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dc.contributor.authorFlaherty, Maria
dc.date.accessioned2019-08-29T09:54:40Z
dc.date.available2019-08-29T09:54:40Z
dc.date.issued2019-05-21
dc.identifier.urihttp://hdl.handle.net/10147/626782
dc.descriptionThis Organisational Development (OD) project centres on the introduction of a community nurse-led enuresis (bedwetting) service for children, establishing it as a coordinated child health service deemed essential in the Clinical Guideline on the Management of Monosymptomatic Enuresis in Ireland (HSE, 2016). The evidence clearly identifies that enuresis is detrimentally affecting children and some are carrying these effects into adulthood. The aim of this project is to provide enuresis services to children in the target Community Healthcare Organisation (CHO) using the methodology of the Heath Service Executive (HSE) 2018 Peoples Needs Defining Change Model to guide the process. An educational programme was provided to Public Health Nurses (PHN’s) and clinic-leads and a six-month pilot of drop-in clinics were established where eligible children received intensive enuresis intervention. The pilot was evaluated and quantitative and qualitative data was collated. Pre and post training questionnaires were utilised to determine the value of the educational programme. An audit of service user satisfaction surveys and a clinical evaluation of charts were completed to determine if the objectives of the project were achieved. A critical review of the relevant literature informed the design and implementation of the project, highlighted a gap in empirical research on enuresis in an Irish context to date, and helped set the project’s outcomes in context. The findings indicated that nurses’ knowledge increased post the educational programme, service users were satisfied with the service they received and children’s enuresis symptoms improved following the intervention of the clinic. The development of strong collaborative relationships with key stakeholders resulted in all the members of the steering group becoming leaders and taking ownership of the advancement of the service. This collective leadership is now at the core of the service and will guide its sustainability into the future.en_US
dc.language.isoenen_US
dc.publisherRoyal College of Surgeons in Irelanden_US
dc.subjectRESEARCHen_US
dc.subjectENURESISen_US
dc.subjectCHILDRENen_US
dc.subjectPUBLIC HEALTH NURSINGen_US
dc.subjectQUALITY IMPROVEMENTen_US
dc.titleIntroducing a Collaborative Enuresis Service for Children – a Public Health Nursing Quality Improvement Initiativeen_US
dc.typeThesisen_US
refterms.dateFOA2019-08-29T09:54:40Z


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