Managing urinary incontinence in older people in hospital: a best practice implementation project

Martín-Losada, Laura; Huerta, María; González, N. Román; Ortega, I.; Cuenca, Juan Nicolás

doi:10.11124/jbisrir-2017-003920

Cited by 2 publications

(18 citation statements)

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“…To this end, we used a multi-component strategy that integrates educational elements (training of professionals), the figure of facilitators (both internal and external), the performance of audits and the provision of feedback. This model has previously been used in other studies with a smaller number of units [ 23 , 24 , 46 , 47 ]. In this first cohort, a total of 135 units participated and a total of 22,114 patients were analyzed.…”

Section: Discussionmentioning

confidence: 99%

“…This may be due to the fact that the project includes different types of units (medical, surgical, medical-surgical) and different types of centers (hospitals, primary care centers, and nursing home centers), while the rest of the studies focused on more homogeneous centers, which may decrease variability. Lastly, regarding to the assessment of urinary incontinence, a study using the same implementation model reported baseline data of 100% compliance in assessing urinary incontinence [ 23 ]. Perhaps because it was carried out in a medium- to long-term hospital for patients over 65, where the assessment criteria for urinary incontinence are more present, given that it is a highly prevalent problem in individuals over 65.…”

Section: Discussionmentioning

confidence: 99%

“…Finally, concerning the detection of urinary incontinence, the increase in compliance in our study was 18.8%. The only study available which was similar to our intervention reported no increase in compliance, since it started from a baseline value of 100% [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…It is a model designed to establish interprofessional processes within teams, to examine the barriers (obstacles) that hinder the use of evidence in promoting best practice; and to help develop actions to be implemented to overcome these barriers [ 21 ]. Smaller-scale studies have used audit and feedback based on the GRIP model, and the results have been favorable [ 22 , 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

“…The implementation of evidence-based recommendations using the GRIP model improves the assessment and management of pain, urinary incontinence, and fall prevention in patients [ 22 , 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

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SUMAMOS EXCELENCIA® Project: Results of the Implementation of Best Practice in a Spanish National Health System (NHS)

et al. 2021

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The use of certain strategies for the implementation of a specific recommendation yields better results in clinical practice. The aim of this study was to assess the effectiveness of an evidence-based model using clinical audits (GRIP model), for the implementation of recommendations in pain and urinary incontinence management as well as fall prevention, in the Spanish National Health System during the period 2015–2018. A quasi-experimental study has been conducted. The subjects were patients treated in hospitals, primary care units and nursing home centers. There were measures related to pain, fall prevention and urinary incontinence. Measurements were taken at baseline and at months 3, 6, 9, and 12. The sample consisted of 22,114 patients. The frequency of pain assessment increased from 59.9% in the first cycle to a mean of 71.6% in the last cycle, assessments of risk of falling increased from 56.8% to 87.8% in the last cycle; and finally, the frequency of assessments of urinary incontinence increased from a 43.4% in the first cycles to a mean of 62.2% in the last cycles. The implementation of specific evidence-based recommendations on pain, fall prevention, and urinary incontinence using a model based on clinical audits improved the frequency of assessments and their documentation.

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