The role of the nurse in community continence care: a systematic review

Urinary incontinence (UI) is a condition that is associated with decreased quality of life. Apart from this impact on quality of life, UI is also a very costly problem. It is recognised that ‘usual care’ for patients suffering from UI is not optimal. Specialised nurses can play an important role in...

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Bibliographic Details
Published inInternational journal of nursing studies Vol. 42; no. 4; pp. 479 - 492
Main Authors Du Moulin, M.F.M.T., Hamers, J.P.H., Paulus, A., Berendsen, C., Halfens, R.
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.05.2005
The Lancet Publishing Group, a division of Elsevier Science Ltd
Subjects
Adult
Care and treatment
Clinical nurse specialists
Community Health Services
Community living
Costs
Diagnosis
Humans
Netherlands
Nurse
Nurse's Role
Nursing
Patient Satisfaction
Patients
Practice
Quality of life
Roles
Systematic review
Systematic reviews
Urinary incontinence
Urinary Incontinence - economics
Urinary Incontinence - nursing
Urinary stress incontinence
United Kingdom
Urinary incontinence
Systematic review
Costs
Nurse
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Summary:Urinary incontinence (UI) is a condition that is associated with decreased quality of life. Apart from this impact on quality of life, UI is also a very costly problem. It is recognised that ‘usual care’ for patients suffering from UI is not optimal. Specialised nurses can play an important role in the care for community-dwelling incontinent patients, as they have the appropriate interpersonal and technical skills to provide patient-tailored care. This systematic review analyses the effect of treatment by nurses on clinical and economic outcomes. A total of 12 randomised controlled trials (RCTs) were found, varying in terms of population, setting, outcome measurement and control/intervention. There is limited evidence that treatment by nurses results in a decrease in incontinence. No evidence was found for cost reduction. Recommendations are made for future studies.
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ISSN:0020-7489
1873-491X
DOI:10.1016/j.ijnurstu.2004.08.002