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Evidensbaserad Blasovervakning vid Ortopedisk Vard: Patienters Erfarenheter och Personals Foljsamhet till Riskbedomning vid Hoftkirurgi = = Evidence-based Bladder Monitoring in Orthopedic Care: Patient Experiences and Staff Adherence to Risk Assessment in Hip Surgery.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Evidensbaserad Blasovervakning vid Ortopedisk Vard: Patienters Erfarenheter och Personals Foljsamhet till Riskbedomning vid Hoftkirurgi =/
其他題名:	Evidence-based Bladder Monitoring in Orthopedic Care: Patient Experiences and Staff Adherence to Risk Assessment in Hip Surgery.
作者:	Winberg, Madeleine.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2023,
面頁冊數:	73 p.
附註:	Source: Masters Abstracts International, Volume: 85-10.
Contained By:	Masters Abstracts International85-10.
標題:	Patients. -
電子資源:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31247316
ISBN:	9798382218069

Evidensbaserad Blasovervakning vid Ortopedisk Vard: Patienters Erfarenheter och Personals Foljsamhet till Riskbedomning vid Hoftkirurgi = = Evidence-based Bladder Monitoring in Orthopedic Care: Patient Experiences and Staff Adherence to Risk Assessment in Hip Surgery.
Winberg, Madeleine.

Evidensbaserad Blasovervakning vid Ortopedisk Vard: Patienters Erfarenheter och Personals Foljsamhet till Riskbedomning vid Hoftkirurgi =Evidence-based Bladder Monitoring in Orthopedic Care: Patient Experiences and Staff Adherence to Risk Assessment in Hip Surgery. - Ann Arbor : ProQuest Dissertations & Theses, 2023 - 73 p.

Source: Masters Abstracts International, Volume: 85-10.

Thesis (Licentiate)--Linkopings Universitet (Sweden), 2023.

Background: Hip surgery, a common healthcare procedure in Sweden and worldwide, is like other surgical procedures associated with risks of complications, such as urinary retention. Urinary retention is prompted by several factors experienced by the orthopaedic patient, such as pain, bed rest, medication (opioids, anaesthesia) and intravenous treatment with fluids. To prevent urinary retention or other voiding complications, there are evidence-based guidelines, supporting safe clinical care and averting unnecessary care injuries. Prior studies indicate that these guidelines are neither fully known nor used by orthopaedic staff, but bladder distension is still one of the most common adverse events in Swedish orthopaedic care. This licentiate thesis represents two studies, constituted by baseline data from 17 orthopaedic units in the Onset PrevenTIon of urinary retention in Orthopaedic Nursing and rehabilitation (OPTION) trial. Aim: The overall aim was to explore patients' experiences of bladder care and voiding issues due to hip surgery and to evaluate staffs' adherence to risk assessment for urinary retention according to evidence-based guide-lines. Design and method: Study I had a descriptive design and data was analysed using inductive content analysis. Study II was an observational study analysed with descriptive and comparative statistics, and logistic regressions. Findings: Patients experienced that bladder care and monitoring seemed important, although the reason was not fully explained to them, nor the related risk between hip surgery and urinary retention. Those experiencing bladder issues postoperatively managed and sought care on their own, not associating such events with their hip surgery. The bladder issues were described as negatively affecting daily life. Documentation in medical records (n=1382) indicated low adherence to recommended risk assessment for urinary retention (23.4%), and performed assessment was significantly associated with acute surgery or being treated at an academic hospital. Acute patients experienced urinary retention or other bladder issues more frequently, and among those patients completing a survey (n=447), 11.9% reported increased bladder issues after surgery. Conclusions: With a lack of communication with patients about bladder care, and limited adherence to risk assessment for urinary retention, further efforts to reinforce guideline implementation are needed. This should include a more patient-centred approach in the attempts to provide better, safer and more equal care.

ISBN: 9798382218069Subjects--Topical Terms:

