JAMDA
Volume 9, Issue 7 , Pages 504-508 , September 2008

Clinical Practice Guidelines, Process Improvement Teams, and Performance on a Quality Indicator for Urinary Incontinence: A Pilot Study

  • Larry W. Lawhorne, MD

      Affiliations

    • Department of Geriatrics, Boonshoft School of Medicine, Wright State University, Dayton, OH
    • Corresponding Author InformationAddress correspondence to Larry W. Lawhorne, Department of Geriatrics, Boonshoft School of Medicine, Wright State University, 627 Edwin C. Moses Boulevard, 5th Floor, East Medical Plaza, Dayton, OH 45408
    • ,
  • Joseph G. Ouslander, MD

      Affiliations

    • Boca Institute for Quality Aging, Boca Raton, FL
    • ,
  • Patricia A. Parmelee, PhD

      Affiliations

    • Center for Mental Health and Aging and Department of Psychology, The University of Alabama, Tuscaloosa, AL

References 

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  2. Boyington JE, Howard DL, Carter-Edwards L, et al. Differences in resident characteristics and prevalence of urinary incontinence in nursing homes in the southeastern U.S.. Nurs Res. 2007;56:97–107
  3. Dubeau CE, Simon SE, Morris JN. The effect of urinary incontinence on quality of life in older nursing home residents. J Am Geriatr Soc. 2006;54:1325–1333
  4. Brandeis GH, Baumann MM, Hossain M, et al. The prevalence of potentially remediable urinary incontinence in frail older people: a study using the Minimum Data Set. J Am Geriatr Soc. 1998;46:536–537
  5. Schnelle JF, Cadogan MP, Yoshii J, et al. The minimum data set urinary incontinence quality indicators: Do they reflect differences in care processes related to incontinence?. Med Care. 2003;41:909–922
  6. Palmer MH. Nurses' knowledge and beliefs about continence interventions in long-term care. J Adv Nurs. 1995;21:1065–1072
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  9. Mather KF, Bakas T. Nursing assistants' perceptions of their ability to provide continence care. Geriatr Nurs. 2002;23:76–81
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  11. Lawhorne L, Ouslander J, Parmelee P, et al. Urinary incontinence: A neglected geriatric syndrome in nursing facilities. J Am Med Dir Assoc. 2008;9:29–35
  12. Eustice S, Roe B, Paterson J. Prompted voiding in the management of urinary incontinence in adults. Cochrane Database Syst Rev. 2004;(2):CD002113
  13. Watson N, Brink C, Zimmer J, et al. Use of AHCPR urinary incontinence guidelines in nursing homes. J Am Geriatr Soc. 2003;51:1779–1786
  14. Ouslander JG, Al-Samarrai N, Schnelle JF. Prompted voiding for night-time incontinence in nursing homes: Is it effective?. J Am Geriatr Soc. 2001;49:706–709
  15. Johnson TM, Ouslander JG, Uman GC. Urinary incontinence treatment preferences in long term care. J Am Geriatr Soc. 2001;49:710–718
  16. Simmons SF, Garcia ET, et al. The minimum data set weight loss quality indicator: Does it reflect differences in care processes related to weight loss?. J Am Geriatr Soc. 2003;51:1410–1418
  17. Simmons SF, Cadogan MP, Cabrera GR, et al. The minimum data set depression quality indicator: Does it reflect differences in care processes?. Gerontologist. 2004;44(4):554–564
  18. Bates-Jensen BM, Cadogan MP, Osterweil D, et al. The minimum data set pressure ulcer indicator: Does it reflect differences in care processes related to pressure ulcer prevention and treatment in nursing homes?. J Am Geriatr Soc. 2003;51:1203–1212
  19. Buhr GT, White HK. Quality improvement initiative for chronic pain assessment and management in the nursing home: A pilot study. J Am Med Dir Assoc. 2006;7:246–253
  20. Baier RR, Gifford DR, Lyder CH, et al. Quality improvement for pressure ulcer care in the nursing home setting: The Northeast Pressure Ulcer Project. J Am Med Dir Assoc. 2003;4:291–301
  21. Timmerman T, Teare G, Walling E, et al. Evaluating the implementation and outcomes of the Saskatchewan Pressure Ulcer Guidelines in long-term care facilities. Ostomy Wound Manage. 2007;53:28–43
  22. Ouslander JG. Implementation of a nursing home urinary incontinence management program with and without tolterodine. J Am Med Dir Assoc. 2001;2:207–214
  23. Jumadilova Z, Zyczynski T, Paul B, et al. Urinary incontinence in the nursing home: Resident characteristics and prevalence of drug treatment. Am J Manag Care. 2005;11:S112–S120
  24. Narayanan S, Cerulli A, Kahler K, et al. Is drug therapy for urinary incontinence used optimally in long term care facilities?. J Am Med Dir Assoc. 2007;8:98–104
  25. Mor V. Defining and measuring quality measures in long term care. J Am Med Dir Assoc. 2007;8:129–137
  26. Dubeau CE, Ouslander JG, Palmer MH. Knowledge and attitudes of nursing home staff and surveyors about the revised federal guidance for incontinence care. Gerontologist. 2007;47:468–479
  27. Schnelle JF, Ouslander JG. CMS guidelines and improving continence care in nursing homes: The role of the medical director. J Am Med Dir Assoc. 2006;7:131–132
  28. Ouslander JG, Schnelle JF, Uman G, et al. Does oxybutynin add to the effectiveness of prompted voiding for urinary incontinence among nursing home residents? (A placebo-controlled trial). J Am Geriatr Soc. 1995;43:610–617
  29. Ouslander JG, Buxton WG, Al-Samarrai NR, et al. Nighttime urinary incontinence and sleep disruption among nursing home residents. J Am Geriatr Soc. 1998;46:563–566
  30. Schnelle JF, Cruise PA, Alessi CA, et al. Individualizing nighttime incontinence care. Nurs Res. 1998;47:197–204
  31. Cruise PA, Schnelle JF, Alessi CA, et al. The nighttime environment and incontinence care practices in nursing homes. J Am Geriatr Soc. 1998;46:181–186

PII: S1525-8610(08)00122-9

doi: 10.1016/j.jamda.2008.04.007

JAMDA
Volume 9, Issue 7 , Pages 504-508 , September 2008

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