Advancing quality of urinary incontinence evaluation and treatment in nursing homes through translational research.
OBJECTIVE
This article presents the development of ongoing research to improve the evaluation and treatment of urinary incontinence (UI) in nursing homes through "A Model for Use of the Urinary Incontinence Guideline in US Nursing Homes" under the initiative Translating Research into Practice (TRIP II).


BACKGROUND
The previous research provided the definition of the clinical practices needing improvement, the relative size of the population needing care, and an estimate of the manpower required. The model proposed nurse practitioners (NPs) as consultants to nursing homes to perform the basic incontinence evaluation and treatment, thereby (1) improving incontinence evaluation and treatment, (2) reducing UI, (3) reducing complications, and (4) increasing cost savings attributable to UI.


METHODS
A quasi-experimental research design with pre- and post-comparison was selected utilizing four control and four experimental NP caseloads followed for 16 weeks post-onset (n = 320).


RESULTS
Findings are not yet available from this study, which is ongoing.


CONCLUSIONS
The real-world challenges presented by this translational research and their solutions are discussed.
Watson
Nancy M
NM
Center for Clinical Research on Aging, University of Rochester School of Nursing, NY, USA. nancy_watson@urmc.rochester.edu
D000368:Aged; D017046:Cost Savings; D004059:Diffusion of Innovation; D019317:Evidence-Based Medicine / Q000458:organization & administration; D005851:Geriatric Nursing / Q000458:organization & administration; D019983:Guideline Adherence / Q000458:organization & administration*; D006801:Humans; D016294:Models, Nursing; D020380:Needs Assessment; D009722:Nurse Practitioners / Q000458:organization & administration*; D024802:Nurse's Role; D009731:Nursing Audit; D015403:Nursing Evaluation Research / Q000458:organization & administration; D009735:Nursing Homes / Q000458:organization & administration; D017063:Outcome Assessment, Health Care; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D016037:Single-Blind Method; D017749:Total Quality Management / Q000458:organization & administration; D014549:Urinary Incontinence / Q000175:diagnosis / Q000628:therapy; D016526:Workload