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Related Experiment Videos

Do nurses consistently document incontinence?

M H Palmer, K A McCormick, A Langford

    Journal of Gerontological Nursing
    |December 1, 1989
    PubMed
    Summary
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    Inconsistent urinary incontinence documentation in nursing homes may improve with organizational changes and structured forms. Enhanced nursing documentation requires addressing staffing, policies, and education for better continence care.

    Area of Science:

    • Gerontology
    • Nursing Practice
    • Healthcare Management

    Background:

    • Urinary incontinence is a prevalent issue among nursing home residents.
    • Accurate documentation of urinary incontinence is often inconsistent in medical records.
    • Existing documentation methods may not adequately capture continence status.

    Purpose of the Study:

    • To identify factors influencing the documentation of urinary incontinence in nursing homes.
    • To explore strategies for improving the accuracy and consistency of incontinence documentation.
    • To assess the impact of organizational factors and documentation tools on nursing practice.

    Main Methods:

    • Analysis of nursing home medical records for documentation patterns.
    • Comparison of documentation using different form formats (cue word vs. open format).

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  • Consideration of organizational factors: staffing, policy, and education.

    • Main Results:

    • Urinary incontinence documentation is inconsistent among nursing home residents.
    • Organizational factors like staffing, policy, and education can enhance nurse documentation.
    • Forms with cue words significantly improve continence status documentation compared to open formats.

    Conclusions:

    • Improving nursing documentation of urinary incontinence requires organizational interventions.
    • Structured documentation tools, such as cue word forms, are effective.
    • An organizational perspective is crucial for evaluating nursing practice changes in long-term care settings.