
TY  - JOUR
A1  - Adams, Chloe 
A1  - Foxcroft, Katie 
A1  - Baker, Karen 
A1  - Wright, Melissa 
A1  - Baker, Belinda 
T1  - The process of standardising practice: developing a gynaecology trial of void guideline
JF  - Australian and New Zealand Continence Journal
JO  - Australian and New Zealand Continence Journal
Y1  - 2023
VL  - 29
IS  - 1
SP  - 5
EP  - 9
KW  - 
UR  - https://doi.org/10.33235/anzcj.29.1.5-9 
N2  - This study presents the introduction of a comprehensive trial of void (TOV) guideline in the gynaecology department of a large tertiary hospital in Queensland, Australia. The aim was to standardise care and increase both nursing and medical staff compliance and satisfaction of processes in the department while improving quality of care. This was measured by a two-phased (pre- and post-implementation) survey of gynaecology department staff. The survey evaluated knowledge, confidence, compliance and satisfaction when comparing the previous TOV local protocol to a new standardised guideline introduced during the study. As follow-up, an audit of medical records was also conducted to reflect clinical practice. The TOV guideline was adopted following consultation and benchmarking with other Australian tertiary hospitals and implemented with a 3-month education program. Pre-implementation survey responses (n=51) from medical and nursing staff with wide range of gynaecology experience (35% 0&#x2013;2 years, 65% >3 years) were compared with post-implementation survey responses (n=45). Staff knowledge of TOV process increased from the pre-implementation survey (71%) to post-implementation (84%). The overall improvement in satisfaction of the new guideline increased from 37% to 82%. Compliance in using the new guideline was 80% compared to 73% for the previous local protocol. Over a 4-month period for both audits, the pre-implementation audit (n=48) resulted in 33% compliance compared to the post-implementation audit (n=36), 86% compliance. The study determined that the introduction of a standardised TOV guideline improved knowledge, compliance and satisfaction when performing a TOV within the gynaecology department. 
ER  -

