Date of Award


Document Type

Restricted Access Thesis

Degree Name

Master of Arts in Nursing (MAN)



First Advisor

Joyce Miller


Urinary retention is a common phenomenon following surgery. It is the number one postoperative complication within the first 2 to 4 hours of recovery. An evidence based algorithm to properly asses the patient and early intervention can lead to a positive outcome throughout the patient’s perioperative experience. Research reveals that permanent damage can be caused by bladder distention and the inability to void. Kolcaba’s Comfort Theory provides a framework for a nurse driven algorithm in the perioperative arena to improve patient outcomes. The development of a nurse driven algorithm that empowers the nurses to promptly intervene will potentially prevent postoperative urinary retention problems at a Midwest Veterans Hospital. The results reflect a need for additional staff education and research.


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