{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:53:36Z","timestamp":1791507216988,"version":"4.3.4"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec>\n            <jats:title>PURPOSE:<\/jats:title>\n            <jats:p>The purpose of this study was to explore the experience and perceptions of nurses providing bowel care to patients after spinal cord injury.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>DESIGN:<\/jats:title>\n            <jats:p>Qualitative study using thematic analysis of semistructured interviews.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>SUBJECTS AND SETTING:<\/jats:title>\n            <jats:p>Eleven RNs who provided bowel care to patients following spinal cord injury and were deemed competent to do so by their employer were invited to participate. The study setting was a large, London NHS Trust providing acute hospital care to a population of around 1 million people.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS:<\/jats:title>\n            <jats:p>Semistructured interviews were digitally audio-recorded and transcribed verbatim. Analysis of data was undertaken using Braun and Clark's 6 stages of thematic analysis.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>Four main themes emerged: (1) unpleasantness of task; (2) perceived patient experience; (3) motivation and avoidance; and (4) barriers to care. There was stoic acceptance of the unpleasant nature of bowel care for the nurse, but unpleasantness for patients was not as readily acknowledged. Perceived patient experience ranged from descriptions of positive aspects of comfort and continence to negative aspects of embarrassment and discomfort. Nurses were motivated by the medical need for bowel care but often saw it as low priority due to the unpleasant nature and displayed avoidance tactics. The barriers concerned inadequate training, the taboo nature of bowel care, and potential sexual interpretations of care.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSION:<\/jats:title>\n            <jats:p>Nurses described bowel care as unpleasant but accepted its physiologic need and importance. The standardization of bowel care training and increasing the numbers of nurses trained in bowel care may decrease stigma surrounding provision of care. Study findings suggest that male nurses' experience may differ from female nurses' experience, but this result requires further investigation.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/won.0000000000000413","type":"journal-article","created":{"date-parts":[[2018,3,8]],"date-time":"2018-03-08T11:54:16Z","timestamp":1520510056000},"page":"163-167","source":"Crossref","is-referenced-by-count":8,"title":["Experience of Nurses Caring for Patients With Neurogenic Bowel Dysfunction"],"prefix":"10.1097","volume":"45","author":[{"given":"Claire","family":"Todd","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sue","family":"Woodward","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20230826","first-page":"12","article-title":"Management of faecal incontinence and constipation in adults with central neurological diseases","author":"Coggrave","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"R2-20230826","article-title":"Not having the right bowel care is demeaning","author":"Coggrave","year":"2011","journal-title":"Nursing Times"},{"issue":"1","key":"R6-20230826","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1179\/2045772311Y.0000000043","article-title":"The challenge of spinal cord injury care in the developing world","volume":"35","author":"Burns","year":"2012","journal-title":"J Spinal Cord Med"},{"issue":"2","key":"R7-20230826","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qualitative Res Psychol"},{"issue":"7","key":"R9-20230826","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1038\/sj.sc.3100616","article-title":"Chronic gastrointestinal problems and bowel dysfunction in patients with spinal cord injury","volume":"36","author":"Han","year":"1998","journal-title":"Spinal Cord"},{"issue":"9016","key":"R10-20230826","doi-asserted-by":"crossref","first-page":"1651","DOI":"10.1016\/S0140-6736(96)91487-7","article-title":"Bowel dysfunction in spinal-cord-injury patients","volume":"347","author":"Glickman","year":"1996","journal-title":"Lancet"},{"issue":"15","key":"R11-20230826","doi-asserted-by":"crossref","first-page":"962","DOI":"10.12968\/bjon.2008.17.15.30698","article-title":"Neurogenic continence. Part 3: bowel management strategies","volume":"17","author":"Coggrave","year":"2008","journal-title":"Br J Nurs"},{"issue":"7","key":"R12-20230826","doi-asserted-by":"crossref","first-page":"e007728","DOI":"10.1136\/bmjopen-2015-007728","article-title":"Reducing and managing faecal incontinence in people with advanced dementia who are resident in care homes: protocol for a realist synthesis","volume":"5","author":"Goodman","year":"2015","journal-title":"BMJ Open"},{"issue":"20","key":"R13-20230826","doi-asserted-by":"crossref","first-page":"1108","DOI":"10.12968\/bjon.2006.15.20.22295","article-title":"Progressive protocol in the bowel management of spinal cord injuries","volume":"15","author":"Coggrave","year":"2006","journal-title":"Br J Nurs"},{"issue":"4","key":"R14-20230826","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1016\/j.pmrj.2014.09.020","article-title":"Neurogenic bowel after spinal cord injury from the perspective of support providers: a phenomenological study","volume":"7","author":"Burns","year":"2015","journal-title":"P M R"},{"issue":"2","key":"R17-20230826","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1891\/1541-6577.22.2.88","article-title":"Sexualizing men's touch: male nurses and the use of intimate touch in clinical practice","volume":"22","author":"Harding","year":"2008","journal-title":"Res Theory Nurs Pract"},{"issue":"5","key":"R18-20230826","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1111\/j.1365-2648.2006.03948.x","article-title":"Male nurses' experiences of providing intimate care for women clients","volume":"55","author":"Inoue","year":"2006","journal-title":"J Adv Nurs"},{"issue":"1","key":"R19-20230826","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.profnurs.2010.10.006","article-title":"Gender discrimination and nursing: literature review","volume":"27","author":"Kouta","year":"2011","journal-title":"J Prof Nurs"}],"container-title":["Journal of Wound, Ostomy &amp; Continence Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00152192-201803000-00010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,26]],"date-time":"2023-08-26T07:21:29Z","timestamp":1693034489000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00152192-201803000-00010"}},"subtitle":["A Qualitative Study"],"short-title":[],"issued":{"date-parts":[[2018,3]]},"references-count":13,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.1097\/won.0000000000000413","relation":{},"ISSN":["1071-5754"],"issn-type":[{"value":"1071-5754","type":"print"}],"subject":[],"published":{"date-parts":[[2018,3]]}}}