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Research projects

Onset PrevenTIon of urinary retention in Orthopaedic Nursing and rehabilitation, OPTION - a knowledge implementation study on a facilitating strategy for multi-professional clinical champion teams

About this project

Project information

Project status

In progress


Maria Hälleberg-Nyman

Research subject

Postoperative urinary retention (POUR) is a common problem in older people undergoing hip surgery. However, little is done to prevent POUR. Untreated POUR can lead to bladder distention and a permanent damage of the bladder and which can cause both physical and psychical suffering for older people undergoing for example hip surgery as well as increased costs for society.

OPTION comprises two vital aspects for quality of care and patient safety for older people: POUR and evidence based practice (EBP). OPTION aims to evaluate the effects of implementing POUR knowledge in orthopaedic care. The implementaton strategy concludes multi-professional local facilitator teams which are coached in knowledge translation and implementation of POUR guidelines. The implementation strategy is based on established theories of facilitation of knowledge implementation considering evidence and context, particularly leadership.


Eldh, A. C. , Hälleberg Nyman, M. , Joelsson-Alm, E. & Wallin, L. (2023). Facilitating facilitators to facilitate: Some general comments on a strategy for knowledge implementation in health services. Frontiers in Health Services, 3

Winberg, M. , Hälleberg Nyman, M. , Fjordkvist, E. , Joelsson-Alm, E. & Eldh, A. C. (2023). Patients’ experiences of urinary retention and bladder care: A qualitative study in orthopaedic care. International Journal of Orthopaedic and Trauma Nursing, 50.

Eldh, A. C. , Joelsson-Alm, E. , Wretenberg, P. & Hälleberg Nyman, M. (2021). Onset PrevenTIon of urinary retention in Orthopaedic Nursing and rehabilitation, OPTION-a study protocol for a randomised trial by a multi-professional facilitator team and their first-line managers' implementation strategy. Implementation Science, 16 (1).

Hälleberg Nyman, M. , Forsman, H. , Wallin, L. , Ostaszkiewicz, J. , Hommel, A. & Eldh, A. C. (2019). Promoting evidence-based urinary incontinence management in acute nursing and rehabilitation care: A process evaluation of an implementation intervention in the orthopaedic context. Journal of Evaluation In Clinical Practice, 25 (2), 282-289.

 Hälleberg Nyman, M. , Forsman, H. , Ostaszkiewicz, J. , Hommel, A. & Eldh, A. C. (2017). Urinary incontinence and its management in patients aged 65 and older in orthopaedic care: what nursing and rehabilitation staff know and do. Journal of Clinical Nursing, 26 (21-22), 3345-3353.

Research funding bodies

  • The Swedish Research Council for Health, Working Life and Welfare (FORTE)
  • Swedish Fund Nyckelfonden