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      • HARVEST
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      Postoperative urinary retention : an exploratory study

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      Date
      2011-02-01
      Author
      Betker, Amanda
      Type
      Thesis
      Degree Level
      Masters
      Metadata
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      Abstract
      Postoperative urinary retention (PUR) is a common problem seen after surgery, particularly after orthopedic surgery. There has been a great deal of research done surrounding the causes of PUR and the optimal treatment for PUR, all with conflicting results. Little research has been done with orthopedic nurses to find out how they actually treat PUR, and on what information they base those treatment decisions. Evidence-based practice has been gaining popularity recently and highlights the need for nurses to make treatment decisions based on sound research, patient preferences, clinical expertise, and taking into consideration health care resources and the clinical setting (DiCenso, Ciliska, & Guyatt, 2005). This study investigated nurses' views on the definition of PUR, how they assessed for PUR, how they treated PUR and what they based their treatment decisions on. Ten nurses who worked on orthopedic units were interviewed using a semi-structured format consisting of four questions. The interviews were recorded and then transcribed verbatim by the student researcher. Qualitative description, as described by Sandelowski (2000), was used to analyze data. All nurses defined PUR fairly similarly. Various contributing factors for PUR were mentioned, some that were studied in the literature, and some that were not. Each nurse had a slightly different way of treating PUR, and 'ward routine' was also described differently. Study results point to a need for more research and education in the area of PUR so that all nurses are treating PUR in the same manner based on the same sound knowledge base.
      Degree
      Master of Nursing (M.N.)
      Department
      College of Nursing
      Program
      College of Nursing
      Supervisor
      Donnelly, Glenn
      Committee
      Goodridge, Donna; Woods, Phil
      Copyright Date
      February 2011
      URI
      http://hdl.handle.net/10388/etd-03202011-213608
      Subject
      Postoperative urinary retention
      Orthopedics
      Evidence-based decision making
      Urinary catheterization
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