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Developing an interdisciplinary integrated continence service.

Karen Logan1, Susan Proctor

  • 1Gwent Healthcare NHS Trust.

Nursing Times
|June 13, 2003
PubMed
Summary
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An NHS trust integrated continence care across primary and secondary settings, offering nurse-led first-line support. This improved patient pathways by reducing inappropriate referrals and medical appointment waiting times.

Area of Science:

  • Healthcare Management
  • Nursing Practice
  • Public Health Policy

Background:

  • Fragmented continence services present challenges in patient care delivery.
  • Lack of integration between primary and secondary care hinders efficient patient pathways.
  • Existing models often lead to inappropriate referrals and extended waiting times.

Purpose of the Study:

  • To describe the transformation of fragmented continence services into an integrated model.
  • To implement nurse-led first-line continence care across diverse patient settings.
  • To reduce inappropriate referrals and waiting times for medical appointments.

Main Methods:

  • Leveraging organizational changes and government guidelines for systematic service transformation.
  • Establishing an interdisciplinary continence service spanning primary and secondary care.

Related Experiment Videos

  • Implementing nurse-led first-line care delivery across various settings.

    • Main Results:

    • Successful integration of previously fragmented continence services.
    • Establishment of a nurse-led, first-line continence care model.
    • Demonstrated reduction in inappropriate referrals and waiting times for medical appointments.

    Conclusions:

    • Integrated, nurse-led continence services can effectively improve patient care pathways.
    • Systematic change, interdisciplinary collaboration, and adherence to guidelines are crucial for service transformation.
    • Developing services within existing resources requires creativity and clinical/organizational expertise.