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Nursing issues
There is a lack of preventive care and treatment interventions for urinary incontinence in hospitalised adults
  1. Mary H Palmer
  1. School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
  1. Correspondence to Dr Mary H Palmer, School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA; mhpalmer{at}email.unc.edu

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Commentary on: Artero-Lopez C, Marquez-Hernandez V, Estevez-Morales M, et al. Inertia in nuursing care of hospitalised patients with urinary incontinence. J Clin Nurs 2018;27:1488–1496.

Implications for practice and research

  • Timely education, checklists and guidelines use, and performance feedback are needed for urinary incontinence (UI) assessment, prevention, and treatment.

  • A theory-based investigation of multilevel barriers to implement UI assessment, prevention, and treatment will advance knowledge, facilitating new models of continence care.

Context

UI is often under-reported and under-treated. Its prevalence increases with age, as do some risk factors including confusion and dependence on others for ambulation.1

These factors may be present when, or develop while, adults are admitted to hospital. Little attention has focused on hospital UI care until recently. Artero-López and colleagues2 investigated the role clinical inertia (defined for this study as, ‘any action inherent …

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