| dc.description.abstract | Postpartum urinary retention (PUR) is one of the most common cases in women after cesarean section. PUR in these women, although does not have a life-threatening effect, it leads to the discomfort of patients and the risk of complications such as bladder rupture and recurrent urinary infections.
Objective: The aim of this evidence implementation project was to evaluate urinary retention after cesarean section in Alzahra and Taleghani educational and medical centers in Tabriz, Iran.
Methods: A clinical audit, before-after study was undertaken using the JBI checklist. Sixty physicians and 30 nurses were participated in this study. A checklist including eight audit criteria, representing the best practice recommendations for evaluation of urinary retention after cesarean section was used for data collection. A baseline audit was conducted, followed by the implementation of multiple strategies. The project was finalized with a follow-up audit to evaluate changes in practice. The criterion was considered excellent compliance, moderate, and non-compliance if the number of yes answers was above 75%, between 50-75%, and below 50% respectively.
Results: Results of this baseline audit showed that all criteria except one, was non-compliance with the best practice. As the next step, barriers to the non-compliance and strategies to improve these barriers were identified and implemented. These strategies include holding a one-day conference about PUR, holding a workshop about communicating with patients and guideline adaptation and applying it in the ward. Results of the follow-up audit indicated that all areas have improved after the implementation of the interventions compared to the baseline audit. Also, the compliance with the standard in all areas except criteria 2 and 7 was above 50% and acceptable. These two criteria were related to pre-operative screening of patients for PUR and bladder ultrasound screening. | en_US |
