{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T16:12:20Z","timestamp":1783008740235,"version":"3.54.5"},"reference-count":24,"publisher":"Wiley","issue":"15-16","license":[{"start":{"date-parts":[[2020,6,14]],"date-time":"2020-06-14T00:00:00Z","timestamp":1592092800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>It is essential to evaluate the ways in which practice changes are implemented and received in and across contexts, identifying barriers and enablers, and mechanisms for enhancing success.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To provide insights into the experiences of clinicians in implementing a multifaceted bundled urinary catheter care intervention in four acute care hospitals in New South Wales, Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The catheter care bundle was implemented using a pre\u2010 and postintervention study design. The intervention was implemented in all adult inpatient wards, emergency departments and operating theatres of four hospitals. The bundle consisted of an integrated set of evidence\u2010based practices to assist clinicians in making better informed decisions related to catheter insertion, care and removal practices. Focus groups at each participating hospital evaluated the implementation processes from the clinicians\u2019 perspective, identifying barriers and enablers to successful implementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eight focus groups were held with 35 participants. Four key inter\u2010related themes were identified: early and sustained engagement with key stakeholders; good planning but remaining flexible; managing the burden of practice change; and adopting and sustaining practice change. These themes capture and highlight the complexity and the challenges associated with implementation of the practice change across contexts and the project timeline.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>It is imperative to understand the challenges associated with complex practice change and ways in which implementation can be optimised. This study identified barriers and enablers experienced by staff implementing the bundled intervention. The themes encapsulate factors central to success of practice change within the complex, multilayered healthcare environment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Key challenges highlight the need for forward planning, strategic engagement of key players, continuing monitoring and feedback together with adequate resourcing tailored to result in sustainable normalisation of the intervention over time. The COREQ checklist for qualitative studies has been used in reporting this study.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15337","type":"journal-article","created":{"date-parts":[[2020,5,22]],"date-time":"2020-05-22T12:35:51Z","timestamp":1590150951000},"page":"3042-3053","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Barriers and facilitators to implementation of a multifaceted nurse\u2010led intervention in acute care hospitals aimed at reducing indwelling urinary catheter use: A qualitative study"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0834-9528","authenticated-orcid":false,"given":"Vicki","family":"Parker","sequence":"first","affiliation":[{"name":"Hunter New England Local Health District Newcastle NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8611-7941","authenticated-orcid":false,"given":"Michelle","family":"Giles","sequence":"additional","affiliation":[{"name":"Hunter New England Local Health District Newcastle NSW Australia"},{"name":"University of Newcastle Newcastle NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7894-7606","authenticated-orcid":false,"given":"Jennie","family":"King","sequence":"additional","affiliation":[{"name":"University of Newcastle Newcastle NSW Australia"},{"name":"Central Coast Local Health District Gosford NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8159-9921","authenticated-orcid":false,"given":"Kamana","family":"Bantawa","sequence":"additional","affiliation":[{"name":"Hunter New England Local Health District Newcastle NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6,14]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2019.43"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0171932"},{"key":"e_1_2_11_4_1","volume-title":"Qualitative data analysis: Practical strategies","author":"Bazeley P.","year":"2013"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2009.034199"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2011.05.012"},{"key":"e_1_2_11_7_1","volume-title":"Physicians' Perceptions and Practice Regarding the Prevention of Catheter\u2010Associated Urinary Tract. 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