Onset PrevenTIon of Urinary Retention in Orthopaedic Nursing and Rehabilitation

Hip Fractures Clinical Trial

— OPTION  

Official title:

Onset PrevenTIon of Urinary Retention in Orthopaedic Nursing and Rehabilitation, OPTION - a Knowledge Implementation Study on a Facilitation Strategy for Multi-professional Clinical Champion Teams

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT04700969
• Other study ID #: ORU 2020/03330
• Status: Active, not recruiting
• Phase: N/A
• Start date: December 15, 2020
• Est. completion date: May 30, 2025

Study information

• Verified date: February 2024
• Source: Örebro University, Sweden
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 20
• Est. completion date: May 30, 2025
• Est. primary completion date: August 30, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria: Orthopaedic units in Sweden performing hip surgery. - Exclusion Criteria: Orthopaedic units in Sweden not performing hip surgery -

Related Conditions & MeSH terms

• Hip Arthritis
• Hip Fractures
• Urinary Retention

Intervention

Other:
• : A support program to facilitate implementation of evidence-based practice for postoperative urinary retention
A 12-month implementation support program for multi-professional internal facilitator teams

Locations

Country	Name	City	State
Sweden	Sjukhuset Arvika	Arvika
Sweden	Danderyds sjukhus	Danderyd
Sweden	Höglandssjukhuset Eksjö	Eksjö
Sweden	Enköpings lasarett	Enköping
Sweden	Mälarsjukhuset	Eskilstuna
Sweden	Karolinska University Hospital, Huddinge	Huddinge
Sweden	Capio Ortopediska huset	Johanneshov
Sweden	Karlskoga Lasarett	Karlskoga
Sweden	Capio Specialistvård Motala	Motala
Sweden	Vrinnevisjukhuset	Norrköping
Sweden	Norrtälje Sjukhus	Norrtälje
Sweden	Nyköpings lasarett	Nyköping
Sweden	Örebro University Hospital	Örebro
Sweden	Södertälje sjukhus	Södertälje
Sweden	Södersjukhuset	Stockholm
Sweden	Sjukhuset Torsby	Torsby
Sweden	Västmanlands sjukhus	Västerås

Sponsors (3)

Lead Sponsor	Collaborator
Örebro University, Sweden	Karolinska Institutet, Linkoeping University

Country where clinical trial is conducted

Sweden, 

Outcome

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