Implementing a Systematic Voiding Program for Patients With Urinary Incontinence After Stroke.
Qual Health Res
; 26(10): 1393-408, 2016 08.
Article
em En
| MEDLINE
| ID: mdl-26935722
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 2011-2013. We conducted semi-structured 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 (NPT) 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 emphasized in SVP implementation.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Incontinência Urinária
/
Atitude do Pessoal de Saúde
/
Acidente Vascular Cerebral
Tipo de estudo:
Clinical_trials
/
Qualitative_research
Limite:
Humans
Idioma:
En
Revista:
Qual Health Res
Assunto da revista:
ENFERMAGEM
/
PESQUISA EM SERVICOS DE SAUDE
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Reino Unido