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Bundle-of-care interventions to improve self-management of patients with urinary catheters: Study protocol
مداخلات بسته مراقبتی برای بهبود خود مدیریتی بیماران با سوندهای ادراری: پروتکل مطالعه-2021 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’ and caregivers’ knowledge and self-efficacy.
Aim: To co-design, develop and evaluate a bundle-of-care intervention to improve catheter selfmanagement, reduce catheter-associated complications, and improved quality of life. Design: Mixed methods design underpinned by the principles of Appreciative Inquiry, micro- and spacedlearning 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 selfmanagement, and secondary outcomes are increased self-efficacy and patients’ 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: سوند ادرار | بسته های مراقبت | خود مدیریت | خودپرداز | گوشی های هوشمند | پروتکل بالینی | Urinary catheter | Care bundles | Self-management | Self-efficacy | Smart phone | Clinical protocol |
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