Can district nurses and care home staff improve bowel care for older people using a clinical benchmarking tool?

British Journal of Community Nursing
Claire GoodmanHeather Gage

Abstract

A quasi-experimental study tested a clinical benchmarking tool (Essence of Care) to improve bowel-related care for older people living in six care homes. In the intervention care homes, district nurses and care home staff used the clinical benchmarking tool to discuss and plan how to improve bowel care for residents. In the control care homes, staff were provided with detailed information about the residents and continence services contact details. The intervention was acceptable to care home and district nursing staff, and possible to incorporate into existing working patterns. The study did not demonstrate a significant reduction in bowel-related problems, although there was evidence in one care home of reduction in episodes of avoidable faecal incontinence. At an individual level of care, there were observable benefits, and examples of person-centred care were prompted through participating in the intervention and improved staff awareness. Clinical benchmarking tools can be used to structure discussion between district nurses and care home staff to review and plan care for residents. However, it takes time to achieve change and embedding this kind of approach requires either robust pre-existing working relationships or the i...Continue Reading

References

Oct 13, 2005·Health & Social Care in the Community·Claire GoodmanRosemary Woolley
Apr 28, 2007·Journal of Clinical Nursing·Natalie A RodriguezFrances J Badger
Jun 30, 2007·BMJ : British Medical Journal·Christine NortonUNKNOWN Guideline Development Group
Feb 14, 2008·Journal of Nursing Management·Sue Davies, Claire Goodman Cripacc
Mar 20, 2009·The Journal of Urology·Toby C ChaiUNKNOWN Urinary Incontinence Treatment Network
Jun 16, 2010·Journal of Advanced Nursing·Heather GagePeter Williams
Jan 12, 2013·Age and Ageing·Sunil M ShahDerek G Cook

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Citations

Jul 17, 2016·BMC Health Services Research·Claire GoodmanMaria Zubair
Nov 8, 2014·Implementation Science : IS·Jenny PloegSue Bookey-Bassett
Dec 5, 2019·British Journal of Community Nursing·Sharon Holroyd

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