{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T16:49:24Z","timestamp":1780505364754,"version":"3.54.1"},"reference-count":31,"publisher":"Wiley","issue":"9-10","license":[{"start":{"date-parts":[[2018,5,27]],"date-time":"2018-05-27T00:00:00Z","timestamp":1527379200000},"content-version":"vor","delay-in-days":26,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Programme Grant for Applied Health Research","award":["RP-PG-0707-10059"],"award-info":[{"award-number":["RP-PG-0707-10059"]}]},{"name":"National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care, North West Coast"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To explore the views and experiences of stroke survivors and carers about a systematic voiding programme for poststroke incontinence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Urinary incontinence after stroke is common and associated with poorer functional outcome. Structured assessment and management are potentially effective interventions, but it is important that there is a good understanding of stroke survivors\u2019 and carers\u2019 views of their acceptability and implementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A qualitative study within a feasibility trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sixteen participants (12 stroke survivors and four carers) were interviewed using a structured schedule shortly before discharge from one of six inpatient stroke units across six hospitals. Interviews were audio\u2010recorded and transcribed verbatim, and thematic analysis was conducted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Participants included seven male and five female stroke survivors (mean age 76\u00a0years) and four female carers (two wives and two daughters). Themes relating to the preliminary (assessment) phase of the programme were as follows: physical impact, psychological impact, beliefs about incontinence, and the assessment process itself. Main themes relating to the implementation of the programme included the following: timed voiding decisions, adapting the programme or the timed voiding schedule, and urinary incontinence management techniques. Participants felt that the programme helped them to re\u2010establish a regular pattern of micturition and to regain autonomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The effectiveness of a systematic voiding programme may partly lie in its educational component, challenging patients\u2019 and carers\u2019 assumptions that poststroke incontinence is inevitable. Individual adaptation of the programme and the ability to incorporate it alongside other aspects of care are likely to be key factors influencing implementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Urinary incontinence is common after stroke. To maximise benefits from a systematic voiding programme, nurses should support stroke survivors to overturn erroneous beliefs, to participate in tailoring of the programme, and in self\u2010management where appropriate.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.14346","type":"journal-article","created":{"date-parts":[[2018,3,8]],"date-time":"2018-03-08T13:36:36Z","timestamp":1520516196000},"page":"2041-2051","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Stroke survivors\u2019 and carers\u2019 experiences of a systematic voiding programme to treat urinary incontinence after stroke"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3051-1237","authenticated-orcid":false,"given":"Josephine ME","family":"Gibson","sequence":"first","affiliation":[{"name":"School of Nursing University of Central Lancashire Preston UK"},{"name":"National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care North West Coast Preston UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lois H","family":"Thomas","sequence":"additional","affiliation":[{"name":"School of Health Sciences University of Central Lancashire Preston UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna J","family":"Harrison","sequence":"additional","affiliation":[{"name":"School of Nursing University of Central Lancashire Preston UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline L","family":"Watkins","sequence":"additional","affiliation":[{"name":"School of Nursing University of Central Lancashire Preston UK"},{"name":"National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care North West Coast Preston UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the ICONS Project Team and the ICONS Patient, Public and Carer Involvement Groups","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,5,27]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10052"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/JNN.0000000000000336"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215515589331"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.29.2.524"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/28.6.509"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2007.04.002"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-4-50"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215517748715"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13083"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1745-6215-14-15"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/ene.13077"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.12471"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10114"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732303257224"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/00207454.2016.1277344"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005392-200102000-00003"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.12183"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1191\/0269215503cr585oa"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.28.1.58"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.32.1.122"},{"key":"e_1_2_10_23_1","first-page":"39","article-title":"Patient experiences of bladder problems following stroke","volume":"36","author":"Pilcher M.","year":"2012","journal-title":"Nursing Standard"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-4949.2009.00287.x"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13048"},{"issue":"1","key":"e_1_2_10_26_1","first-page":"Art. 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