Implementing a systematic voiding program for patients with urinary incontinence after stroke

French, Beverley, Thomas, Lois H., Harrison, Joanna, Burton, Christopher R., Forshaw, Denise, Booth, Joanne, Britt, David, Cheater, Francine, Roe, Brenda and Watkins, Caroline (2016) Implementing a systematic voiding program for patients with urinary incontinence after stroke. Qualitative Health Research, 26 (10). pp. 1393-1408. ISSN 1049-7323

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Abstract

We explored health professionals’ views of implementing a systematic voiding program (SVP) in a multi-site qualitative process evaluation in stroke services recruited to the intervention arms of a cluster randomized controlled feasibility trial during 2011-13. We conducted semistructured group or individual interviews with 38 purposively selected nursing, managerial and care staff involved in delivering the SVP. Content analysis of transcripts used normalization process theory as a pre-specified organization-level exploratory framework. Barriers to implementing the SVP included perceived lack of suitability for some patient groups; patient fear of extending hospital stay; and difficulties with SVP enactment, scheduling, timing, recording, and monitoring. Enablers included the guidance provided by the SVP; patient and relative involvement; extra staff; improved nursing skill and confidence; and experience of success. Three potential mechanisms of consistency, visibility, and individualization linked the SVP process with improvements in outcome, and should be emphasised in SVP implementation.

Item Type:	Article
Uncontrolled Keywords:	interviews,knowledge transfer,nursing,program evaluation,qualitative analysis,research, clinical,stroke,urinary incontinence
Faculty \ School:	Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Groups > Community and Family Health (former - to 2017)
Depositing User:	Pure Connector
Date Deposited:	15 Mar 2016 10:09
Last Modified:	22 Oct 2022 00:54
URI:	https://ueaeprints.uea.ac.uk/id/eprint/57457
DOI:	10.1177/1049732316630975

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