OPTION: Onset PrevenTIon of Urinary Retention in Orthopaedic Nursing and Rehabilitation
Study Details
Study Description
Brief Summary
Urinary retention (UR) is a common problem in older people undergoing hip surgery. Untreated UR can lead to bladder distention and a permanent damage of the bladder, which can cause both physical and psychical suffering as well as increased costs for society. Even if national and international practice guidelines are in place for handling UR within the health care system, many fail to comply with them. Compliance to clinical practice guidelines are improved if different professions and managers collaborate as a team. In OPTION (Onset PrevenTIon of urinary retention in Orthopedic Nursing and rehabilitation) the investigators will coach multi-professional local facilitator teams in knowledge translation and implementation of UR practice as well as investigate the effects of such evidence-based practice in orthopedic nursing and rehabilitation.
Implementation of research-based knowledge in evidence-based practice within an organization is complex with several known interacting factors. In a health care system these factors can be the care context, knowledge (innovation) and how the organization facilitates such implementations. The implementation strategy of OPTION utilize established theories of facilitation of knowledge implementation considering evidence and context with focus on leadership. The intervention consists of seminars and systematic support for implementation of UR-guidelines OPTION combine studies of adherence to evidence based practice regarding UR for patients over 65 years old that has undergone hip surgery and the health economic aspects of it. OPTION also contribute with improvements and increased knowledge regarding strategies to implement evidence based health care that can be used in other areas than UR and hip surgeries.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: A support program to facilitate implementation of EBP for postoperative urinary retention 12- month support program. Multi-professional facilitator-teams will be supported by a 12-month support program including seminars and monthly supervision (e-discussion forum and group teleconferences) to develop an awareness of, and skills in facilitating implementation of evidence/EBP in clinical everyday care. |
Other: : A support program to facilitate implementation of evidence-based practice for postoperative urinary retention
A 12-month implementation support program for multi-professional internal facilitator teams
|
| No Intervention: Control-No support program No support program |
Outcome Measures
Primary Outcome Measures
- Adherence to UR guidelines in the care of patients undergoing hip surgery. [Change from base line to 1 year after the intervention]
Adherence to national urinary retention guidelines documented in the patients' medical record
Secondary Outcome Measures
- Number of hip surgery patients with UR [Change from base line to 1 year after the intervention]
Number of hip surgery patients with UR documented in the patients' medical record
- Patient participation [Change from base line to 1 year after the intervention]
The Patient Preferences for Patient Participation tool (The 4Ps)
- Costs related to UR [Change from base line to 1 year after the intervention]
Costs for device and labour for bladder scanning and urinary catheterization
- The IFs', staff's, and managers' experience of UR care [Change from base line to 1 year after the intervention]
Investigated with qualitative interviews
- The IFs', staff's, and managers' experience of the facilitation program [1 year after the intervention]
Investigated with qualitative interviews
- The experience of people undergoing hip surgery, regarding UR, UR care. [Change from base line to 1 year after the intervention]
Investigated with qualitative interviews
- The impact of a knowledge translation support program on the peoples' experience of the above [Change from base line to 1 year after the intervention]
Investigated with qualitative interviews
Eligibility Criteria
Criteria
Inclusion Criteria: Orthopaedic units in Sweden performing hip surgery. -
Exclusion Criteria: Orthopaedic units in Sweden not performing hip surgery
-
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Sjukhuset Arvika | Arvika | Sweden | ||
| 2 | Danderyds sjukhus | Danderyd | Sweden | ||
| 3 | Höglandssjukhuset Eksjö | Eksjö | Sweden | ||
| 4 | Enköpings lasarett | Enköping | Sweden | ||
| 5 | Mälarsjukhuset | Eskilstuna | Sweden | ||
| 6 | Gävle sjukhus | Gävle | Sweden | ||
| 7 | Karolinska University Hospital, Huddinge | Huddinge | Sweden | ||
| 8 | Hudiksvalls sjukhus | Hudiksvall | Sweden | ||
| 9 | Capio Ortopediska huset | Johanneshov | Sweden | ||
| 10 | Karlskoga Lasarett | Karlskoga | Sweden | ||
| 11 | Vrinnevisjukhuset | Norrköping | Sweden | ||
| 12 | Nyköpings lasarett | Nyköping | Sweden | ||
| 13 | Södersjukhuset | Stockholm | Sweden | ||
| 14 | Södertälje sjukhus | Södertälje | Sweden | ||
| 15 | Sjukhuset Torsby | Torsby | Sweden | ||
| 16 | Västmanlands sjukhus | Västerås | Sweden | ||
| 17 | Örebro University Hospital | Örebro | Sweden |
Sponsors and Collaborators
- Örebro University, Sweden
- Linkoeping University
- Karolinska Institutet
Investigators
- Principal Investigator: Maria Hälleberg Nyman, PHD, Örebro University, Sweden
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- ORU 2020/03330