Standardized bowel and bladder training program and learning resources for stroke nurses at Western Health

Billard, Gina (2016) Standardized bowel and bladder training program and learning resources for stroke nurses at Western Health. Practicum Report. Memorial University of Newfoundland. (Unpublished)

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Abstract

Background: Incontinence is a common adverse effect of stroke, affecting 40-60% of stroke patients. Incontinence is known to decrease skin integrity, increase the incidence of falls, and decrease perceptions of quality of life. The implementation of bowel and bladder management strategies has been proven to improve patient outcomes in stroke care. Ensuring nursing staff receive the proper education prior to the implementation of these strategies increases the probability of proper implementation and positive patient outcomes. Purpose: To create learning resources for registered nurses, emphasizing the importance of incontinence care in stroke patients and providing introductions to the different types of bowel and bladder management strategies and the steps for implementation for each. Methods: An extensive literature review was first conducted to identify different types of bowel and bladder management strategies, potential barriers to implementation, and theories for delivery of adult learning experiences. Consultations with key stakeholders, the manager of the stroke unit at Western Health and five Registered Nurses were completed. Finally, one other health authority in Newfoundland and Labrador was consulted regarding current bowel and bladder management strategy practices,. Results: Learning resources including an inservice, reference guide, and flowchart were created based on the information collected from the above methods. Conclusion: The learning resources created as a result of this practicum project will aid in the education of registered nurses and assist with the proposed implementation of bowel and bladder management strategies at Western Health to help improve patient outcomes in stroke care.

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