Onset PrevenTIon of Urinary Retention in Orthopaedic Nursing and Rehabilitation

NCT04700969 | Active Not Recruiting

• 1 other identifier: ORU 2020/03330
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 17

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.

Conditions

Urinary Retention; Hip Fractures; Hip Arthritis

Keywords

Orthopedics; Implementation; Research utilization

Outcome Measures

Primary Outcomes (1)

• Adherence to UR guidelines in the care of patients undergoing hip surgery.

  Adherence to national urinary retention guidelines documented in the patients' medical record

  Change from base line to 1 year after the intervention

Secondary Outcomes (7)

• Number of hip surgery patients with UR

  Change from base line to 1 year after the intervention

• Patient participation

  Change from base line to 1 year after the intervention

• Costs related to UR

  Change from base line to 1 year after the intervention

• The IFs', staff's, and managers' experience of UR care

  Change from base line to 1 year after the intervention

• The IFs', staff's, and managers' experience of the facilitation program

  1 year after the intervention

Study Arms (2)

A support program to facilitate implementation of EBP for postoperative urinary retention

EXPERIMENTAL

12- month support program. Multi-professional facilitator-teams will be supported by a 12-month support program including seminars and monthly supervision (e-discussion forum and group teleconferences) to develop an awareness of, and skills in facilitating implementation of evidence/EBP in clinical everyday care.

Other: : A support program to facilitate implementation of evidence-based practice for postoperative urinary retention

Control-No support program

NO INTERVENTION

No support program

Interventions

: A support program to facilitate implementation of evidence-based practice for postoperative urinary retention OTHER

A 12-month implementation support program for multi-professional internal facilitator teams

A support program to facilitate implementation of EBP for postoperative urinary retention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

Sponsors & Collaborators

• Örebro University, Sweden: lead
• Linkoeping University: collaborator
• Karolinska Institutet: collaborator

Study Sites (17)

Sjukhuset Arvika

Arvika, Sweden

Location

Danderyds sjukhus

Danderyd, Sweden

Location

Höglandssjukhuset Eksjö

Eksjö, Sweden

Location

Enköpings lasarett

Enköping, Sweden

Location

Mälarsjukhuset

Eskilstuna, Sweden

Location

Karolinska University Hospital, Huddinge

Huddinge, Sweden

Location

Capio Ortopediska huset

Johanneshov, Sweden

Location

Karlskoga Lasarett

Karlskoga, Sweden

Location

Capio Specialistvård Motala

Motala, Sweden

Location

Vrinnevisjukhuset

Norrköping, Sweden

Location

Norrtälje Sjukhus

Norrtälje, Sweden

Location

Nyköpings lasarett

Nyköping, Sweden

Location

Örebro University Hospital

Örebro, Sweden

Location

Södertälje sjukhus

Södertälje, Sweden

Location

Södersjukhuset

Stockholm, Sweden

Location

Sjukhuset Torsby

Torsby, Sweden

Location

Västmanlands sjukhus

Västerås, Sweden

Location

Related Publications (3)

• Winberg M, Fjordkvist E, Joelsson-Alm E, Carlfjord S, Nyman MH, Eldh AC. Contextual Factors Affecting Evidence-Based Practice in Orthopaedic Nursing and Rehabilitation: A Mixed Methods Study. J Adv Nurs. 2025 Jul 19. doi: 10.1111/jan.70098. Online ahead of print.

  PMID: 40682329 DERIVED

• Fjordkvist E, Halleberg Nyman M, Winberg M, Joelsson-Alm E, Eldh AC. First-line managers' experience of guideline implementation in orthopaedic nursing and rehabilitation: a qualitative study. BMC Health Serv Res. 2024 Jul 31;24(1):871. doi: 10.1186/s12913-024-11353-w.

  PMID: 39085940 DERIVED

• 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.

  PMID: 34174917 DERIVED

MeSH Terms

Conditions

Urinary Retention; Hip Fractures

Condition Hierarchy (Ancestors)

Urination Disorders; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries

Study Officials

• Maria Hälleberg Nyman, PHD

  Örebro University, Sweden

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 23, 2020
• First Posted: January 8, 2021
• Study Start: December 15, 2020
• Primary Completion: December 30, 2025
• Study Completion (Estimated): May 30, 2027
• Last Updated: March 21, 2025

Record last verified: 2025-03

Locations

SE (17)