Translation of an evidence-based protocol into practice: Cultural differences in implementing prompted voiding to maintain continence

2.50
Hdl Handle:
http://hdl.handle.net/10755/307922
Category:
Abstract
Type:
Presentation
Title:
Translation of an evidence-based protocol into practice: Cultural differences in implementing prompted voiding to maintain continence
Author(s):
Lai, Claudia K. Y.
Lead Author STTI Affiliation:
Pi Iota
Author Details:
Claudia K. Y. Lai, RN, PhD, hsclai@inet.polyu.edu.hk
Abstract:

Poster presented on: Monday, November 18, 2013, Tuesday, November 19, 2013

Purpose

Prompted voiding (PV) is a behavioral modification used to teach people with or without cognitive impairment to initiate their own toileting through positive reinforcement from caregivers. PV has been found to be an effective continence maintenance measure in Western countries. No publications have been found to date on the use and effect of PV in Asia. This paper reports on cultural differences observed in the use of an evidence-based protocol for prompted voiding.

Methods

Fifty-two nursing home residents recruited from five nursing homes were randomly allocated to experimental and control groups. Each participant was measured four times (T0a and T0b – double baselines, T1 – twelve weeks post-intervention, and T2 – six months post-intervention). Staff training was provided until all staff members were verified to be proficient in delivering the protocol. Data about the staff’s proficiency in maintaining PV over time were also collected.

Results

In the implementation of the PV protocol, the most frequently forgotten items included: (i) asking whether the participants had been to the toilet in the previous two hours; (ii) reminding the participants that they will be back again in two hours, and (iii) asking the participants three times if the latter said that they did not want to go to the toilet when approached. The staff were uncomfortable with showing mild disapproval when the residents were unable to maintain continence (which is part of the protocol). Moreover, some residents disliked being asked three times whether they would like to go to the toilet when they had already stated that they did not need to go.

Conclusion

The findings are useful to both nursing home residents and their families, as well as to long-term care staff when adopting PV to promote continence. This paper provides important information about the use of PV in Chinese culture.

Keywords:
Behavioral intervention; Evidence-based practice; Culturally-appropriate care
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleTranslation of an evidence-based protocol into practice: Cultural differences in implementing prompted voiding to maintain continenceen_GB
dc.contributor.authorLai, Claudia K. Y.en_GB
dc.contributor.departmentPi Iotaen_GB
dc.author.detailsClaudia K. Y. Lai, RN, PhD, hsclai@inet.polyu.edu.hken_GB
dc.identifier.urihttp://hdl.handle.net/10755/307922-
dc.description.abstract<p>Poster presented on: Monday, November 18, 2013, Tuesday, November 19, 2013</p>Purpose <p>Prompted voiding (PV) is a behavioral modification used to teach people with or without cognitive impairment to initiate their own toileting through positive reinforcement from caregivers. PV has been found to be an effective continence maintenance measure in Western countries. No publications have been found to date on the use and effect of PV in Asia. This paper reports on cultural differences observed in the use of an evidence-based protocol for prompted voiding. <p>Methods <p>Fifty-two nursing home residents recruited from five nursing homes were randomly allocated to experimental and control groups. Each participant was measured four times (T<sub>0</sub><sub>a </sub>and<sub> </sub>T<sub>0</sub><sub>b</sub> – double baselines, T<sub>1</sub> – twelve weeks post-intervention, and T<sub>2</sub> – six months post-intervention). Staff training was provided until all staff members were verified to be proficient in delivering the protocol. Data about the staff’s proficiency in maintaining PV over time were also collected. <p>Results <p>In the implementation of the PV protocol, the most frequently forgotten items included: (i) asking whether the participants had been to the toilet in the previous two hours; (ii) reminding the participants that they will be back again in two hours, and (iii) asking the participants three times if the latter said that they did not want to go to the toilet when approached. The staff were uncomfortable with showing mild disapproval when the residents were unable to maintain continence (which is part of the protocol). Moreover, some residents disliked being asked three times whether they would like to go to the toilet when they had already stated that they did not need to go. <p>Conclusion <p>The findings are useful to both nursing home residents and their families, as well as to long-term care staff when adopting PV to promote continence. This paper provides important information about the use of PV in Chinese culture.en_GB
dc.subjectBehavioral interventionen_GB
dc.subjectEvidence-based practiceen_GB
dc.subjectCulturally-appropriate careen_GB
dc.date.available2013-12-19T17:24:10Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:24:10Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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