Abstract
We examined spinal cord injury (SCI) catheterization practices in Australia to understand practice patterns and consistency with research evidence. A national facilitated discussion forum was held during the annual Australian and New Zealand Spinal Cord Society conference attended by 66 conference delegates. Initially, presentations were given on the latest laboratory research examining bladder changes following SCI; an overview of evidence-based recommendations indicating that intermittent catheterization is best practice; and results of a single-center practice audit that demonstrated substantial delay in transition between acute SCI and intermittent catheterization. The ensuing discussion covered current catheterization practices in both inpatient SCI units and the community and highlighted gaps between evidence and practice, with considerable variation in practice between centers and settings. Reported challenges to implementing best practice included social, economic, and resource factors. A disconnect between hospital and community practice was also identified as an important barrier to long-term uptake of intermittent catheterization following acute SCI. The discussion identified 3 proposed activities: (1) explore current practice and bladder health following SCI in greater depth across SCI units and in local communities through audits and standardized biochemical analysis; (2) determine the behavioral drivers of current practice; and (3) develop a knowledge translation strategy to better align practice with current clinical practice guidelines.
| Original language | English |
|---|---|
| Pages (from-to) | 2118-2121 |
| Number of pages | 4 |
| Journal | Archives of Physical Medicine and Rehabilitation |
| Volume | 99 |
| Issue number | 10 |
| DOIs |
|
| Publication status | Published - 1 Oct 2018 |
Keywords
- Knowledge translation
- Rehabilitation
- Spinal cord injury
- Urinary catheters
- Urinary tract infections
Cite this
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Optimal Bladder Management Following Spinal Cord Injury : Evidence, Practice and a Cooperative Approach Driving Future Directions in Australia. / Goodwin, Denise May; Brock, James; Dunlop, Sarah; Goodes, Louise; Middleton, James; Nunn, Andrew; Wright, Breanna; Bragge, Peter.
In: Archives of Physical Medicine and Rehabilitation, Vol. 99, No. 10, 01.10.2018, p. 2118-2121.Research output: Contribution to journal › Comment / Debate › Research › peer-review
TY - JOUR
T1 - Optimal Bladder Management Following Spinal Cord Injury
T2 - Evidence, Practice and a Cooperative Approach Driving Future Directions in Australia
AU - Goodwin, Denise May
AU - Brock, James
AU - Dunlop, Sarah
AU - Goodes, Louise
AU - Middleton, James
AU - Nunn, Andrew
AU - Wright, Breanna
AU - Bragge, Peter
PY - 2018/10/1
Y1 - 2018/10/1
N2 - We examined spinal cord injury (SCI) catheterization practices in Australia to understand practice patterns and consistency with research evidence. A national facilitated discussion forum was held during the annual Australian and New Zealand Spinal Cord Society conference attended by 66 conference delegates. Initially, presentations were given on the latest laboratory research examining bladder changes following SCI; an overview of evidence-based recommendations indicating that intermittent catheterization is best practice; and results of a single-center practice audit that demonstrated substantial delay in transition between acute SCI and intermittent catheterization. The ensuing discussion covered current catheterization practices in both inpatient SCI units and the community and highlighted gaps between evidence and practice, with considerable variation in practice between centers and settings. Reported challenges to implementing best practice included social, economic, and resource factors. A disconnect between hospital and community practice was also identified as an important barrier to long-term uptake of intermittent catheterization following acute SCI. The discussion identified 3 proposed activities: (1) explore current practice and bladder health following SCI in greater depth across SCI units and in local communities through audits and standardized biochemical analysis; (2) determine the behavioral drivers of current practice; and (3) develop a knowledge translation strategy to better align practice with current clinical practice guidelines.
AB - We examined spinal cord injury (SCI) catheterization practices in Australia to understand practice patterns and consistency with research evidence. A national facilitated discussion forum was held during the annual Australian and New Zealand Spinal Cord Society conference attended by 66 conference delegates. Initially, presentations were given on the latest laboratory research examining bladder changes following SCI; an overview of evidence-based recommendations indicating that intermittent catheterization is best practice; and results of a single-center practice audit that demonstrated substantial delay in transition between acute SCI and intermittent catheterization. The ensuing discussion covered current catheterization practices in both inpatient SCI units and the community and highlighted gaps between evidence and practice, with considerable variation in practice between centers and settings. Reported challenges to implementing best practice included social, economic, and resource factors. A disconnect between hospital and community practice was also identified as an important barrier to long-term uptake of intermittent catheterization following acute SCI. The discussion identified 3 proposed activities: (1) explore current practice and bladder health following SCI in greater depth across SCI units and in local communities through audits and standardized biochemical analysis; (2) determine the behavioral drivers of current practice; and (3) develop a knowledge translation strategy to better align practice with current clinical practice guidelines.
KW - Knowledge translation
KW - Rehabilitation
KW - Spinal cord injury
KW - Urinary catheters
KW - Urinary tract infections
UR - http://www.scopus.com/inward/record.url?scp=85050074017&partnerID=8YFLogxK
U2 - 10.1016/j.apmr.2018.04.030
DO - 10.1016/j.apmr.2018.04.030
M3 - Comment / Debate
VL - 99
SP - 2118
EP - 2121
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
SN - 0003-9993
IS - 10
ER -