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• W2108968688 abstract "In the past 20 years, there has been significant research demonstrating that urinary incontinence (UI) for residents in nursing homes can be prevented and reduced [ 1 Schnelle J.F. Traughber B. Sowell V.A. Newman D.R. Petrilli C.O. Ory M. Prompted voiding treatment of urinary incontinence in nursing home patients. J Am Geriatr Soc. 1989; 37: 1051-1057 Crossref PubMed Scopus (91) Google Scholar , 2 Schnelle J.F. Treatment of urinary incontinence in nursing home patients by prompted voiding. J Am Geriatr Soc. 1990; 38: 356-360 Crossref PubMed Scopus (114) Google Scholar , 3 Campbell E.B. Knight M. Benson M. Colling J. Effect of an incontinence training program on nursing home staff's knowledge, attitudes, and behavior. Gerontologist. 1991; 37: 788-794 Crossref Scopus (31) Google Scholar , 4 Schnelle J.F. Newman D.R. Fogart T.E. Wallston K. Ory M. Assessment and quality control of incontinence care in long-term nursing facilities. J Am Geriatr Soc. 1991; 39: 165-171 PubMed Google Scholar , 5 Schnelle J.F. Newman D. White M. et al. Maintaining continence in nursing home residents through the application of industrial quality control. Gerontologist. 1993; 33: 114-121 Crossref PubMed Scopus (70) Google Scholar , 6 Burgio L.D. McCormick K.A. Scheve A.S. Engel B.T. Hawkins A. Leahy E. The effects of changing prompted voiding schedules in the treatment of incontinence in nursing home residents. J Am Geriatr Soc. 1994; 42: 315-320 PubMed Google Scholar , 7 Ouslander J.G. Schnelle J.F. Uman G. et al. Predictors of successful prompted voiding among incontinent nursing home residents. JAMA. 1995; 273: 1366-1370 Crossref PubMed Scopus (128) Google Scholar , 8 Schnelle J.F. Keeler E. Hays R.D. Simmons S. Ouslander J.G. Siu A.L. A cost and value analysis of two interventions with incontinent nursing home residents. J Am Geriatr Soc. 1995; 43: 1112-1117 PubMed Google Scholar , 9 Brandeis G.H. Baumann M.M. Hossai M. Morris J.N. Resnick N.M. The prevalence of potentially remedial urinary incontinence in frail older people: a study using the Minimum Data Set. J Am Geriatr Soc. 1997; 45: 179-184 Crossref PubMed Scopus (108) Google Scholar , 10 Schnelle J.F. Cruise P.A. Rahman A. Ouslander J.G. Developing rehabilitative behavioral interventions for long-term care: technology transfer, acceptance, and maintenance issues. J Am Geriatr Soc. 1998; 46: 771-778 PubMed Google Scholar , 11 Remsburg R.E. Palmer M.H. Langford A.M. Mendelson G.F. Staff compliance with and ratings of effectiveness of a prompted voiding program in a long-term care facility. J Wound Ostomy Continence Nurs. 1999; 26: 261-269 PubMed Google Scholar , 12 Lekan-Rutledge D. Diffusion of innovation: a model of implementation of prompted voiding in long-term care setting. J Gerontol Nurs. 2000; 26: 25-33 Crossref PubMed Scopus (27) Google Scholar , 13 Frantz R.A. Xakellis G.C. Harvey P.C. Lewis A.R. Implementing an incontinence management protocol in long-term care: clinical outcomes and costs. J Gerontol Nurs. 2003; 29: 46-53 Crossref PubMed Scopus (28) Google Scholar ]. This research has been used to promulgate and disseminate clinical practice guidelines for preventing and treating UI [ 14 AHCPRUrinary incontinence in adults: acute and chronic management. 2nd edition. U.S. Department of Health and Human Services, Agency for Health Care Quality Research, Rockville (MD)1996 Google Scholar , 15 Lyons S.S. Specht J.K. Prompted voiding protocol for individuals with urinary incontinence. J Gerontolog Nurs. 2000; 26: 5-13 Crossref PubMed Scopus (1) Google Scholar ]. The high prevalence rate of UI in nursing homes, however, ranging from 50% to 60%, has not changed over these 20 years [ 2 Schnelle J.F. Treatment of urinary incontinence in nursing home patients by prompted voiding. J Am Geriatr Soc. 1990; 38: 356-360 Crossref PubMed Scopus (114) Google Scholar , 16 Heavner K. Urinary incontinence in extended care facilities: a literature review and proposal for continuous quality improvement. Ostomy/Wound Management. 1998; 44: 46-53 PubMed Google Scholar , 17 Mueller C.A. Cain H. Comprehensive management of urinary incontinence through quality improvement efforts. Geriatr Nurs (Minneap). 2002; 23: 82-87 Abstract Full Text Full Text PDF Scopus (5) Google Scholar , 18 Watson N.M. Brink C.A. Zimmer J.G. Mayer R.D. Use of the Agency for Health Care Policy and Research urinary incontinence guide in nursing homes. J Am Geriatr Soc. 2003; 51: 1779-1786 Crossref PubMed Scopus (56) Google Scholar ]. Barriers to implementing UI evidenced-based practices have been identified [ 12 Lekan-Rutledge D. Diffusion of innovation: a model of implementation of prompted voiding in long-term care setting. J Gerontol Nurs. 2000; 26: 25-33 Crossref PubMed Scopus (27) Google Scholar , 17 Mueller C.A. Cain H. Comprehensive management of urinary incontinence through quality improvement efforts. Geriatr Nurs (Minneap). 2002; 23: 82-87 Abstract Full Text Full Text PDF Scopus (5) Google Scholar , 18 Watson N.M. Brink C.A. Zimmer J.G. Mayer R.D. Use of the Agency for Health Care Policy and Research urinary incontinence guide in nursing homes. J Am Geriatr Soc. 2003; 51: 1779-1786 Crossref PubMed Scopus (56) Google Scholar , 19 Harke J.M. Richgels K. Barriers to implementing a continence program in nursing homes. Clin Nurs Res. 1992; 1: 158-168 Crossref PubMed Scopus (15) Google Scholar , 20 Smith D.B. The culture of long term care: impact on a continence care program. Urol Nurs. 1998; 18: 291-295 PubMed Google Scholar , 21 Lekan-Rutledge D. Palmer M.H. Belyea M. In their own words: nursing assistants' perception of barriers to implementatoin of prompted voiding in long-term care. Gerontologist. 1998; 38: 1-9 Crossref PubMed Scopus (65) Google Scholar , 22 Snyder M. Pearson V. Hanscom J. et al. Barriers to progress in urinary incontinence: achieving quality assessment. Geriatr Nurs (Minneap). 1998; 19: 77-80 Abstract Full Text PDF Scopus (7) Google Scholar , 23 Mather K.F. Bakas T. Nursing assistants' perceptions of their ability to provide continence care. J Gerontol Nurs. 2002; 23: 76-81 Scopus (28) Google Scholar ]. These barriers are significant factors that need to be addressed in quality improvement programs for nursing facilities that are committed to preventing and reducing UI. The purpose of this article is to provide a comprehensive quality improvement framework to successfully address UI in nursing homes." @default.
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• W2108968688 title "Quality improvement and incontinence in long-term care" @default.
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