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|Title:||Optimal bladder management following spinal cord injury: Evidence, practice and a cooperative approach driving future directions in Australia|
|Authors:||Goodwin, Denise May;Brock, James;Dunlop, Sarah;Goodes, Louise;Middleton, James;Nunn, Andrew;Wright, Breanna;Bragge, Peter|
|Citation:||Archives of Physical Medicine and Rehabilitation 2018; online first: 28 April|
|Abstract:||We examined SCI catheterisation 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 (ANZSCoS) conference attended by 66 conference delegates. Initially, presentations were given on latest laboratory research examining bladder changes following SCI; an overview of evidence-based recommendations indicating that intermittent catheterisation is best practice; and results of a single-centre practice audit demonstrated substantial delay in transition between acute SCI and intermittent catheterisation. The ensuing discussion covered current catheterisation practices in both inpatient SCI units and the community and highlighted gaps between evidence and practice, with considerable variation in practice between centres 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 catheterisation following acute SCI. The discussion identified three proposed activities: 1] explore current practice and bladder health following SCI in greater depth across SCI units and in local communities through audits and standardised biochemical analysis 2] determine the behavioural drivers of current practice and 3] develop a knowledge translation strategy to better align practice with current CPGs.|
|Appears in Collections:||Journal articles|
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