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Post-Cerebrovascular Accident Unpredictable Incontinence

A Qualitative Analysis of an Interdisciplinary Rehabilitation Team’s Perspective

Kohler, Myrta, MSc, RN1,2,3; Mayer, Hanna, PhD3; Kesselring, Juerg, MD2; Saxer, Susi, PhD, RN1

doi: 10.1097/rnj.0000000000000097

Purpose This study investigates experiences of the interdisciplinary rehabilitation team in the treatment of patients with urinary incontinence after stroke.

Design A qualitative approach was chosen. Ten members of an interdisciplinary treatment team were interviewed in a neurological inpatient rehabilitation setting.

Methods Data were obtained via focus groups with nurses, physicians, physiotherapists, and occupational therapists in a rehabilitation clinic. The analysis followed the principles of qualitative content analysis.

Findings According to the interdisciplinary treatment team, professionals and patients prioritize incontinence treatment differently. Challenges surrounding collaboration, communication, structural conditions, and the perception of intervention success were identified as barriers to promoting continence.

Conclusion To overcome this discrepancy in treatment priority, awareness of poststroke urinary incontinence must be improved.

Clinical Relevance A key component is communication about urinary incontinence with patients and among team members.

1 University of Applied Sciences St. Gallen, Switzerland

2 Rehabilitation Centre Clinic Valens, Valens, Switzerland

3 University of Vienna, Austria

Correspondence: Myrta Kohler, Institute of Applied Nursing Science, University of Applied Sciences St. Gallen, Rosenbergstrasse 59, CH-9001 St. Gallen, Switzerland. E-mail:

Cite this article as: Kohler, M., Mayer, H., Kesselring, J., & Saxer, S. (2019). Post-CVA unpredictable incontinence. Rehabilitation Nursing, 44(2), 69–77. doi: 10.1097/rnj.0000000000000097

© 2019 Association of Rehabilitation Nurses.
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