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Bundle-of-care interventions to improve self-management of patients with urinary catheters: Study protocol

Journal Article


Abstract


  • Background: Community-based urinary catheter-associated complications contribute to avoidable, costly hospital presentations. To minimise catheter-associated complications and improve the quality of life of patients living in the community, it is essential to improve catheter self-management through increasing patients��� and caregivers��� knowledge and self-efficacy. Aim: To co-design, develop and evaluate a bundle-of-care intervention to improve catheter self-management, reduce catheter-associated complications, and improved quality of life. Design: Mixed methods design underpinned by the principles of Appreciative Inquiry, micro- and spaced-learning pedagogies. Methods: A co-designed care bundle will be developed, to support both patients and nurses in improving catheter care in both acute and community settings. Intervention bundles for patients will be delivered using ���GoShare Healthcare��� and for nurses, using QStream. The underpinning pedagogical approaches of these two digital platforms focus on increasing knowledge retention and improving patient health outcomes. A process evaluation of the intervention will be undertaken using data collected from surveys, electronic medical record audits, and participant interviews. The primary outcome is improved catheter self-management, and secondary outcomes are increased self-efficacy and patients��� knowledge of catheter self-management. Discussion: The IQ-IDC study applies a two-pronged approach to co-design a bundle-of-care intervention that addresses important gaps in current catheter management. This study will contribute to new knowledge on effective implementation strategies to optimise self-management in urinary catheter care.

Publication Date


  • 2022

Citation


  • Alex, J., Ferguson, C., Ramjan, L. M., Montayre, J., Lombardo, L., & Salamonson, Y. (2022). Bundle-of-care interventions to improve self-management of patients with urinary catheters: Study protocol. Collegian, 29(3), 405-413. doi:10.1016/j.colegn.2021.08.007

Scopus Eid


  • 2-s2.0-85115070637

Start Page


  • 405

End Page


  • 413

Volume


  • 29

Issue


  • 3

Place Of Publication


Abstract


  • Background: Community-based urinary catheter-associated complications contribute to avoidable, costly hospital presentations. To minimise catheter-associated complications and improve the quality of life of patients living in the community, it is essential to improve catheter self-management through increasing patients��� and caregivers��� knowledge and self-efficacy. Aim: To co-design, develop and evaluate a bundle-of-care intervention to improve catheter self-management, reduce catheter-associated complications, and improved quality of life. Design: Mixed methods design underpinned by the principles of Appreciative Inquiry, micro- and spaced-learning pedagogies. Methods: A co-designed care bundle will be developed, to support both patients and nurses in improving catheter care in both acute and community settings. Intervention bundles for patients will be delivered using ���GoShare Healthcare��� and for nurses, using QStream. The underpinning pedagogical approaches of these two digital platforms focus on increasing knowledge retention and improving patient health outcomes. A process evaluation of the intervention will be undertaken using data collected from surveys, electronic medical record audits, and participant interviews. The primary outcome is improved catheter self-management, and secondary outcomes are increased self-efficacy and patients��� knowledge of catheter self-management. Discussion: The IQ-IDC study applies a two-pronged approach to co-design a bundle-of-care intervention that addresses important gaps in current catheter management. This study will contribute to new knowledge on effective implementation strategies to optimise self-management in urinary catheter care.

Publication Date


  • 2022

Citation


  • Alex, J., Ferguson, C., Ramjan, L. M., Montayre, J., Lombardo, L., & Salamonson, Y. (2022). Bundle-of-care interventions to improve self-management of patients with urinary catheters: Study protocol. Collegian, 29(3), 405-413. doi:10.1016/j.colegn.2021.08.007

Scopus Eid


  • 2-s2.0-85115070637

Start Page


  • 405

End Page


  • 413

Volume


  • 29

Issue


  • 3

Place Of Publication