TY - JOUR
T1 - Implementing a systematic voiding program for patients with urinary incontinence after stroke
AU - French, Beverley
AU - Thomas, Lois H.
AU - Harrison, Joanna
AU - Burton, Christopher R.
AU - Forshaw, Denise
AU - Booth, Joanne
AU - Britt, David
AU - Cheater, Francine M.
AU - Roe, Brenda
AU - Watkins, Caroline L.
PY - 2016/8/1
Y1 - 2016/8/1
N2 - 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.
AB - 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.
KW - interviews
KW - knowledge transfer
KW - nursing
KW - program evaluation
KW - qualitative analysis
KW - clinical research
KW - stroke
KW - urinary incontinence
KW - qualitative
KW - normalization process theory
KW - uk
U2 - 10.1177/1049732316630975
DO - 10.1177/1049732316630975
M3 - Article
VL - 26
SP - 1393
EP - 1408
JO - Qualitative Health Research
JF - Qualitative Health Research
SN - 1049-7323
IS - 10
ER -