-
Development of Outcome Indicators of Urinary Incontinence for Quality Evaluation in Long Term Care Hospitals
-
Ju Young Yoon, Ji Yun Lee
-
J Korean Acad Nurs 2010;40(1):110-118. Published online February 28, 2010
-
DOI: https://doi.org/10.4040/jkan.2010.40.1.110
-
-
 Abstract
 PDF
-
Purpose
To develop outcome indicators of urinary incontinence to measure quality of care in long term care hospitals in Korea.
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.
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.
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.
-
Citations
Citations to this article as recorded by  - Development of Health Assessment Tool for Middle-aged Adults in Long-term Care Settings
Yoon-Jin Park, Nam Cho Kim
The Korean Journal of Rehabilitation Nursing.2017; 20(1): 1. CrossRef - Factors Associated with the Changes in Activities of Daily Living in Older Adults with Stroke: A Comparison of Home Care and Institutional Care
Woon-Sook Jung, Eun-Shil Yim
Journal of Korean Academy of Community Health Nursing.2016; 27(4): 388. CrossRef - Mobility is the key! Trends and associations of common care problems in German long-term care facilities from 2008 to 2012
Nils A. Lahmann, Antje Tannen, Simone Kuntz, Kathrin Raeder, Gabriela Schmitz, Theo Dassen, Jan Kottner
International Journal of Nursing Studies.2015; 52(1): 167. CrossRef - Comparison of Hospital Standardized Mortality Ratio Using National Hospital Discharge Injury Data
Jong-Ho Park, Yoo-Mi Kim, Sung-Soo Kim, Won-Joong Kim, Sung-Hong Kang
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(4): 1739. CrossRef - The impact of organizational factors on the urinary incontinence care quality in long-term care hospitals: A longitudinal correlational study
Ju Young Yoon, Ji Yun Lee, Barbara J. Bowers, David R. Zimmerman
International Journal of Nursing Studies.2012; 49(12): 1544. CrossRef
-
345
View
-
1
Download
-
5
Crossref
-
Work system analysis of health management for individuals with disabilities in supportive housing: a focus group study using the SEIPS framework
-
Haesun Lee, Hye Jin Nam, Bohye Kim, Ju Young Yoon
-
Received February 12, 2025 Accepted July 1, 2025 Published online July 15, 2025
-
DOI: https://doi.org/10.4040/jkan.25018
-
-
Abstract
 ePub
- Purpose
This study conducted a work-system analysis using the Systems Engineering Initiative for Patient Safety (SEIPS) framework to assess the flow of health-related information, and the current status of health management tasks for individuals with disabilities (IWD) in supportive housing.
Methods
This qualitative study utilized focus groups. Participants included a head of supportive housing, a team leader, a care coordinator and three personal support workers for IWD. Semi-structured interviews were guided by the SEIPS framework to explore the components of persons, tasks, tools and technology, organization, and environments.
Results
This study identified five key themes within the five SEIPS components: (1) disparities in role identity and health literacy among staff, (2) challenges in health care support reflecting a person-centered approach, (3) barriers in health-related information exchange and communication tools, (4) needs for organizational strategies or information communication, and (5) needs for integrating health-related information across external healthcare institutions. Additionally, 10 sub-themes were identified.
Conclusions
These findings provide a comprehensive system-wide perspective and offer insights into the systematic approaches needed to improve healthcare processes and structures within disability supportive housing. Specifically, healthcare providers and effective tools for integrating health-related information are identified as critical components.
|
KSNS
E-SUBMISSION
