Date of Conferral

2023

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

DR HAHN JOAN

Abstract

AbstractNeurogenic bladder (NB) is common in patients with traumatic brain injury, spinal cord injury, spinal bifida, and stroke. Many patients who have these diseases struggle to control their bladder. NB can be defined as the inability to completely empty the bladder. For managing the bladder, clinicians usually opt for using an indwelling urinary catheter for those patients. Indwelling urinary catheters are a source of infection and do not help the patient regain continence. Research findings showed that frequent toileting and monitoring with bladder scanning benefited patients with NB and helped patients restore continence. To address a knowledge gap, this new procedure of bladder management was taught to direct care nurses, and this project addressed whether teaching the new procedure of bladder management would be effective in increasing nurses’ knowledge to allow them to be more efficient in the use of an evidence-based approach to NB management compared to the older approach using an indwelling catheter for bladder management. Nurses’ understanding of this new procedure in NB management took place with a pretest–posttest design. A PowerPoint presentation was done to educate nurses on the topic of managing NB with the bladder protocol that incorporated the idea of the toileting program. A pretest was administered to the nurses first, followed by the presentation. Then, a posttest was conducted to evaluate whether learning had occurred The result shows that 100% of staff nurses (N = 10) scored higher on the posttest, suggesting that learning of the bladder protocol for managing NB had occurred. This new practice is anticipated to change patients’ lives and provide a positive social change.

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