Effectiveness of a Smart Urinary Continence Care Assessment System for Nursing Home Residents: A Quasi-Experimental, Sequential Quantitative-Qualitative Methods Trial.

Autor:	Rajabali SN; Saima N. Rajabali, MBBS, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Kathleen F. Hunter, PhD, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.; Prosper Asaana, MA, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Megan L. McCreary, BSc, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Sahar Nazari, PhD, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Adrian S. Wagg, MBBS, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada; and Gothenburg Continence Research Centre, Sahlgrenska Academy, Gothenburg, Sweden., Hunter KF; Saima N. Rajabali, MBBS, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Kathleen F. Hunter, PhD, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.; Prosper Asaana, MA, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Megan L. McCreary, BSc, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Sahar Nazari, PhD, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Adrian S. Wagg, MBBS, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada; and Gothenburg Continence Research Centre, Sahlgrenska Academy, Gothenburg, Sweden., Asaana P; Saima N. Rajabali, MBBS, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Kathleen F. Hunter, PhD, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.; Prosper Asaana, MA, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Megan L. McCreary, BSc, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Sahar Nazari, PhD, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Adrian S. Wagg, MBBS, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada; and Gothenburg Continence Research Centre, Sahlgrenska Academy, Gothenburg, Sweden., McCreary ML; Saima N. Rajabali, MBBS, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Kathleen F. Hunter, PhD, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.; Prosper Asaana, MA, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Megan L. McCreary, BSc, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Sahar Nazari, PhD, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Adrian S. Wagg, MBBS, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada; and Gothenburg Continence Research Centre, Sahlgrenska Academy, Gothenburg, Sweden., Nazari S; Saima N. Rajabali, MBBS, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Kathleen F. Hunter, PhD, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.; Prosper Asaana, MA, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Megan L. McCreary, BSc, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Sahar Nazari, PhD, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Adrian S. Wagg, MBBS, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada; and Gothenburg Continence Research Centre, Sahlgrenska Academy, Gothenburg, Sweden., Wagg AS; Saima N. Rajabali, MBBS, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Kathleen F. Hunter, PhD, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.; Prosper Asaana, MA, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Megan L. McCreary, BSc, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Sahar Nazari, PhD, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.; Adrian S. Wagg, MBBS, Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada; and Gothenburg Continence Research Centre, Sahlgrenska Academy, Gothenburg, Sweden.
Jazyk:	angličtina
Zdroj:	Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society [J Wound Ostomy Continence Nurs] 2023 Jan-Feb 01; Vol. 50 (1), pp. 48-56.
DOI:	10.1097/WON.0000000000000937
Abstrakt:	Purpose: The purpose of this study was to compare the effect of use of an electronic urinary continence assessment system versus usual care on construction of care plans, resource use, and continence care for nursing home (NH) residents. Design: Convergent mixed-methods study comprising a prospective, parallel arm-controlled phase, and concurrent qualitative component. Subjects and Setting: The study setting was Alberta, a province in Western Canada. Residents requiring a continence assessment or reassessment in an NH with 2 units assigned to intervention (I) and 2 units to usual care (UC). One hundred one residents (I: n = 49; UC: n = 52) participated; 89 (I: n = 43; UC: n = 46) completed the study. The mean age of the UC group was 88.5 (SD = 6.9) years, whereas the mean age of the intervention group was 85.6 (SD = 7.5) years. Methods: Quantitative data on assessment, resource use, resident quality of life, and continence care outcomes were collected at weeks 0, 2, and 8; plan adherence was assessed at week 16. Qualitative data were collected via interviews. Results: Analysis revealed a significant change in the proportion of residents achieving a reduction in 24-hour pad absorbency (50.6% vs 39.1%, P = .034) at week 8. There were significant differences in between-group changes (total absorbency of pads used in 24 hours and total cost of night pads used). Both groups reported improved health-related quality of life. Analysis of qualitative data revealed 3 themes: resource use; quality of continence care; and system utility and limitations. Conclusions: A technological solution offering a standardized system of continence assessment provided benefit in terms of quality of care for residents and use of continence containment products; utility was validated by staff. Competing Interests: Conflict of interest: Dr. Adrian Wagg declares fees for research and consultancy from Essity Hygiene & Halth AB, speaker honoraria from Astellas Pharma and Urovant Sciences, and research support from Pfizer Corp. All other authors declare no conflicts of interest. (Copyright © 2023 by the Wound, Ostomy and Continence Nurses Society.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu