Article type
Abstract
Background: Patient education regarding intermittent clean self-catheterization (ICSC) techniques should be provided by trained healthcare professionals to reduce the risk of urethral damage and urinary complications and meet patient requirements.
Objectives: The aim of this project was to improve clean intermittent self-catheterization in a maternity hospital in Tabriz, Iran.
Methods: This project was conceptually informed by the JBI EBHC Model, in particular the conceptualisation of evidence implementation as inclusive of context analysis, implementation and evaluation of outcomes based on evidence-based quality indicators. Within the 7 phase implementation process we used audit and feedback in a pre and post-test design to measure baseline compliance, develop an implementation strategy responsive to gaps in compliance, and undertook a final evaluation to measure changes in compliance to evaluate and describe our implementation effects. The JBI software PACES and situational analysis software GRiP was used to support data collection and implementation planning. There were eight evidence-based criteria. Our sample size was 33 nurses and residents, and 23 patients.
Results: Following a baseline and follow-up audit cycle using the JBI-GRiP tool, in this project, we achieved improvements in compliance of all eight criteria with the best practice in the field of clean intermittent self-catheterization. Our results showed that the barriers were lack of time to educate patients, and lack of awareness about the importance of education. Interventions such as providing an educational file with voice of nurses, providing a pamphlet to a nurse or a patients, and face-to-face meetings for nurses and residents have positive impacts on patient education of clean intermittent self-catheterization.
Conclusions: The implementation of the evidence-based quality improvement project improved the status of patient education regarding intermittent clean self-catheterization. It can be concluded that educational programs and tools, such as face-to-face training can facilitate the implementation of evidence into practice.
Objectives: The aim of this project was to improve clean intermittent self-catheterization in a maternity hospital in Tabriz, Iran.
Methods: This project was conceptually informed by the JBI EBHC Model, in particular the conceptualisation of evidence implementation as inclusive of context analysis, implementation and evaluation of outcomes based on evidence-based quality indicators. Within the 7 phase implementation process we used audit and feedback in a pre and post-test design to measure baseline compliance, develop an implementation strategy responsive to gaps in compliance, and undertook a final evaluation to measure changes in compliance to evaluate and describe our implementation effects. The JBI software PACES and situational analysis software GRiP was used to support data collection and implementation planning. There were eight evidence-based criteria. Our sample size was 33 nurses and residents, and 23 patients.
Results: Following a baseline and follow-up audit cycle using the JBI-GRiP tool, in this project, we achieved improvements in compliance of all eight criteria with the best practice in the field of clean intermittent self-catheterization. Our results showed that the barriers were lack of time to educate patients, and lack of awareness about the importance of education. Interventions such as providing an educational file with voice of nurses, providing a pamphlet to a nurse or a patients, and face-to-face meetings for nurses and residents have positive impacts on patient education of clean intermittent self-catheterization.
Conclusions: The implementation of the evidence-based quality improvement project improved the status of patient education regarding intermittent clean self-catheterization. It can be concluded that educational programs and tools, such as face-to-face training can facilitate the implementation of evidence into practice.