A'wee' problem: Using action research to facilitate a change in urine collection methods

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Journal Article
Neonatal, Paediatric and Child Health Nursing, 2009, 12 (1), pp. 15 - 19
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Collecting urine specimens from non-toilet trained children can be challenging, invasive and labour intensive, often resulting in distress for children and their families. Methods currently used to collect urine specimens include urine collection bags, in/out catheter or suprapubic aspiration (SPA), all of which are invasive. Several research studies undertaken in the UK suggest urine collection pads as an alternative method of collecting urine samples from non-toilet trained children. A group of nurses undertook a project aimed at bringing about a change in clinical practice relevant to the collection of urine specimens in a paediatric hospital in Sydney, Australia. An action research methodology was chosen because it allowed for the participation of different stakeholder groups (nurses and parents) in the process of reflecting upon and changing clinical practice. The conduct of the project presented challenges associated with the translation of research evidence into practice and with the engagement of stakeholders. Ultimately, it was the success in meeting those challenges that brought about a change in practice which is becoming increasingly sustainable.
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