Promoting Urinary Continence: Education Program For Nursing Staff Using The 3-Day Voiding Record

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)

Jennifer Joyner Bailey (Creator)

Institution

The University of North Carolina at Greensboro (UNCG )

Web Site: http://library.uncg.edu/

Advisor

Julia Kordsmeier

Abstract: Background: Strokes are one of the major causes of disability in the United States (US) and fifth leading cause of death. Urinary incontinence (UI) is one of the complications of stroke and is associated with poor quality of life, nursing home placement, and mortality. Stroke guidelines for UI include prompt voiding as a strategy to improve UI. While guidelines to address UI are recommended, often this strategy is not implemented in inpatient rehabilitation facilities (IRF). Purpose: The purpose of this project was to assess whether a prompt voiding education program provided to nursing staff increased knowledge of prompt voiding and 3-Day voiding record for individualized prompt voiding schedule development with patients who suffered a stroke in an IRF. Methods: A nurse led prompt voiding education program was implemented. Nursing staff completed a pre- and post-survey to assess UI and prompt voiding knowledge. After the education program, the 3-Day voiding record and prompt voiding were implemented for four weeks. A post-implementation survey to assess likelihood of prompt voiding and 3-Day voiding record and barriers to these strategies were completed. Results: Analysis of pre- and post-survey results were not significant for increase in knowledge of UI and prompt voiding, clinical significance was present as 80% of the participants noted prompt voiding as a strategy for UI. Post-implementation survey results showed 88% (n=8) of the participants were likely to continue with prompt voiding even though 50% (n=6) of the participants experienced barriers. Conclusions and Recommendations: All participants had knowledge of prompt voiding prior to the education program; however, did not apply this UI strategy in their care. Addressing barriers to implementation and developing mentors to facilitate prompt voiding is needed to improve adherence to evidence based guidelines for stroke.

Promoting Urinary Continence: Education Program For Nursing Staff Using The 3-Day Voiding Record
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Created on 2/10/2023
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Additional Information

Publication

Dissertation

Language: English

Date: 2022

Keywords

stroke, urinary incontinence (UI), stroke guidelines, urinary incontinence strategies

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