Article type
Abstract
"Background: Voiding dysfunction is a common condition in the postpartum period. The Royal College of Nursing´s evidence reports that “bladder care and management during childbirth is a critical part of maternity care”, and when ignored, ineffective management can have short and long-term impact on the health of the women and their family.
Objectives: To promote the best available evidence-based practice related to bladder management in postpartum women after vaginal delivery or caesarean section in the puerperium ward. To increase compliance with the best available evidence regarding the promotion of early postpartum discharge, on the usefulness of urinary elimination management in postpartum women after vaginal delivery or caesarean section.
Methods: the implementation project is underway in the puerperium ward of a maternity hospital in Coimbra, using the JBI framework and the JBI Practical Application of Clinical Evidence System and Getting Research into Practice (GRiP). Twelve criteria were applied in the baseline audit, based on the selection from the JBI Evidence Summary (JBI-ES-4884-1), and two follow-up audits will be conducted to assess actual compliance with best-practice recommendations.
Preliminary results of the current study: the first audit outcomes revealed the need to improve all the twelve criteria by second follow-up audit cycle. Specifically, we expect the compliance rate increased from 0 % to 100% for criteria 1, 1b, 2, 9 and 10 respectively; from 50% to 100% for criteria 3 and 8; and from 3,3%, 33%, 40%, and 83% to 100%, for criteria 7b, 6, 7a, and 5, respectively and 90% to 100% for criteria 4.
Expected results: substantial improvements are expected as a result of the entire service team taking part in this continuous improvement project concerning bladder management in postpartum women after vaginal delivery or caesarean section in the puerperium ward, regarding the promotion of early postpartum discharge, on the usefulness of urinary elimination management with a focus also on the relevance of this for postpartum women in the community context.
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Objectives: To promote the best available evidence-based practice related to bladder management in postpartum women after vaginal delivery or caesarean section in the puerperium ward. To increase compliance with the best available evidence regarding the promotion of early postpartum discharge, on the usefulness of urinary elimination management in postpartum women after vaginal delivery or caesarean section.
Methods: the implementation project is underway in the puerperium ward of a maternity hospital in Coimbra, using the JBI framework and the JBI Practical Application of Clinical Evidence System and Getting Research into Practice (GRiP). Twelve criteria were applied in the baseline audit, based on the selection from the JBI Evidence Summary (JBI-ES-4884-1), and two follow-up audits will be conducted to assess actual compliance with best-practice recommendations.
Preliminary results of the current study: the first audit outcomes revealed the need to improve all the twelve criteria by second follow-up audit cycle. Specifically, we expect the compliance rate increased from 0 % to 100% for criteria 1, 1b, 2, 9 and 10 respectively; from 50% to 100% for criteria 3 and 8; and from 3,3%, 33%, 40%, and 83% to 100%, for criteria 7b, 6, 7a, and 5, respectively and 90% to 100% for criteria 4.
Expected results: substantial improvements are expected as a result of the entire service team taking part in this continuous improvement project concerning bladder management in postpartum women after vaginal delivery or caesarean section in the puerperium ward, regarding the promotion of early postpartum discharge, on the usefulness of urinary elimination management with a focus also on the relevance of this for postpartum women in the community context.
"