@article{889d0a665ae54fd28fa07f18d50287f4,
title = "Bundle-of-care interventions to improve self-management of patients with urinary catheters: Study protocol",
abstract = "Background: Community-based urinary catheter-associated complications contribute to avoidable, costly hospital presentations. To minimise catheter-associated complications and improve the quality of life of patients living in the community, it is essential to improve catheter self-management through increasing patients{\textquoteright} and caregivers{\textquoteright} knowledge and self-efficacy. Aim: To co-design, develop and evaluate a bundle-of-care intervention to improve catheter self-management, reduce catheter-associated complications, and improved quality of life. Design: Mixed methods design underpinned by the principles of Appreciative Inquiry, micro- and spaced-learning pedagogies. Methods: A co-designed care bundle will be developed, to support both patients and nurses in improving catheter care in both acute and community settings. Intervention bundles for patients will be delivered using “GoShare Healthcare” and for nurses, using QStream. The underpinning pedagogical approaches of these two digital platforms focus on increasing knowledge retention and improving patient health outcomes. A process evaluation of the intervention will be undertaken using data collected from surveys, electronic medical record audits, and participant interviews. The primary outcome is improved catheter self-management, and secondary outcomes are increased self-efficacy and patients{\textquoteright} knowledge of catheter self-management. Discussion: The IQ-IDC study applies a two-pronged approach to co-design a bundle-of-care intervention that addresses important gaps in current catheter management. This study will contribute to new knowledge on effective implementation strategies to optimise self-management in urinary catheter care.",
keywords = "Care bundles, Clinical protocol, Self-efficacy, Self-management, Smart phone, Urinary catheter",
author = "Joby Alex and Caleb Ferguson and Ramjan, {Lucie M.} and Jed Montayre and Lien Lombardo and Yenna Salamonson",
note = "Funding Information: This research was supported by Western Sydney University and Western Sydney Local Health District. We thank Western Sydney Nursing and Midwifery Research Centre for assistance and support. We would also like to show our gratitude to Juanita Taylor and Jennifer Fitzsimons (Director of Nursing, Midwifery & Clinical Governance, Integrated and Community Health), Rose Roco (Nurse Manager, Integrated and Community Health) and our nursing colleagues for sharing their pearls of wisdom with us during the course of this research. Funding Information: JA is funded through a 2018 Western Sydney Local Health District Research & Education Network Nursing & Midwifery Kickstarter Grant, a 2019 Integrated and Community Health Research Launchpad Grant and a 2020 Westmead Charitable Trust Nursing & Midwifery Career Development Grant. Funding Information: CF is funded through a Postdoctoral Research Fellowship (Ref: 102168) from the National Heart Foundation of Australia and receives funding from the National Health & Medical Research Council Investigator Grant 2020-2025 (APP1196262). Funding Information: JA, YS and CF were responsible for the study conception and design. JA, YS, CF, LR and JM were responsible for drafting the manuscript. All authors (JA, YS, CF, LR, JM & LL) made critical revisions to the paper for important intellectual content. JA is funded through a 2018 Western Sydney Local Health District Research & Education Network Nursing & Midwifery Kickstarter Grant, a 2019 Integrated and Community Health Research Launchpad Grant and a 2020 Westmead Charitable Trust Nursing & Midwifery Career Development Grant. CF is funded through a Postdoctoral Research Fellowship (Ref: 102168) from the National Heart Foundation of Australia and receives funding from the National Health & Medical Research Council Investigator Grant 2020-2025 (APP1196262). Ethics approval was received from the Western Sydney Local Health District (HREC/2019/ETH12575) and Western Sydney University Human Research Ethics Committee (RH13650). In addition, this study has received the approval of Australian New Zealand Clinical Trials Registry (ACTRN12621000683831). No conflict of interest has been declared by the authors. This research was supported by Western Sydney University and Western Sydney Local Health District. We thank Western Sydney Nursing and Midwifery Research Centre for assistance and support. We would also like to show our gratitude to Juanita Taylor and Jennifer Fitzsimons (Director of Nursing, Midwifery & Clinical Governance, Integrated and Community Health), Rose Roco (Nurse Manager, Integrated and Community Health) and our nursing colleagues for sharing their pearls of wisdom with us during the course of this research. Publisher Copyright: {\textcopyright} 2021",
year = "2022",
month = jun,
doi = "10.1016/j.colegn.2021.08.007",
language = "English",
volume = "29",
pages = "405--413",
journal = "Collegian",
issn = "1322-7696",
publisher = "Elsevier B.V.",
number = "3",
}