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

Beverley French, Lois H. Thomas, Joanna Harrison, Christopher R. Burton, Denise Forshaw, Joanne Booth, David Britt, Francine M. Cheater, Brenda Roe, Caroline L. Watkins

Research output: Contribution to journalArticle


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.
Original languageEnglish
Pages (from-to)1-16
Number of pages17
JournalQualitative Health Research
Issue number10
Early online date1 Mar 2016
Publication statusPublished - 1 Aug 2016



  • interviews
  • knowledge transfer
  • nursing
  • program evaluation
  • qualitative analysis
  • clinical research
  • stroke
  • urinary incontinence
  • qualitative
  • normalization process theory
  • uk

Cite this

French, B., Thomas, L. H., Harrison, J., Burton, C. R., Forshaw, D., Booth, J., Britt, D., Cheater, F. M., Roe, B., & Watkins, C. L. (2016). Implementing a systematic voiding program for patients with urinary incontinence after stroke. Qualitative Health Research, 26(10), 1-16.