Managing Constipation.
| Autor: | Klein, Jennifer, Holowaty, Sandra |
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| Předmět: |
THERAPEUTICS
LAXATIVES AUDITING BOWEL & bladder training CHI-squared test CONSTIPATION CONTENT analysis DOCUMENTATION FOCUS groups GERIATRIC nursing LENGTH of stay in hospitals LONGITUDINAL method RESEARCH methodology MEDICAL protocols NURSING records T-test (Statistics) STATISTICAL significance TREATMENT effectiveness CONTINUING education units DISEASE incidence GERIATRIC rehabilitation RETROSPECTIVE studies DATA analysis software DESCRIPTIVE statistics INFERENTIAL statistics OLD age PREVENTION |
| Zdroj: | Journal of Gerontological Nursing; 2014, Vol. 40 Issue 8, p18-27, 10p, 5 Charts |
| Abstrakt: | This study examined the effect of implementing a constipation management protocol (CMP) within a geriatric rehabilitation setting. A convergent mixed-methods research design was used. Quantitative data on bowel activity, laxative use, opiate drug use, and nursing documentation regarding bowel care were gathered through a review of health records for 305 patients admitted to three geriatric rehabilitation units before (This study examined the effect of implementing a constipation management protocol (CMP) within a geriatric rehabilitation setting. A convergent mixed-methods research design was used. Quantitative data on bowel activity, laxative use, opiate drug use, and nursing documentation regarding bowel care were gathered through a review of health records for 305 patients admitted to three geriatric rehabilitation units before (n = 137) and after (n = 168) protocol implementation over two 3-month periods. Focus groups were conducted examining nursing staff's experiences with such a protocol. Findings revealed that although implementation of the CMP did not reduce constipation rates among older patients, the average number of incidences of constipation per patient was reduced after implementation of the protocol. More importantly, it resulted in more due diligence by staff regarding patients' bowel patterns as well as improved bowel care documentation. Findings and recommendations extend current literature and have practical implications for nurses interested in improving management of patients' bowel care. [Journal of Gerontological Nursing, 40(8), 18-27.] [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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