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A clinical nursing leadership model for enhancing continence care for older adults in a subacute inpatient care setting

journal contribution
posted on 2006-01-01, 00:00 authored by Joan Ostaszkiewicz
This article describes the application and evaluation of a clinical nursing leadership model to enhance continence care in an inpatient rehabilitation setting for older adults. Multiple strategies were employed to optimize the uptake and sustainability of 3 practice initiatives: (1)  establishment of an enhanced role for wardbased nurses to provide clinical support to patients and other staff for the management of incontinence, (2) a new method for nursing assessment and management of bowel elimination, and (3) a framework for improved discharge care of patients with incontinence. Evaluation data indicated a high level of acceptance of the role of the ward-based continence resource nurses, improved assessment and management of bowel elimination, and enhanced discharge care for patients with incontinence. These initiatives were sustainable during a 2-year period after their introduction, despite the gradual withdrawal of the clinical leader.

History

Journal

Journal of wound ostomy and continence nursing

Volume

33

Issue

6

Pagination

624 - 629

Publisher

Mosby

Location

St. Louis, Mo.

ISSN

1071-5754

eISSN

1528-3976

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2006, Wound, Ostomy and Continence Nurses Society

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