Abstract
We explored health professionals’ views of implementing a systematic voiding program (SVP) in a multi-site qualitative process evaluation in stroke services recruited to the intervention arms of a cluster randomized controlled feasibility trial during 2011-13. We conducted semistructured group or individual interviews with 38 purposively selected nursing, managerial and care staff involved in delivering the SVP. Content analysis of transcripts used normalization process theory as a pre-specified organization-level exploratory framework. Barriers to implementing the SVP included perceived lack of suitability for some patient groups; patient fear of extending hospital stay; and difficulties with SVP enactment, scheduling, timing, recording, and monitoring. Enablers included the guidance provided by the SVP; patient and relative involvement; extra staff; improved nursing skill and confidence; and experience of success. Three potential mechanisms of consistency, visibility, and individualization linked the SVP process with improvements in outcome, and should be emphasised in SVP implementation.
Original language | English |
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Pages (from-to) | 1393-1408 |
Number of pages | 16 |
Journal | Qualitative Health Research |
Volume | 26 |
Issue number | 10 |
Early online date | 1 Mar 2016 |
DOIs | |
Publication status | Published - Aug 2016 |
Keywords
- interviews
- knowledge transfer
- nursing
- program evaluation
- qualitative analysis
- research, clinical
- stroke
- urinary incontinence