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Evid Based Nurs 10:26 doi:10.1136/ebn.10.1.26
  • Quality improvement

Audit and feedback and educational outreach did not differ from printed educational materials for improving community nursing practice


 
 Q Does audit and feedback (AF) and educational outreach (EO) improve community nursing practice and outcomes in patients with urinary incontinence (UI)?

METHODS

GraphicDesign:

cluster randomised controlled trial.

GraphicAllocation:

concealed.

GraphicBlinding:

blinded {patients, data collectors, and data analysts}.*

GraphicFollow up period:

6 months.

GraphicSetting:

157 local family practices in the counties of East Midlands, West Midlands, and Northwest Anglia, UK.

GraphicParticipants:

176 community nurses (district nurses and specialist health visitors) attached to ⩾1 of the family practices and 1078 patients ⩾16 years of age (83% women) who had UI; patients with permanent indwelling urethral or suprapubic urinary catheters were excluded.

GraphicIntervention:

38 practices (41 nurses, 276 patients) were allocated to AF, which comprised personal feedback sent by post to nurses on performance, emphasising good practice and suggestions for improvement; anonymous aggregated feedback on the performance of other study nurses; and a resource pack. 41 practices (46 nurses, 292 patients) were allocated to EO, which comprised personal feedback sent by post on self reported barriers …

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