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dc.contributor.authorGoodman, Claire
dc.contributor.authorDavies, Susan
dc.contributor.authorNorton, Christine
dc.contributor.authorFader, Mandy
dc.contributor.authorMorris, Jackie
dc.contributor.authorWells, Mandy
dc.contributor.authorGage, Heather
dc.date.accessioned2014-10-01T15:00:57Z
dc.date.available2014-10-01T15:00:57Z
dc.date.issued2013-12
dc.identifier.citationGoodman , C , Davies , S , Norton , C , Fader , M , Morris , J , Wells , M & Gage , H 2013 , ' Can district nurses and care home staff improve bowel care for older people using a clinical benchmarking tool? ' , British journal of community nursing , vol. 18 , no. 12 , pp. 580-587 . https://doi.org/10.12968/bjcn.2013.18.12.580
dc.identifier.issn1462-4753
dc.identifier.otherPURE: 7613322
dc.identifier.otherPURE UUID: dae37e36-3296-4b84-85eb-01c174822e86
dc.identifier.otherScopus: 84891429724
dc.identifier.otherPubMed: 24335790
dc.identifier.urihttp://hdl.handle.net/2299/14522
dc.description.abstractA quasi-experimental study tested a clinical benchmarking tool (Essence of Care) to improve bowel-related care for older people living in six care homes. In the intervention care homes, district nurses and care home staff used the clinical benchmarking tool to discuss and plan how to improve bowel care for residents. In the control care homes, staff were provided with detailed information about the residents and continence services contact details. The intervention was acceptable to care home and district nursing staff, and possible to incorporate into existing working patterns. The study did not demonstrate a significant reduction in bowel-related problems, although there was evidence in one care home of reduction in episodes of avoidable faecal incontinence. At an individual level of care, there were observable benefits, and examples of person-centred care were prompted through participating in the intervention and improved staff awareness. Clinical benchmarking tools can be used to structure discussion between district nurses and care home staff to review and plan care for residents. However, it takes time to achieve change and embedding this kind of approach requires either robust pre-existing working relationships or the involvement of a facilitator.en
dc.format.extent8
dc.language.isoeng
dc.relation.ispartofBritish journal of community nursing
dc.subjectBowel care
dc.subjectCare homes
dc.subjectClinical benchmarking
dc.subjectDistrict nursing
dc.subjectIncontinence
dc.subjectCommunity and Home Care
dc.titleCan district nurses and care home staff improve bowel care for older people using a clinical benchmarking tool?en
dc.contributor.institutionCentre for Research in Public Health and Community Care
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionHealth & Human Sciences Research Institute
dc.contributor.institutionOlder People's Health and Complex Conditions
dc.contributor.institutionDepartment of Adult Nursing and Primary Care
dc.contributor.institutionNursing, Midwifery and Social Work
dc.description.statusPeer reviewed
dc.relation.schoolSchool of Health and Social Work
dcterms.dateAccepted2013-12
rioxxterms.versionofrecordhttps://doi.org/10.12968/bjcn.2013.18.12.580
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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