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Changing practice: modified clean technique for intermittent catheterization.

H McDonald1

  • 1Spinal Cord Program, G. F. Strong Rehabilitation Centre, Vancouver Hospital and Health Sciences Centre, Vancouver, British Columbia, Canada.

SCI Nursing : a Publication of the American Association of Spinal Cord Injury Nurses
|May 31, 2002
PubMed
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Implementing clean technique for intermittent catheterization (IC) requires careful planning and coordination. This experience highlights the importance of structured change management for successful practice adoption.

Area of Science:

  • Nursing Practice
  • Healthcare Management
  • Evidence-Based Practice

Background:

  • Literature review in 1997 indicated strong support for clean technique in intermittent catheterization (IC).
  • A need for evidence-based practice change was identified to improve patient outcomes.
  • Existing practices were evaluated for potential improvements.

Purpose of the Study:

  • To describe the process of implementing clean technique for intermittent catheterization (IC) into clinical practice.
  • To share practical experiences and challenges encountered during a practice change initiative.
  • To provide insights into managing research into practice transitions.

Main Methods:

  • Utilized Lewin's Classical Change Theory (unfreezing, movement, refreezing) as a framework.

Related Experiment Videos

  • Established a core nursing group to champion the change.
  • Conducted a 3-month pilot project to test the new practice.
  • Collected urinary tract infection (UTI) data during the pilot phase.

    • Main Results:

    • The change process involved distinct stages: preparation (unfreezing), implementation (movement), and stabilization (refreezing).
    • Client and nurse education was a critical component during the movement phase.
    • Addressing concerns and issues proactively was essential during the refreezing stage.
    • Successful implementation required careful coordination and planning.

    Conclusions:

    • Changing clinical practice, such as adopting clean technique for IC, is a complex but achievable process.
    • Lewin's Change Theory provides a useful model for guiding practice transitions.
    • Effective communication, education, and data collection are vital for successful research implementation.