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Original Article
- Development of Outcome Indicators of Urinary Incontinence for Quality Evaluation in Long Term Care Hospitals
- Ju Young Yoon, Ji Yun Lee
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Journal of Korean Academy of Nursing 2010;40(1):110-118.
DOI: https://doi.org/10.4040/jkan.2010.40.1.110
Published online: February 28, 2010
1Doctoral Student, School of Nursing, University of Wisconsin-Madison, Madison, WI, USA.
2Full-time Lecturer, Department of Nursing, Hoseo University, Asan, Korea.
- Address reprint requests to: Lee, Ji Yun. Department of Nursing, Hoseo University, 165 Sechul-ri, Baebang-myeon, Asan 336-795, Korea. Tel: 82-41-540-9534, Fax: 82-41-540-9558, leejiyun@hoseo.edu
• Received: September 4, 2009 • Accepted: February 4, 2010
Copyright © 2010 Korean Society of Nursing Science
Abstract
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Purpose
- To develop outcome indicators of urinary incontinence to measure quality of care in long term care hospitals in Korea.
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Methods
- The draft indicators of urinary incontinence were developed from a literature review and clinical expert panel. A survey of medical records of 280 patients in 20 hospitals was conducted to test inter-rater reliability. Statistical analysis was done to test risk adjustment criteria, variation between hospitals, and stability of indicators, using assessment data from 77,918 patients in 623 hospitals.
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Results
- The inter-rater reliability of items was high (Kappa range: 0.66-0.92). Severe cognitive impairment (odds ratio [OR]: 3.15, confidence interval [CI]: 3.03-3.26) and total mobility activities of daily living (ADLs) dependency (OR: 4.85, CI: 4.72-4.98) increased the prevalence of urinary incontinence, thus they proved to be significant criteria to stratify high and low risk groups. The prevalence for low risk showed more substantial variation than the high risk group. The indicators were stable over one month.
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Conclusion
- This study demonstrated the feasibility of outcome indicators of urinary incontinence. Improving the reliability of the patient assessment tool and refining the indicators through validation study is a must for future study.
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Citations
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XML DownloadDevelopment of Outcome Indicators of Urinary Incontinence for Quality Evaluation in Long Term Care Hospitals
Development of Outcome Indicators of Urinary Incontinence for Quality Evaluation in Long Term Care Hospitals
General characteristics of Organizations and Patients (N=77,918)
ADL=activities of daily living.
Draft of Quality Outcome Indicator of Urinary Incontinence
ADL=activities of daily living.
Inter-rater reliability of item for Outcome Indicators of Urinary Incontinence
Test of Risk Adjustment factors
ADL=activities of daily living; CI=confidence interval.
Variance of Quality Indicator value among hospitals and Stability over time
UI=urinary incontinence
Table 1
General characteristics of Organizations and Patients (N=77,918)
ADL=activities of daily living.
Table 2
Draft of Quality Outcome Indicator of Urinary Incontinence
ADL=activities of daily living.
Table 3
Inter-rater reliability of item for Outcome Indicators of Urinary Incontinence
Table 4
Test of Risk Adjustment factors
ADL=activities of daily living; CI=confidence interval.
Table 5
Variance of Quality Indicator value among hospitals and Stability over time
UI=urinary incontinence
