{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T07:18:22Z","timestamp":1777533502615,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2015,6,4]],"date-time":"2015-06-04T00:00:00Z","timestamp":1433376000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Investigate the perspectives of patients and nursing staff on the implementation of an augmented continence care intervention after stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Qualitative data were elicited during semi-structured interviews with patients ( n\u2009=\u200915) and staff (14 nurses; nine nursing assistants) and analysed using thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Mixed acute and rehabilitation stroke ward.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Stroke patients and nursing staff that experienced an enhanced continence care intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Four themes emerged from patients\u2019 interviews describing: (a) challenges communicating about continence (initiating conversations and information exchange); (b) mixed perceptions of continence care; (c) ambiguity of focus between mobility and continence issues; and (d) inconsistent involvement in continence care decision making. Patients\u2019 perceptions reflected the severity of their urinary incontinence. Staff described changes in: (i) knowledge as a consequence of specialist training; (ii) continence interventions (including the development of nurse-led initiatives to reduce the incidence of unnecessary catheterisation among patients admitted to their ward); (iii) changes in attitude towards continence from containment approaches to continence rehabilitation; and (iv) the challenges of providing continence care within a stroke care context including limitations in access to continence care equipment or products, and institutional attitudes towards continence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Patients (particularly those with severe urinary incontinence) described challenges communicating about and involvement in continence care decisions. In contrast, nurses described improved continence knowledge, attitudes and confidence alongside a shift from containment to rehabilitative approaches. Contextual components including care from point of hospital admission, equipment accessibility and interdisciplinary approaches were perceived as important factors to enhancing continence care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269215515589331","type":"journal-article","created":{"date-parts":[[2015,6,5]],"date-time":"2015-06-05T20:10:04Z","timestamp":1433535004000},"page":"481-494","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["Caring for continence in stroke care settings: a qualitative study of patients\u2019 and staff perspectives on the implementation of a new continence care intervention"],"prefix":"10.1177","volume":"30","author":[{"given":"MC","family":"Brady","sequence":"first","affiliation":[{"name":"Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Jamieson","sequence":"additional","affiliation":[{"name":"Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Bugge","sequence":"additional","affiliation":[{"name":"Department of Nursing and Midwifery, University of Stirling, Stirling, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Hagen","sequence":"additional","affiliation":[{"name":"Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"McClurg","sequence":"additional","affiliation":[{"name":"Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Chalmers","sequence":"additional","affiliation":[{"name":"Stroke Services, NHS Lanarkshire, Lanarkshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Langhorne","sequence":"additional","affiliation":[{"name":"Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,6,4]]},"reference":[{"key":"bibr1-0269215515589331","doi-asserted-by":"publisher","DOI":"10.1017\/S0959259802012388"},{"key":"bibr2-0269215515589331","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10052"},{"key":"bibr3-0269215515589331","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.32.1.122"},{"key":"bibr4-0269215515589331","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.31.4.886"},{"key":"bibr5-0269215515589331","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20199"},{"key":"bibr6-0269215515589331","doi-asserted-by":"publisher","DOI":"10.1191\/0269215503cr585oa"},{"key":"bibr7-0269215515589331","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10114"},{"key":"bibr8-0269215515589331","unstructured":"Department of Health. Good practice in continence services. Available from: http:\/\/webarchive.nationalarchives.gov.uk\/20130107105354; http:\/www.dh.gov.uk\/prod_consum_dh\/groups\/dh_digitalassets\/@dh\/@en\/documents\/digitalasset\/dh_4057529.pdf (accessed 1 October 2014)."},{"key":"bibr9-0269215515589331","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410x.2004.04806.x"},{"key":"bibr10-0269215515589331","unstructured":"NHS Quality Improvement Scotland. Continence \u2013 adults with urinary dysfunction 2005. Avialable from: http:\/\/www.healthcareimprovementscotland.org\/previous_resources\/best_practice_statement\/urinary_dysfunction_in_adults.aspx (accessed 26 May 2015)."},{"key":"bibr11-0269215515589331","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004462.pub3"},{"key":"bibr12-0269215515589331","unstructured":"Scottish Intercollegiate Guidelines Network. Management of urinary incontinence in primary care 2004. 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