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Advancing Evidence-Based Nursing: The Updated German Expert Standard on Continence Promotion.

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This summary is machine-generated.

This review synthesizes evidence on nursing interventions for urinary and fecal incontinence, highlighting assessment, education, and pelvic floor training. Patients need information and support for informed decision-making regarding continence care.

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Area of Science:

  • Nursing Science
  • Evidence-Based Practice
  • Public Health

Background:

  • Urinary and fecal incontinence are prevalent global health issues.
  • Incontinence significantly impacts individuals across all age groups.
  • Addressing incontinence is crucial for patient well-being and quality of life.

Purpose of the Study:

  • To systematically review nursing interventions for promoting urinary and fecal continence.
  • To update the German expert standard on continence promotion with current evidence.
  • To present evidence-based findings for nursing practice in continence care.

Main Methods:

  • Systematic literature review conducted from September to December 2022.
  • Included guideline research up to December 2023.
  • Searched Medline, CINAHL, Cochrane Library, and additional databases.
  • Followed PRISMA 2020 reporting standards.
  • Included qualitative, quantitative, and guideline publications (2012 onwards).

Main Results:

  • 60 studies were included from 2850 initial records.
  • Findings synthesized along the nursing process steps.
  • Key interventions identified: assessment, patient education, pelvic floor training, continence aid selection.

Conclusions:

  • Evidence-based interventions exist for managing incontinence.
  • Nursing roles in continence promotion are multifaceted.
  • Patients require comprehensive information, support, and reliable contacts for informed decisions.