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Assessment, Selection, Use, and Evaluation of Body-Worn Absorbent Products for Adults With Incontinence: A WOCN
Mikel Gray1, Dea Kent, JoAnn Ermer-Seltun
1Mikel Gray, PhD, FNP, PNP, CUNP, CCCN, FAANP, FAAN, Department of Urology, School of Medicine, and Department of Acute & Specialty Care, School of Nursing, University of Virginia, Charlottesville, Virginia. Dea Kent, DNP, RN, NP-C, CWOCN, QCP, Nursing Home Oversight and Consulting, Community Health Network, Indianapolis, Indiana. JoAnn-Ermer-Seltun, MS, RN, FNP-BC, CWOCN, CFCN, WEB WOC Nursing Education Program, Minneapolis, Minnesota; and Mercy Medical Center Continence Clinic, Mason City, Iowa. Laurie McNichol, MSN, RN, CNS, GNP, CWOCN, CWON-AP, FAAN, WOC Nurse, Cone Health, Wesley Long Hospital, Greensboro, North Carolina.
Abstract:
The Wound, Ostomy and Continence Nurses (WOCN) Society charged a task force with creating recommendations for assessment, selection, use, and evaluation of body-worn absorbent products. The 3-member task force, assisted by a moderator with knowledge of this area of care, completed a scoping literature review to identify recommendations supported by adequate research to qualify as evidence-based, and area of care where evidence needed to guide care was missing. Based on findings of this scoping review, the Society then convened a panel of experts to develop consensus statements guiding assessment, use, and evaluation of the effect of body-worn absorbent products for adults with urinary and/or fecal incontinence. These consensus-based statements underwent a second round of content validation using a modified Delphi technique using a different panel of clinicians with expertise in this area of care. This article reports on the scoping review and subsequent evidence-based statements, along with generation and validation of consensus-based statements that will be used to create an algorithm to aid clinical decision making.
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