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)?



cluster randomised controlled trial.




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

GraphicFollow up period:

6 months.


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


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.


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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