Incontinence management
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Modules - Incontinence Management
The Use of a Computer-Based Model to Implement an Incontinence Management Program.
John F. Schnelle, Patrick McNees, Valerie Crooks, and Joseph G. Ouslander, 1995, in The Gerontologist, 35(5):656-665.
A computerized total quality management model was used to implement a prompted voiding incontinence intervention in eight nursing homes. Research staff measured resident wetness for one month, provided training in the implementation of the program in less than five days, and measured resident wetness for six months. Seven of the eight nursing homes significantly improved resident dryness for a six-month period. However, objective improvement in resident dryness was not a sufficient incentive for nursing home staff to maintain the program; extensive monitoring of the nursing home computers by modem and telephone feedback from the research staff was necessary to produce successful maintenance. The researchers cite frequent staff turnover in nursing homes as one impediment to maintaining the intervention. Lack of positive feedback for improved outcomes from both external surveyors and the residents themselves may also explain why nursing home staff backslide into old care routines.
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