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Improving Self-Efficacy and Self-Care in Adult Patients With a Urinary Diversion: A Pilot Study

Kyle Merandy

Meredith A. Morgan

Richard Lee

Douglas S. Scherr

urinary bladder neoplasms, urinary diversion, self-care, self-efficacy
ONF 2017, 44(3), E90-E100. DOI: 10.1188/17.ONF.E90-E100

Purpose/Objectives: To evaluate the feasibility and acceptability of a multimodality educational intervention for improving self-efficacy (SE) and self-care in patients with a new urinary diversion (UD).

Design: Two-arm randomized, controlled trial.

Setting: Academic medical center in New York.

Sample: 8 adults diagnosed with bladder cancer requiring UD.

Methods: A multimodality educational intervention consisting of video, Microsoft PowerPoint® slides, and medical illustrations was developed. SE was assessed pre- and postintervention related to care of the UD. Education scale scores provided evidence for intervention acceptability and assessment of UD self-care skills.

Main Research Variables: Feasibility, acceptability, results of SE, and self-care scales.

Findings: Enrollment and retention was 100%. All participants took part in every aspect of the study. No issues were apparent with administration of the study; however, a lack of self-care independence was noted between the study arms. The control group was younger in age than the intervention group.

Conclusions: A supplemental multimethod educational intervention is acceptable in this population and feasible to integrate into hospital care or into an appropriately powered study.

Implications for Nursing: A need exists for ongoing postdischarge support and education in this population. Additional studies are needed to determine the best approach for this.

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