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dc.contributor.authorBrady, Marion Cen_UK
dc.contributor.authorJamieson, Katharineen_UK
dc.contributor.authorBugge, Carolen_UK
dc.contributor.authorHagen, Suzanneen_UK
dc.contributor.authorMcClurg, Doreenen_UK
dc.contributor.authorChalmers, Campbellen_UK
dc.contributor.authorLanghorne, Peteren_UK
dc.description.abstractObjectives: Investigate the perspectives of patients and nursing staff on the implementation of an augmented continence care intervention after stroke.  Design: Qualitative data were elicited during semi-structured interviews with patients (n = 15) and staff (14 nurses; nine nursing assistants) and analysed using thematic analysis.  Setting: Mixed acute and rehabilitation stroke ward.  Participants: Stroke patients and nursing staff that experienced an enhanced continence care intervention.  Results: Four themes emerged from patients’ interviews describing: (a) challenges communicating about continence (initiating conversations and information exchange); (b) mixed perceptions of continence care; (c) ambiguity of focus between mobility and continence issues; and (d) inconsistent involvement in continence care decision making. Patients’ perceptions reflected the severity of their urinary incontinence. Staff described changes in: (i) knowledge as a consequence of specialist training; (ii) continence interventions (including the development of nurse-led initiatives to reduce the incidence of unnecessary catheterisation among patients admitted to their ward); (iii) changes in attitude towards continence from containment approaches to continence rehabilitation; and (iv) the challenges of providing continence care within a stroke care context including limitations in access to continence care equipment or products, and institutional attitudes towards continence.  Conclusion: Patients (particularly those with severe urinary incontinence) described challenges communicating about and involvement in continence care decisions. In contrast, nurses described improved continence knowledge, attitudes and confidence alongside a shift from containment to rehabilitative approaches. Contextual components including care from point of hospital admission, equipment accessibility and interdisciplinary approaches were perceived as important factors to enhancing continence care.en_UK
dc.relationBrady MC, Jamieson K, Bugge C, Hagen S, McClurg D, Chalmers C & Langhorne P (2016) Caring for continence in stroke care settings: a qualitative study of patients’ and staff perspectives on the implementation of a new continence care intervention. Clinical Rehabilitation, 30 (5), pp. 481-494.
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.subjectbladder functionen_UK
dc.subjectpatient-centred careen_UK
dc.titleCaring for continence in stroke care settings: a qualitative study of patients’ and staff perspectives on the implementation of a new continence care interventionen_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreason[brady et al ClinRehab paper 2016.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.citation.jtitleClinical Rehabilitationen_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.affiliationGlasgow Caledonian Universityen_UK
dc.contributor.affiliationGlasgow Caledonian Universityen_UK
dc.contributor.affiliationHealth Sciences Research - Stirling - LEGACYen_UK
dc.contributor.affiliationGlasgow Caledonian Universityen_UK
dc.contributor.affiliationGlasgow Caledonian Universityen_UK
dc.contributor.affiliationNHS Lanarkshireen_UK
dc.contributor.affiliationGlasgow Royal Infirmaryen_UK
rioxxterms.apcnot requireden_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorBrady, Marion C|en_UK
local.rioxx.authorJamieson, Katharine|en_UK
local.rioxx.authorBugge, Carol|0000-0002-4071-0803en_UK
local.rioxx.authorHagen, Suzanne|en_UK
local.rioxx.authorMcClurg, Doreen|en_UK
local.rioxx.authorChalmers, Campbell|en_UK
local.rioxx.authorLanghorne, Peter|en_UK
local.rioxx.projectInternal Project|University of Stirling|
local.rioxx.filenamebrady et al ClinRehab paper 2016.pdfen_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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