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Implementing a Systematic Voiding Program for Patients With Urinary Incontinence After Stroke.

Beverley French1, Lois H Thomas2, Joanna Harrison1

  • 1University of Central Lancashire, Preston, United Kingdom.

Qualitative Health Research
|March 4, 2016
PubMed
Summary
This summary is machine-generated.

Implementing a systematic voiding program (SVP) in stroke care faced barriers like patient suitability and scheduling issues. Enablers included staff support and patient involvement, highlighting consistency, visibility, and individualization for success.

Keywords:
UKinterviewsknowledge transfernormalization process theorynursingprogram evaluationqualitativequalitative analysisresearch, clinicalstrokeurinary incontinence

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Area of Science:

  • Healthcare Management
  • Qualitative Research
  • Stroke Rehabilitation

Background:

  • Urinary incontinence is a common issue in stroke survivors, impacting recovery and quality of life.
  • Systematic voiding programs (SVPs) aim to manage incontinence but require effective implementation strategies.
  • Understanding healthcare professionals' perspectives is crucial for successful intervention adoption.

Purpose of the Study:

  • To explore health professionals' views on implementing a systematic voiding program (SVP) in stroke services.
  • To identify barriers and enablers to SVP implementation.
  • To understand the mechanisms linking SVP processes to improved outcomes.

Main Methods:

  • Qualitative process evaluation using semi-structured interviews with 38 nursing, managerial, and care staff.
  • Multi-site study within a cluster randomized controlled feasibility trial (2011-2013).
  • Content analysis of transcripts guided by Normalization Process Theory (NPT).

Main Results:

  • Barriers included perceived patient unsuitability, fear of prolonged hospital stays, and challenges in SVP enactment, scheduling, and monitoring.
  • Enablers comprised SVP guidance, patient/relative involvement, additional staffing, enhanced nursing skills, and positive experiences.
  • Consistency, visibility, and individualization emerged as key mechanisms linking SVP processes to outcomes.

Conclusions:

  • SVP implementation in stroke services requires addressing identified barriers and leveraging enablers.
  • Emphasizing consistency, visibility, and individualization in SVP delivery can optimize outcomes.
  • Further research should focus on refining SVP implementation strategies based on these findings.