- Title
- Improving Practice for Urinary Continence Care on Adult Acute Medical and Rehabilitation Wards: A Multi-Site, Co-Created Implementation Study
- Creator
- Marsden, Dianne Lesley; Boyle, Kerry; Ormond, Sally; Shipp, Jodi; Steel, Jennifer; Styles, Amanda; Wiggers, John; Cadilhac, Dominique Ann-Michele; Duff, Jed; Birnie, Jaclyn; Buzio, Amanda; Dizon, Joshua; Dunne, Judith; Greensill, Sandra; Hill, Kelvin; Lever, Sandra; Minett, Fiona
- Relation
- Healthcare Vol. 11, Issue 9, no. 1241
- Publisher Link
- http://dx.doi.org/10.3390/healthcare11091241
- Publisher
- MDPI AG
- Resource Type
- journal article
- Date
- 2023
- Description
- Many adult inpatients experience urinary continence issues; however, we lack evidence on effective interventions for inpatient continence care. We conducted a before and after implementation study. We implemented our guideline-based intervention using strategies targeting identified barriers and evaluated the impact on urinary continence care provided by inpatient clinicians. Fifteen wards (acute = 3, rehabilitation = 7, acute and rehabilitation = 5) at 12 hospitals (metropolitan = 4, regional = 8) participated. We screened 2298 consecutive adult medical records for evidence of urinary continence symptoms over three 3-month periods: before implementation (T0: n = 849), after the 6-month implementation period (T1: n = 740), and after a 6-month maintenance period (T2: n = 709). The records of symptomatic inpatients were audited for continence assessment, diagnosis, and management plans. All wards contributed data at T0, and 11/15 wards contributed at T1 and T2 (dropouts due to COVID-19). Approximately 26% of stroke, 33% acute medical, and 50% of rehabilitation inpatients were symptomatic. The proportions of symptomatic patients (T0: n = 283, T1: n = 241, T2: n = 256) receiving recommended care were: assessment T0 = 38%, T1 = 63%, T2 = 68%; diagnosis T0 = 30%, T1 = 70%, T2 = 71%; management plan T0 = 7%, T1 = 24%, T2 = 24%. Overall, there were 4-fold increased odds for receiving assessments and management plans and 6-fold greater odds for diagnosis. These improvements were sustained at T2. This intervention has improved inpatient continence care.
- Subject
- urinary incontinence; lower urinary tract symptoms; inpatient; patient care planning; professional practice gaps; evidence-based practice; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1497458
- Identifier
- uon:54364
- Identifier
- ISSN:2227-9032
- Rights
- x
- Language
- eng
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