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Advancing Quality of Urinary Incontinence Evaluation and Treatment in Nursing Homes Through Translational Research
Author(s) -
Watson Nancy M.
Publication year - 2004
Publication title -
worldviews on evidence‐based nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.052
H-Index - 49
eISSN - 1741-6787
pISSN - 1545-102X
DOI - 10.1111/j.1524-475x.2004.04043.x
Subject(s) - urinary incontinence , translational research , medicine , nursing , quality (philosophy) , urology , pathology , philosophy , epistemology
Aim: This article presents the development of ongoing research to improve the evaluation and treatment of urinary incontinence (UI) in nursing homes through “A Model for Use of the Urinary Incontinence Guideline in US Nursing Homes” under the initiative Translating Research into Practice (TRIP II). Background: The previous research provided the definition of the clinical practices needing improvement, the relative size of the population needing care, and an estimate of the manpower required. The model proposed nurse practitioners (NPs) as consultants to nursing homes to perform the basic incontinence evaluation and treatment, thereby (1) improving incontinence evaluation and treatment, (2) reducing UI, (3) reducing complications, and (4) increasing cost savings attributable to UI. Approach: A quasi‐experimental research design with pre‐ and post‐comparison was selected utilizing four control and four experimental NP caseloads followed for 16 weeks post‐onset (n = 320). Findings: Findings are not yet available from this study, which is ongoing. Discussion: The real‐world challenges presented by this translational research and their solutions are discussed.