Martín-Losada Laura, Huerta María, González Nuria, Ortega Iván, Cuenca Juan Nicolás
Guadarrama Hospital, Madrid, Spain.
The Spanish Centre for Evidence Based Nursing and Healthcare: a Joanna Briggs Institute Centre of Excellence.
JBI Evid Synth. 2020 Jan;18(1):243-255. doi: 10.11124/JBISRIR-2017-003920.
This project aimed to improve care in managing urinary incontinence in older patients admitted to a medium-to-long-stay hospital by developing and implementing strategies to improve the compliance with best practice in managing urinary incontinence and decrease its prevalence.
Urinary incontinence (UI) is a major problem in hospitalized older people and is of great significance to public health. The application of evidence-based recommendations for this problem could be expected to improve the quality of care.
The project used the Joanna Briggs Institute's Practical Application of Clinical Evidence System and Getting Research into Practice audit tools for promoting change in healthcare practice. Participants were evaluated at baseline and at two follow-ups at three and six months after key strategies had been implemented. The location of this implementation project was the functional rehabilitation ward of a medium-to-long-stay Spanish hospital.
In baseline audit there were four process criteria with a high level of compliance: two criteria with 35% and 44% respectively and one criterion without compliance. Action was taken to address the four barriers identified, leading to an increase in all cases except one, which was related to the characteristics of the patient. Prevalence of urinary incontinence decreased at follow-up.
The development and implementation of strategies improved quality of care. This project obtained positive results in patient health, and the implementation of the strategies used decreased the prevalence of urinary incontinence in patients.
本项目旨在通过制定和实施策略，提高中长住院老年患者尿失禁管理的护理水平，以提高尿失禁管理最佳实践的依从性并降低其患病率。
尿失禁（UI）是住院老年人的一个主要问题，对公共卫生具有重要意义。预计应用基于证据的建议可改善护理质量。
该项目使用乔安娜·布里格斯研究所的临床证据系统实际应用和将研究转化为实践审核工具，以促进医疗保健实践的变革。在关键策略实施后的三个月和六个月进行两次随访，并在基线时对参与者进行评估。该实施项目的地点是一家西班牙中长住院医院的功能康复病房。
在基线审核中，有四项流程标准的依从性较高：两项标准的依从率分别为35%和44%，一项标准无依从性。针对识别出的四个障碍采取了行动，除一个与患者特征相关的案例外，所有案例的依从性均有所提高。随访时尿失禁患病率降低。
策略的制定和实施提高了护理质量。该项目在患者健康方面取得了积极成果，所采用策略的实施降低了患者尿失禁的患病率。
