Onset PrevenTIon of Urinary Retention in Orthopaedic Nursing and Rehabilitation

Not Applicable

Active, not recruiting

• Conditions: Urinary Retention; Hip Fractures; Hip Arthritis

• Registration Number: NCT04700969
• Lead Sponsor: Örebro University, Sweden

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-12-15
• Study First Submitted: 2020-12-23
• Study First Submitted QC: 2021-01-07
• Study First Posted: 2021-01-08
• Status Verified: 2025-03
• Last Update Submitted: 2025-03-18
• Last Update Posted: 2025-03-21
• Primary Completion: 2025-12-30
• Study Completion: 2027-05-30

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

Orthopaedic units in Sweden performing hip surgery. -

Exclusion Criteria

Orthopaedic units in Sweden not performing hip surgery

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Adherence to UR guidelines in the care of patients undergoing hip surgery.	Change from base line to 1 year after the intervention	Adherence to national urinary retention guidelines documented in the patients' medical record

Secondary Outcome Measures

Name	Time	Method
Patient participation	Change from base line to 1 year after the intervention	The Patient Preferences for Patient Participation tool (The 4Ps)
The IFs', staff's, and managers' experience of UR care	Change from base line to 1 year after the intervention	Investigated with qualitative interviews
The IFs', staff's, and managers' experience of the facilitation program	1 year after the intervention	Investigated with qualitative interviews
The experience of people undergoing hip surgery, regarding UR, UR care.	Change from base line to 1 year after the intervention	Investigated with qualitative interviews
Costs related to UR	Change from base line to 1 year after the intervention	Costs for device and labour for bladder scanning and urinary catheterization
The impact of a knowledge translation support program on the peoples' experience of the above	Change from base line to 1 year after the intervention	Investigated with qualitative interviews
Number of hip surgery patients with UR	Change from base line to 1 year after the intervention	Number of hip surgery patients with UR documented in the patients' medical record

Trial Locations

Locations (17)

Karlskoga Lasarett; 🇸🇪 Karlskoga, Sweden

Karolinska University Hospital, Huddinge; 🇸🇪 Huddinge, Sweden

Mälarsjukhuset; 🇸🇪 Eskilstuna, Sweden

Sjukhuset Arvika; 🇸🇪 Arvika, Sweden

Danderyds sjukhus; 🇸🇪 Danderyd, Sweden

Enköpings lasarett; 🇸🇪 Enköping, Sweden

Södersjukhuset; 🇸🇪 Stockholm, Sweden

Höglandssjukhuset Eksjö; 🇸🇪 Eksjö, Sweden

Capio Ortopediska huset; 🇸🇪 Johanneshov, Sweden

Capio Specialistvård Motala; 🇸🇪 Motala, Sweden

Vrinnevisjukhuset; 🇸🇪 Norrköping, Sweden

Norrtälje Sjukhus; 🇸🇪 Norrtälje, Sweden

Nyköpings lasarett; 🇸🇪 Nyköping, Sweden

Sjukhuset Torsby; 🇸🇪 Torsby, Sweden

Södertälje sjukhus; 🇸🇪 Södertälje, Sweden

Västmanlands sjukhus; 🇸🇪 Västerås, Sweden

Örebro University Hospital; 🇸🇪 Örebro, Sweden