) |
Applied lubricant gel to the tip of the chosen Foley catheter. | 0.026 | -0.018 | 1.92 (0.4) | 1.96 (0.2) | 1.92 (0.4) | 1.85 (0.4) | 1.79 (0.4) |
With one hand, directed the tip of the catheter while holding the penis with the other hand, gently advancing the catheter tip into the urethra. | 0.311 | -0.032 | 0.83 (0.9) | 1.98 (0.1) | 2 (0.0) | 1.85 (0.4) | 1.71 (0.5) |
Held the syringe with the active hand as if holding a pen. | 0.146 | -0.034 | 1.27 (0.9) | 2 (0.0) | 1.85 (0.4) | 1.88 (0.3) | 1.96 (0.2) |
When the catheter tip reached the perineal level, lowered the patient’s penis and aligned it parallel to the body’s long axis. | 0.018 | -0.009 | 1.75 (0.7) | 1.96 (0.2) | 1.92 (0.4) | 1.92 (0.3) | 1.71 (0.6) |
Continued to advance the catheter upward, parallel to the body’s long axis. | 0.124 | -0.041 | 1.33 (0.9) | 1.98 (0.1) | 1.90 (0.4) | 1.85 (0.4) | 1.46 (0.7) |
Observed the urine flow from the expected tip of the catheter / noted the urine output. | -0.002 | 0.061 | 1.85 (0.5) | 1.96 (0.2) | 1.94 (0.3) | 1.85 (0.4) | 1.85 (0.5) |
After urine flow started, advanced the catheter 2–3 cm further. | 0.122 | -0.010 | 1.83 (0.6) | 1.98 (0.1) | 2 (0.0) | 1.79 (0.4) | 1.48 (0.8) |
Attached the urine bag (it could have been attached earlier). | 0.206 | -0.043 | 1.13 (1.0) | 1.98 (0.1) | 1.88 (0.3) | 1.92 (0.3) | 1.40 (0.7) |
Administered saline to the balloon’s pathway using a syringe | 0.339 | -0.055 | 0.69 (0.9) | 1.96 (0.2) | 1.85 (0.4) | 1.94 (0.3) | 1.33 (0.8) |
Slowly pulled the catheter back and, after feeling the balloon rest on the bladder neck, advanced it 1–2 cm. | 0.139 | -0.028 | 1.79 (0.6) | 2 (0.0) | 1.98 (0.1) | 1.65 (0.6) | 2 (0.0) |
Suspended the urine bag below the bladder, ensuring proper positioning | 0.156 | -0.041 | 1.48 (0.7) | 1.98 (0.1) | 2 (0.0) | 1.81 (0.4) | 1.81 (0.5) |