Barriers and facilitators to optimising inpatient bladder management after spinal cord injury

Goodes, Louise M; King, Gabrielle K.; Goodwin, Denise; Watts, Anne; Bardsley, Jen; Middleton, James; Bragge, Peter; Dunlop, Sarah

doi:10.1038/s41393-020-0487-6

Cited by 3 publications

(5 citation statements)

References 28 publications

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“…Over-distention of the bladder, a trigger for autonomic dysreflexia, is prevented by insertion of an indwelling catheter (IDC). Transitioning from an IDC to intermittent catheterisation (IC) when the patient is medically stable is important to reduce the incidence of complications such as urinary traction infections (UTI) 13,14 . Long-term suprapubic catheters (SPC) may be more suitable for patients with limited hand function or restricted carer support.…”

Section: Resultsmentioning

confidence: 99%

“…Six papers 9,10,[13][14][15]17 described the benefits of adhering to a protocol of clinical practice with respect to bladder and bowel function after acute SCI. An evidenced framework will clarify status, identify complications, prevent adverse changes (for example bladder overdistension), standardise transition of care components (e.g., from IDC to IC / the TOV process) and determine the need for specialist referrals for spinal rehabilitation.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Improving ward-based neurogenic bladder and bowel care after acute spinal cord injury: a narrative review

Levy,

Gaikwad,

Whishaw

et al. 2023

ANZCJ

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Objectives There is a risk that early neurogenic bladder and bowel dysfunction following acute spinal cord injury (SCI) may not be adequately managed on the acute hospital wards. The aim of this paper was to review optimal assessment and management of patients with neurogenic bladder and/or bowel dysfunction during acute care immediately following SCI. A secondary aim was to translate these findings into an accessible policy for clinical staff involved in the care of acute SCI patients.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Improving ward-based neurogenic bladder and bowel care after acute spinal cord injury: a narrative review

Levy,

Gaikwad,

Whishaw

et al. 2023

ANZCJ

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“…Previous research has shown that communication and interaction have a central role in successful education, health care, and rehabilitation since patient-provider communication [ 19 ], communication gaps [ 8 ] and professionals’ lack of communication [ 14 ] were reported as barriers for persons with SCI. In studies where health care professionals were interviewed, these problems were noted.…”

Section: Discussionmentioning

confidence: 99%

“…Scientific publications with qualitative research samples have been published, e.g. related to bladder [ 8 ] and bowel [ 9 ] functions, pain [ 10 ], work and employment [ 11–13 ], education [ 14 ], and social participation [ 15–17 ]. However, there are very few qualitative publications from SCI rehabilitees’ perspectives in which facilitators and barriers are described during the whole rehabilitation process, meaning from accessing rehabilitation to independent exercising at the last phase of the process.…”

Section: Introductionmentioning

confidence: 99%

Facilitators and barriers in the rehabilitation process described by persons with spinal cord injury: a deductive-inductive analysis from the Finnish spinal cord injury study

Tallqvist,

Eskola,

Täckman

et al. 2023

Annals of Medicine

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Background This study aimed to determine the factors that promote and facilitate rehabilitation as well as challenges and possible barriers perceived by people with spinal cord injury (SCI). Materials and Methods This study was part of a larger, mixed-method Finnish Spinal Cord Injury (FinSCI) study. We interviewed 45 persons with SCI representing participants from the FinSCI study and used a qualitative approach and a deductive-inductive content analysis to analyse the data. Results We identified 28 facilitators and 19 barriers in the rehabilitation process. The majority of the facilitators and barriers were related to the rehabilitation planning phase. There were more barriers than facilitators in applying for and accessing treatment or rehabilitation and during the implementation of rehabilitation. Facilitators consisted of successful, realized, or planned treatments or rehabilitation events; clear goals; multidisciplinary teamwork; support and monitoring in various changing situations; and the rehabilitees’ own capabilities and activities, among other things. The barriers included delays, challenges and deficiencies in the planning and implementation of treatment or rehabilitation; the lack of different skills; and resources of rehabilitation professionals; and different personal factors, which made the rehabilitation process cumbersome. Conclusions Good communication and interaction between stakeholders are crucial for the progress of rehabilitation.

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“…Scienti c publications with a qualitative research sample have been published, e.g. related to bladder (5) and bowel (6) functions, pain (7), work and employment (8)(9)(10) (11), education (12), and social participation (8) (13) (14). However, there are very few publications concerning facilitators and barriers in rehabilitation; Mlenzena et al (15) published in 2013 a systematic review about barriers and facilitators of rehabilitation services, and found two studies (16) (17) where people with SCI, among other persons with some neurological conditions, were involved.…”

Section: Introductionmentioning

confidence: 99%

Facilitators and barriers in the rehabilitation process described by persons with spinal cord injury: a deductive-inductive analysis from Finnish Spinal Cord Injury Study

Tallqvist

Eskola

Täckman³

et al. 2022

Preprint

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Background A spinal cord injury (SCI) has multiple effects on the persons’ life, and can lead to impairments in activities, social participation, and environmental factors. Rehabilitation is important for regaining functioning and new skills. The aim of the study wasto determine the factors that people with SCI perceived as promoting and facilitating their rehabilitation, and what they found to be challenges and possible barriers. Methods This study was part of a larger, mixed method Finnish Spinal Cord Injury study (FinSCI). The current study had a qualitative approach and used a deductive-inductive content analysis. The deductive approach was guided by a theory of six phases of a rehabilitation process by Autti-Rämö, followed by an inductive analysis to describe in-depth the perceptions of persons with SCI in each phase of the rehabilitation process. We collected the data by interviews from 45 persons representing participants from FinSCI study and used a structured interview guide. Results We found 28 facilitators and 19 barriers in the rehabilitation process. The majority of the facilitators and barriers were related to the phase of rehabilitation planning. There were more barriers than facilitators at the beginning of the rehabilitation process in applying for and accessing treatment or rehabilitation, and during the implementation of rehabilitation. As for the facilitators that progressed the rehabilitation process, some of them included: successful or realized, planned treatments, rehabilitation events, clear goals, multidisciplinary teamwork, support, and monitoring various changing situations, and rehabilitating one’s own capability and activity. The barriers were: delays, challenges and deficiencies in the planning and implementation of their treatment or rehabilitation, the lack of different rehabilitation professionals’ skills and resources, and different patients’ personal factors, which made the progress of the rehabilitation process cumbersome. Conclusions We identified that communication and interaction were common denominators for the facilitators and barriers. Good communication and interaction among rehabilitation professionals and rehabilitees promoted the occurrence and repetition of facilitating factors during different phases of the rehabilitation process. Good care and good rehabilitation practice for people with SCI were the result of multidisciplinary teamwork, in which a person with SCI was an active member.

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Barriers and facilitators to optimising inpatient bladder management after spinal cord injury

Cited by 3 publications

References 28 publications

Improving ward-based neurogenic bladder and bowel care after acute spinal cord injury: a narrative review

Improving ward-based neurogenic bladder and bowel care after acute spinal cord injury: a narrative review

Facilitators and barriers in the rehabilitation process described by persons with spinal cord injury: a deductive-inductive analysis from the Finnish spinal cord injury study

Facilitators and barriers in the rehabilitation process described by persons with spinal cord injury: a deductive-inductive analysis from Finnish Spinal Cord Injury Study

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