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Development, implementation and evaluation of a new nurse-led continence service: a pilot study

Authors

  • Kate S. Williams BA, RN,

    1. Research Fellow in Nursing, Leicestershire MRC Incontinence Study, Department of Epidemiology and Public Health, University of Leicester, 22–28 Princess Road West, Leicester LE1 6TP, UK,
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  • R. Phil Assassa MRCOG,

    1. MRC Senior Clinical Research Fellow, Leicestershire MRC Incontinence Study, Department of Epidemiology and Public Health, University of Leicester, 22–28 Princess Road West, Leicester LE1 6TP, UK,
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  • Nigel K. G. Smith DM, FRCP,

    1. Formerly MRC Senior Clinical Research Fellow, Leicestershire MRC Incontinence Study, Department of Epidemiology and Public Health, University of Leicester, 22–28 Princess Road West, Leicester LE1 6TP, UK,
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  • Carol Jagger PhD,

    1. Senior Lecturer in Epidemiology, Leicestershire MRC Incontinence Study, Department of Epidemiology and Public Health, University of Leicester, 22–28 Princess Road West, Leicester LE1 6TP, UK,
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  • Sarah Perry PhD,

    1. Research Associate, Leicestershire MRC Incontinence Study, Department of Epidemiology and Public Health, University of Leicester, 22–28 Princess Road West, Leicester LE1 6TP, UK,
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  • Christine Shaw PhD, RN,

    1. Research Fellow, Leicestershire MRC Incontinence Study, Department of Epidemiology and Public Health, University of Leicester, 22–28 Princess Road West, Leicester LE1 6TP, UK,
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  • Helen Dallosso PhD,

    1. Research Fellow, Leicestershire MRC Incontinence Study, Department of Epidemiology and Public Health, University of Leicester, 22–28 Princess Road West, Leicester LE1 6TP, UK,
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  • Catherine McGrother FFPHM,

    1. Senior Lecturer in Epidemiology, Leicestershire MRC Incontinence Study, Department of Epidemiology and Public Health, University of Leicester, 22–28 Princess Road West, Leicester LE1 6TP, UK,
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  • Michael Clarke FFPHM,

    1. Professor of Epidemiology and Public Health, Leicestershire MRC Incontinence Study, Department of Epidemiology and Public Health, University of Leicester, 22–28 Princess Road West, Leicester LE1 6TP, UK,
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  • Katherine R. Brittain MA,

    1. Research Associate, Department of Medicine for the Elderly, University of Leicester, Leicester General Hospital, Gwendolen Road, Leicester LE5 4PW, UK,
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  • C. Mark Castleden MD, FRCP,

    1. Professor Emeritus, Department of Medicine for the Elderly, University of Leicester, Leicester General Hospital, Gwendolen Road, Leicester LE5 4PW, UK,
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  • Christopher Mayne FRCOG

    1. Consultant Gynaecologist, Department of Obstetrics and Gynaecology, Leicester General Hospital, Gwendolen Road, Leicester LE5 4PW, UK
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Kate S. Williams Leicestershire MRC Incontinence Study, Department of Epidemiology and Public Health, University of Leicester, 22–28 Princess Road West, Leicester LE1 6TP, UK (e-mail: ksw6@le.ac.uk).

Abstract

• The Leicestershire Medical Research Council (MRC) Incontinence Study is a series of interrelated studies exploring the epidemiology of urinary symptoms, including incontinence, and evaluating service provision and treatment options for these symptoms.

• This paper describes one aspect of the Leicestershire MRC Incontinence Study, namely the development, implementation and evaluation of a new nurse-led continence service.

• When developing a new service it is important to determine its acceptability and suitability to the target population.

• The new mode of service delivery was dependent on specially trained Continence Nurse Practitioners (CNP) delivering predefined evidence-based treatment interventions.

• Objective and subjective outcome measures were used to evaluate the service.

• The service was shown to be effective in reducing urinary symptoms and led to high levels of patient satisfaction.

• This service is currently being evaluated in a randomized controlled trial.

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