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  • 1
    Electronic Resource
    Electronic Resource
    Continence for Women: Evaluation of AWHONN's Third Research Utilization Project (2000)
    Oxford, UK : Blackwell Publishing Ltd
    Journal of obstetric, gynecologic and neonatal nursing 29 (2000), S. 0 
    Details
    ISSN: 1552-6909
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: To develop an evidence-based protocol for initial evaluation and treatment of urinary incontinence and to design procedures that would facilitate the protocol's implementation into clinical practice.〈section xml:id="abs1-2"〉〈title type="main"〉Design: Descriptive report of the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) Continence for Women Project.〈section xml:id="abs1-3"〉〈title type="main"〉Setting: Twenty-one public, private, and other women's health sites.〈section xml:id="abs1-4"〉〈title type="main"〉Participants: Women in ambulatory care settings (N= 1,474) provided demographic statistics.〈section xml:id="abs1-5"〉〈title type="main"〉Methods: The protocol was developed, sites were selected, site coordinator training was provided, data collection was facilitated by project-specific tele-forms, and the overall process was evaluated by the science team.〈section xml:id="abs1-6"〉〈title type="main"〉Main Outcome Measures: Site representation, patient representation, site coordinator feedback on the training program, and site coordinator experience during project implementation.〈section xml:id="abs1-7"〉〈title type="main"〉Results: The process yielded a representative mix of site and patient diversity appropriate for testing of the protocol. Site coordinators felt well-prepared to implement the protocol and experienced increased professional satisfaction because of therapeutic benefits achieved for patients and positive collaboration with physicians.〈section xml:id="abs1-8"〉〈title type="main"〉Conclusions: The Continence for Women Project demonstrated the potential for developing and testing evidence-based protocols for clinical practice when the resources of an organization such as AWHONN and the research community are combined.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1552-6909.2000.tb02751.x
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Continence for Women: A Test of AWHONN's Evidence-Based Protocol in Clinical Practice (2000)
    Oxford, UK : Blackwell Publishing Ltd
    Journal of obstetric, gynecologic and neonatal nursing 29 (2000), S. 0 
    Details
    ISSN: 1552-6909
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: To test the effectiveness of an evidence-based protocol for urinary incontinence in increasing identification of women with the condition and improving their outcomes.〈section xml:id="abs1-2"〉〈title type="main"〉Design: Prospective formative evaluation study.〈section xml:id="abs1-3"〉〈title type="main"〉Setting: Twenty-one public, private, and other women's health care sites.〈section xml:id="abs1-4"〉〈title type="main"〉Participants: Women in ambulatory care settings (N= 1,474) provided descriptive statistics. Clinical outcomes were tested in 132 cases for whom pre- and posttreatment data were available.〈section xml:id="abs1-5"〉〈title type="main"〉Interventions: Standardized screening and baseline follow-up forms were used to minimize time burden on clinicians; bladder and pelvic floor muscle training materials were provided to clinicians for distribution.〈section xml:id="abs1-6"〉〈title type="main"〉Main Outcome Measures: Self-reported frequency, volume, and quality of life related to incontinence and cost of self-management were used to assess protocol effectiveness.〈section xml:id="abs1-7"〉〈title type="main"〉Results: Frequency of incontinence episodes, estimated volume lost per episode, and the cost of self-management decreased. Quality of life improved, as reflected in decreased bother attributed to incontinence and in the number of women avoiding activities such as shopping, exercising, or travel because of incontinence.〈section xml:id="abs1-8"〉〈title type="main"〉Conclusions: This simple program of pelvic floor muscle and bladder training, as it has been systematically implemented in a variety of ambulatory women's health care settings, has benefited women's continence status. The results of this project strongly support widespread application.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1552-6909.2000.tb02752.x
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    The Importance of Screening, Assessing, and Managing Urinary Incontinence in Primary Care (2003)
    Oxford, UK : Blackwell Publishing Ltd
    Journal of the American Academy of Nurse Practitioners 15 (2003), S. 0 
    Details
    ISSN: 1745-7599
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: To present evidence that routine screening for urinary incontinence is justified because it is a clinically relevant and prevalent disorder that responds to treatment, resulting in improved outcomes for many patients managed by the nurse practitioner (NP).〈section xml:id="abs1-2"〉〈title type="main"〉Data SourceSelected scientific literature.〈section xml:id="abs1-3"〉〈title type="main"〉ConclusionsThe prevalence of urinary incontinence and success of treatment options justify routine screening, individualized assessment, and treatment.〈section xml:id="abs1-4"〉〈title type="main"〉Implications for PracticeRoutine screening for urinary incontinence by NPs is uncommon. Based on the relative risk, the potential success of treatment and improved quality-of-life outcomes after treat-ment, NPs should regularly screen and assess for incontinence.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1745-7599.2003.tb00265.x
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 4
    Electronic Resource
    Electronic Resource
    Stress Urinary Incontinence in Women (2004)
    Oxford, UK : Blackwell Publishing Ltd
    Journal of the American Academy of Nurse Practitioners 16 (2004), S. 0 
    Details
    ISSN: 1745-7599
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: To review and synthesize existing knowledge about the epidemiology, pathophysiology, evaluation, and management of stress urinary incontinence in women.〈section xml:id="abs1-2"〉〈title type="main"〉Data SourceSelected scientific literature.〈section xml:id="abs1-3"〉〈title type="main"〉ConclusionsStress urinary incontinence is more than merely a symptom. Instead, it is a clinically relevant disease with adverse psychosocial and physical consequences. Evaluation begins with active screening and is followed by individualized assessment when urinary leakage is detected.〈section xml:id="abs1-4"〉〈title type="main"〉Implications for PracticeTraditional treatment modalities, including pelvic muscle rehabilitation, focus on behavioral strategies to reduce urine loss, and surgical correction of anatomic defects is completed in selected cases. Pharmacotherapeutic options have been limited, but one compound is undergoing clinical trials to determine whether it is a safe and effective alternative for the treatment of stress urinary incontinence.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1745-7599.2004.tb00441.x
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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