Related Experiment Video
Updated: Jul 12, 2026
06:28
E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Development, implementation and evaluation of a new nurse-led continence service: a pilot study
K S Williams1, R P Assassa, N K Smith
1Leicestershire MRC Incontinence Study, Department of Epidemiology and Public Health, University of Leicester, 22-28 Princess Road West, Leicester LE1 6TP, UK. ksw6@le.ac.uk
Journal of Clinical Nursing
|March 23, 2001
Summary
A new nurse-led continence service effectively reduced urinary symptoms and improved patient satisfaction. This innovative approach, utilizing specially trained Continence Nurse Practitioners (CNP), is now undergoing further evaluation in a randomized controlled trial.
Area of Science:
- Gerontology
- Urology
- Nursing
Background:
- Urinary symptoms and incontinence affect a significant population, necessitating effective service provision.
- Evaluating new models of care is crucial for improving patient outcomes and satisfaction.
Purpose of the Study:
- To develop, implement, and evaluate a novel nurse-led continence service within the Leicestershire Medical Research Council (MRC) Incontinence Study.
- To assess the acceptability, suitability, and effectiveness of this new service model.
Main Methods:
- Development of a service model reliant on specially trained Continence Nurse Practitioners (CNP).
- Implementation of predefined, evidence-based treatment interventions by CNPs.
- Evaluation using objective and subjective outcome measures.
Main Results:
- The nurse-led continence service demonstrated effectiveness in reducing urinary symptoms.
- High levels of patient satisfaction were reported with the new service delivery model.
- The service's efficacy is currently being further investigated in a randomized controlled trial.
Conclusions:
- A specially trained Continence Nurse Practitioner (CNP)-led service is an effective and acceptable model for managing urinary symptoms.
- This innovative approach to continence care shows promise for improving patient outcomes and satisfaction.
- Further evaluation through a randomized controlled trial will provide more robust evidence on the service's long-term impact.
Related Concept Videos
01:24Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about insulin...
01:20Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning, patient...
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning, patient...
01:21Planning Nursing Care I
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
01:15Nursing Implementation
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
01:15Nursing Evaluation
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
Section...
Section...
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...