Clinical trial NCT04700969: Onset PrevenTIon of Urinary Retention in Orthopaedic Nursing and Rehabilitation
Official title: Onset PrevenTIon of Urinary Retention in Orthopaedic Nursing and Rehabilitation, OPTION - a Knowledge Implementation Study on a Facilitation Strategy for Multi-professional Clinical Champion Teams
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Urinary Retention
Hip Fractures
Hip Arthritis
Keywords: Orthopedics
Implementation
Research utilization
Lead sponsor: Örebro University, Sweden
Sponsor class: OTHER
Collaborators: name: Linkoeping University
name: Karolinska Institutet
First posted: 2021-01-08
Enrollment: 20
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: Urinary retention (UR) is a common problem in older people undergoing hip surgery. Untreated UR can lead to bladder distention and a permanent damage of the bladder, which can cause both physical and psychical suffering as well as increased costs for society. Even if national and international practice guidelines are in place for handling UR within the health care system, many fail to comply with them. Compliance to clinical practice guidelines are improved if different professions and managers collaborate as a team. In OPTION (Onset PrevenTIon of urinary retention in Orthopedic Nursing and rehabilitation) the investigators will coach multi-professional local facilitator teams in knowledge translation and implementation of UR practice as well as investigate the effects of such evidence-based practice in orthopedic nursing and rehabilitation.

Implementation of research-based knowledge in evidence-based practice within an organization is complex with several known interacting factors. In a health care system these factors can be the care context, knowledge (innovation) and how the organization facilitates such implementations. The implementation strategy of OPTION utilize established theories of facilitation of knowledge implementation considering evidence and context with focus on leadership. The intervention consists of seminars and systematic support for implementation of UR-guidelines OPTION combine studies of adherence to evidence based practice regarding UR for patients over 65 years old that has undergone hip surgery and the health economic aspects of it. OPTION also contribute with improvements and increased knowledge regarding strategies to implement evidence based health care that can be used in other areas than UR and hip surgeries.


Eligibility criteria: Inclusion Criteria: Orthopaedic units in Sweden performing hip surgery. -

Exclusion Criteria: Orthopaedic units in Sweden not performing hip surgery

-

Primary outcomes:
measure: Adherence to UR guidelines in the care of patients undergoing hip surgery.
timeFrame: Change from base line to 1 year after the intervention
Secondary outcomes:
measure: Number of hip surgery patients with UR
timeFrame: Change from base line to 1 year after the intervention
measure: Patient participation
timeFrame: Change from base line to 1 year after the intervention
measure: Costs related to UR
timeFrame: Change from base line to 1 year after the intervention
measure: The IFs', staff's, and managers' experience of UR care
timeFrame: Change from base line to 1 year after the intervention
measure: The IFs', staff's, and managers' experience of the facilitation program
timeFrame: 1 year after the intervention
measure: The experience of people undergoing hip surgery, regarding UR, UR care.
timeFrame: Change from base line to 1 year after the intervention
measure: The impact of a knowledge translation support program on the peoples' experience of the above
timeFrame: Change from base line to 1 year after the intervention
Other outcomes:
Locations:
city: Arvika
country: Sweden
facility: Sjukhuset Arvika
city: Danderyd
country: Sweden
facility: Danderyds sjukhus
city: Eksjö
country: Sweden
facility: Höglandssjukhuset Eksjö
city: Enköping
country: Sweden
facility: Enköpings lasarett
city: Eskilstuna
country: Sweden
facility: Mälarsjukhuset
city: Huddinge
country: Sweden
facility: Karolinska University Hospital, Huddinge
city: Johanneshov
country: Sweden
facility: Capio Ortopediska huset
city: Karlskoga
country: Sweden
facility: Karlskoga Lasarett
city: Motala
country: Sweden
facility: Capio Specialistvård Motala
city: Norrköping
country: Sweden
facility: Vrinnevisjukhuset
city: Norrtälje
country: Sweden
facility: Norrtälje Sjukhus
city: Nyköping
country: Sweden
facility: Nyköpings lasarett
city: Stockholm
country: Sweden
facility: Södersjukhuset
city: Södertälje
country: Sweden
facility: Södertälje sjukhus
city: Torsby
country: Sweden
facility: Sjukhuset Torsby
city: Västerås
country: Sweden
facility: Västmanlands sjukhus
city: Örebro
country: Sweden
facility: Örebro University Hospital
Study officials:
affiliation: Örebro University, Sweden
name: Maria Hälleberg Nyman, PHD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Eldh AC, Joelsson-Alm E, Wretenberg P, Halleberg-Nyman M. Onset PrevenTIon of urinary retention in Orthopaedic Nursing and rehabilitation, OPTION-a study protocol for a randomised trial by a multi-professional facilitator team and their first-line managers' implementation strategy. Implement Sci. 2021 Jun 26;16(1):65. doi: 10.1186/s13012-021-01135-x.