Effectiveness of Nursing Recommendations for the Management of Urinary Incontinence in Nursing Homes: a Cluster-randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 147
- Locations
- 1
- Primary Endpoint
- Difference of the frequency of daily urinary incontinence between intervention and control group
Study Overview
Brief Summary
The international literature emphasizes the vast benefits of the effective implementation of evidence based nursing recommendations in improving patient care processes and enhancing health outcomes. The key role of nurses in the prevention, treatment and care of incontinence is highlighted. Studies have shown that UI is a neglected nursing care problem in Austria e.g. regarding diagnosis and nursing interventions. Nursing recommendations may enhance the frequency of diagnosis, the use of nursing interventions as well as decrease the frequency of daily UI in nursing home residents. Beside that little is known about nursing recommendations implementation regarding urinary incontinence in the nursing home setting, especially in the Austrian context.
The aim of this study is to measure the effectiveness of the implementation of evidence based nursing recommendations regarding UI in Austrian nursing homes.
Detailed Description
The aim of this study is to measure the effectiveness of the implementation of evidence based nursing recommendations regarding UI in Austrian nursing homes, including three research questions:
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What is the statistical difference between the frequency of daily UI in nursing home residents in the intervention group when compared to the control group?
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What is the statistical difference between the frequency of documented categorisation of UI (UI diagnosis) in the intervention group (implementation of the nursing recommendations) compared to the control group (standard care)?
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What is the statistical difference between the amounts of used nursing interventions in the intervention group compared to the control group?
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Methods 5.1. Design A three-month cluster-randomized trial will be conducted in nursing homes in Styria and Carinthia.
5.2. Setting All nursing homes in Styria and Carinthia with a capacity ≥ 50 beds registered in a national database [15] will be invited to participate by means of an information flyer and email. With regards to practicability invitation will be started with those nursing homes with the highest number of beds.
5.3. Sample Currently there are 176 nursing homes in Styria and Carinthia with a capacity ≥ 50 beds registered in a national database with a total of 15208 nursing home residents. Through experiences from former projects a low response rate is expected. We assume a response rate of 2% on the nursing home level, amounting to 3 participating nursing homes with 259 residents. Nursing homes that want to participate voluntarily will be contacted via telephone starting at the largest for further inclusion criteria.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 60 Years to — (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •The management of the institution agrees to the random allocation to the intervention or control group.
- •A clinical guideline including evidence based nursing recommendations related to UI has not been introduced and implemented.
- •Nursing staff have not received a specialized training in the last 2 years on UI prevention or management.
- •Less than 5 other major nursing care innovation projects have been implemented during the last two years.
- •Within the institution there is no specialized nurse employed for the management of incontinence.
- •Inclusion criteria for nursing home residents are living in the nursing home at the date of baseline measurement and being female and assumed to stay for the whole duration of the study (3 months).
Exclusion Criteria
- Not provided
Arms & Interventions
Control group
Routine nursing care
Intervention group
Evidence based nursing recommendations for the management of urinary incontinence will be introduced.
Intervention: Evidence based nursing recommendations (Other)
Outcomes
Primary Outcomes
Difference of the frequency of daily urinary incontinence between intervention and control group
Time Frame: 3 month
Collected after 3 Month
Secondary Outcomes
- Difference of nurses diagnoses for urinary incontinence between intervention and control group(3 Month)
- Difference between the intervention and control group in the use of nursing interventions(3 Month)