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dc.contributor.authorMay Goodwin, Denise-
dc.contributor.authorBrock, James-
dc.contributor.authorDunlop, Sarah-
dc.contributor.authorGoodes, Louise-
dc.contributor.authorMiddleton, James-
dc.contributor.authorNunn, Andrew K-
dc.contributor.authorWright, Breanna-
dc.contributor.authorBragge, Peter-
dc.identifier.citationArchives of Physical Medicine and Rehabilitation 2018; 99(10): 2118-2121-
dc.description.abstractWe examined spinal cord injury (SCI) catheterization 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 conference attended by 66 conference delegates. Initially, presentations were given on the latest laboratory research examining bladder changes following SCI; an overview of evidence-based recommendations indicating that intermittent catheterization is best practice; and results of a single-center practice audit that demonstrated substantial delay in transition between acute SCI and intermittent catheterization. The ensuing discussion covered current catheterization practices in both inpatient SCI units and the community and highlighted gaps between evidence and practice, with considerable variation in practice between centers 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 catheterization following acute SCI. The discussion identified 3 proposed activities: (1) explore current practice and bladder health following SCI in greater depth across SCI units and in local communities through audits and standardized biochemical analysis; (2) determine the behavioral drivers of current practice; and (3) develop a knowledge translation strategy to better align practice with current clinical practice guidelines.-
dc.subjectKnowledge translation-
dc.subjectSpinal cord injury-
dc.subjectUrinary catheters-
dc.subjectUrinary tract infections-
dc.titleOptimal Bladder Management Following Spinal Cord Injury: Evidence, Practice and a Cooperative Approach Driving Future Directions in Australia.-
dc.typeJournal Article-
dc.identifier.journaltitleArchives of Physical Medicine and Rehabilitation-
dc.identifier.affiliationDepartment of Anatomy and Neuroscience, University of Melbourne, Melbourne, Australiaen
dc.identifier.affiliationSchool of Biological Sciences, The University of Western Australia, Perth, Australiaen
dc.identifier.affiliationJohn Walsh Centre for Rehabilitation Research, Kolling Institute, University of Sydney, Sydney, Australiaen
dc.identifier.affiliationBehaviourWorks Australia, Monash Sustainable Development Institute, Monash University, Clayton, Australiaen
dc.identifier.affiliationVictorian Spinal Cord Service, Austin Health, Heidelberg, Victoria, Australiaen
dc.type.austinJournal Article-
dc.type.austinResearch Support, Non-U.S. Gov't-
item.fulltextNo Fulltext-
item.openairetypeJournal Article-
item.languageiso639-1en- Spinal Cord Service-
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