Enhancing bladder management for intrapartum/postpartum women at a maternity hospital in Taiwan: a best practice implementation project.
Introduction and aims: Voiding dysfunction is a common perinatal condition. Appropriate bladder management and monitoring during labor and postpartum improves bladder function and reduces the incidence of infections and complications. This project aimed to promote evidence-based bladder management s...
| Published in: | JBI Evidence Implementation Vol. 21; no. 3; pp. 197 - 208 |
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| Main Authors: | , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Lippincott Williams & Wilkins
Sep2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=173873994&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 173873994 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26913321 MO0F jtl: JBI Evidence Implementation issn: 26913321 maglogo: N pubinfo: dt: Sep2023 vid: 21 iid: 3 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 173873994 173873994 173873994 10.1097/XEB.0000000000000357 173873994 ppf: 197 ppct: 11 formats: tig: atl: Enhancing bladder management for intrapartum/postpartum women at a maternity hospital in Taiwan: a best practice implementation project. aug: au: Wan-Lin Pan Li-Li Chen Chia-Hui Wang Pei-Fan Mu Shwu-Feng Tsay Meei-Ling Gau affil: School of Nursing, National Taipei University of Nursing and Health Sciences sug: subj: Perinatal Care Taiwan Bowel and Bladder Management Quality Improvement Maternal Health Services Taiwan Intrapartum Care Postnatal Care Hospitals Taiwan Taiwan Human Female Audit Implementation Science Urinary Catheterization Urinary Retention Urination Professional Compliance Quality of Health Care Descriptive Statistics Funding Source Female ab: Introduction and aims: Voiding dysfunction is a common perinatal condition. Appropriate bladder management and monitoring during labor and postpartum improves bladder function and reduces the incidence of infections and complications. This project aimed to promote evidence-based bladder management strategies for perinatal women at a maternity hospital in Taiwan. Methods: The project was implemented using the JBI framework and the JBI Practical Application of Clinical Evidence System. Implementation audits were conducted by examining nurses and intrapartum and postpartum women. Ten criteria were applied in the baseline audit, and two follow-up audits were conducted to assess actual compliance with best-practice recommendations. Through a Getting Research into Practice analysis, we identified three barriers to changing practice. Results: A comparison of the audit outcomes revealed that all criteria had improved by the second follow-up audit cycle. Specifically, the compliance rate increased from37% and 50% to 100% for criteria 1 and 2, respectively; from0% to 100% for criteria 3, 5, and 10; and from7%, 28%, 50%, and 17%to 100%, 100%, 97%, and 100% for criteria 4, 6, 8, and 9, respectively. Following implementation, the frequency of intrapartum intermittent catheterization (53.44-38.30%) and the postpartum incidence of urinary retention (9.09-8.51%) decreased. The time to first voiding after vaginal delivery and between the first and the second voiding decreased from 5.51 and 4.01 h to 2.32 and 2.29 h, respectively. Conclusions: This evidence-based implementation project achieved substantial improvements in bladder management. Relational leadership theory, which integrates empowerment, purposefulness, ethical behaviors, and process orientation, underpinned the project. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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