1961957
Patients.

Evidensbaserad Blasovervakning vid Ortopedisk Vard: Patienters Erfarenheter och Personals Foljsamhet till Riskbedomning vid Hoftkirurgi = = Evidence-based Bladder Monitoring in Orthopedic Care: Patient Experiences and Staff Adherence to Risk Assessment in Hip Surgery.
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245 1 0 $a Evidensbaserad Blasovervakning vid Ortopedisk Vard: Patienters Erfarenheter och Personals Foljsamhet till Riskbedomning vid Hoftkirurgi = $b Evidence-based Bladder Monitoring in Orthopedic Care: Patient Experiences and Staff Adherence to Risk Assessment in Hip Surgery.
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300 $a 73 p.
500 $a Source: Masters Abstracts International, Volume: 85-10.
500 $a Advisor: Eldh, Ann Catrine;Halleberg-Nyman, Maria;Joelsson-Alm, Eva.
502 $a Thesis (Licentiate)--Linkopings Universitet (Sweden), 2023.
520 $a Background: Hip surgery, a common healthcare procedure in Sweden and worldwide, is like other surgical procedures associated with risks of complications, such as urinary retention. Urinary retention is prompted by several factors experienced by the orthopaedic patient, such as pain, bed rest, medication (opioids, anaesthesia) and intravenous treatment with fluids. To prevent urinary retention or other voiding complications, there are evidence-based guidelines, supporting safe clinical care and averting unnecessary care injuries. Prior studies indicate that these guidelines are neither fully known nor used by orthopaedic staff, but bladder distension is still one of the most common adverse events in Swedish orthopaedic care. This licentiate thesis represents two studies, constituted by baseline data from 17 orthopaedic units in the Onset PrevenTIon of urinary retention in Orthopaedic Nursing and rehabilitation (OPTION) trial. Aim: The overall aim was to explore patients' experiences of bladder care and voiding issues due to hip surgery and to evaluate staffs' adherence to risk assessment for urinary retention according to evidence-based guide-lines. Design and method: Study I had a descriptive design and data was analysed using inductive content analysis. Study II was an observational study analysed with descriptive and comparative statistics, and logistic regressions. Findings: Patients experienced that bladder care and monitoring seemed important, although the reason was not fully explained to them, nor the related risk between hip surgery and urinary retention. Those experiencing bladder issues postoperatively managed and sought care on their own, not associating such events with their hip surgery. The bladder issues were described as negatively affecting daily life. Documentation in medical records (n=1382) indicated low adherence to recommended risk assessment for urinary retention (23.4%), and performed assessment was significantly associated with acute surgery or being treated at an academic hospital. Acute patients experienced urinary retention or other bladder issues more frequently, and among those patients completing a survey (n=447), 11.9% reported increased bladder issues after surgery. Conclusions: With a lack of communication with patients about bladder care, and limited adherence to risk assessment for urinary retention, further efforts to reinforce guideline implementation are needed. This should include a more patient-centred approach in the attempts to provide better, safer and more equal care.
520 $a Hoftkirurgi, en vanligt forekommande operation i Sverige och internationellt, ar precis som andra kirurgiska procedurer forknippad med okad risk for komplikationer, exempelvis urinretention. Att patienter som genomgar hoftkirurgi drabbas av urinretention kan forklaras av flertalet faktorer, sa som smarta, sanglage, medicinering (opioider, anestesi) och intravenos infusion av vatska. For att forebygga urinretention och andra blaskomplikationer har evidensbaserade riktlinjer tagits fram, vilka ska stodja det kliniska arbetet och forhindra vardskador. Trots detta indikerar tidigare studier att riktlinjerna inte anvands fullt ut och/eller ar helt kanda av vardpersonal, och blasoverfyllnad ar fortfarande en av de vanligaste vardkomplikationerna inom svensk ortopedisk vard. Denna licentiatavhandling innefattar tva studier, vilka bygger pa baslinjedata fran 17 ortopediska enheter inkluderade i studien Onset PrevenTIon of urinary retention in Orthopaedic Nursing and rehabilitation (OPTION). Det overgripande syftet var att undersoka patienters erfarenheter av blasvard och blasbesvar i samband med hoftkirurgi, samt att utvardera personals foljsamhet till riskbedomning for urinretention enligt evidensbaserade riktlinjer. Studie I hade en deskriptiv design dar data analyserades med induktiv innehallsanalys. Studie II var en observationsstudie dar data analyserades med deskriptiv och jamforande statistik samt logistisk regressionsanalys. Patienterna beskrev att blasvard- och overvakning tycktes viktigt men de hade inte fatt veta anledningen till detta, och hade inte heller vetskap om den okade risken for urinretention i samband med hoftkirurgi. De som erfor blasbesvar postoperativt hanterade och sokte hjalp pa egen hand, och besvaren associerades inte till den operation de genomgatt. Blasbesvaren beskrevs ha en negativ paverkan pa det dagliga livet. Foljsamheten i granskade patientjournaler (n=1382) till riskbedomning for urinretention var lag (23.4%), och utford bedomning var signifikant associerad till akut kirurgi eller att ha behandlats vid ett universitetssjukhus. Akuta patienter upplevde oftare urinretention eller andra blasbesvar i samband med sin kirurgi och av de patienter som besvarade en enkat om detta (n=447) hade 11.9% okade blasbesvar efter sin hoftoperation. Brist pa kommunikation om blasvard och lag foljsamhet till riskbedomning for urinretention enligt evidensbaserade riktlinjer, indikerar ett behov av vidare implementering av dessa - inklusive ett okat patientcentrerat synsatt, for battre, sakrare och mer likvardig vard.
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