Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Issues in implementing clinical research in nursing home settings.

J S Eisch, J Colling, J Ouslander

    The Journal of the New York State Nurses' Association
    |September 1, 1991
    PubMed
    Summary

    Researchers faced challenges obtaining informed consent from frail, cognitively impaired nursing home residents for urinary incontinence clinical trials. Strategies were developed to overcome these research barriers and implement individualized toileting prescriptions.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Challenges and strategies for globally resilient shrimp aquaculture.

    NPJ science of food·2026
    Same author

    SALS-ing is believing: Determining dominant fibre orientation in pericardium using visual inspection and Small Angle Light Scattering (SALS).

    Journal of the mechanical behavior of biomedical materials·2025
    Same author

    Desiccation-induced DNA damage facilitates drug resistance in <i>Mycobacterium tuberculosis</i>.

    bioRxiv : the preprint server for biology·2025
    Same author

    Clinical outcomes of tumor-agnostic targeting of BRAF, tumor mutation burden-high, and RET.

    ESMO open·2025
    Same author

    Prospective review of 30-day morbidity and mortality following surgery for brain tumours in children.

    Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery·2025
    Same author

    Delivering high-quality military healthcare: 'no need for fancy subspecialties'.

    BMJ military health·2024

    Area of Science:

    • Gerontology
    • Clinical Nursing Research
    • Health Services Research

    Background:

    • Conducting clinical trials in nursing home settings presents unique challenges.
    • Frail, cognitively impaired populations require specific considerations for informed consent.
    • Urinary incontinence is a prevalent issue in long-term care facilities.

    Purpose of the Study:

    • To describe the informed consent and institutional barriers encountered in a multi-site nursing home study.
    • To outline successful strategies for overcoming these barriers in research with vulnerable populations.
    • To implement and evaluate an individualized toileting prescription for urinary incontinence.

    Main Methods:

    • A collaborative, quasi-experimental, two-year clinical trial was conducted across four geographically diverse nursing home sites.

    Related Experiment Videos

  • The study involved close collaboration with indigenous nursing and nurse aide staff.
  • An individualized toileting prescription was implemented as the independent variable.

    • Main Results:

    • Consistent problems in the informed consent process were identified across all sites.
    • Similar institutional barriers hindered research progression.
    • Effective strategies were developed and utilized to surmount these research obstacles.

    Conclusions:

    • Implementing clinical trials in nursing homes requires addressing specific ethical and logistical challenges.
    • Successful research in this setting depends on collaborative partnerships with facility staff.
    • The study provides valuable insights into overcoming barriers for research involving frail, cognitively impaired individuals.