Evidence map›Paper›PMID 33271313›Full record

ArticleJournal of pain and symptom management2021

Nurse Perspectives on Urinary Incontinence in the Home Hospice Setting.

Michelina D Stoddard, David Russell, Margaret V McDonald, Ritchell Dignam, Kathryn H Bowles, Holly G Prigerson, Bilal Chughtai

Abstract read
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In one paragraph

Article in Journal of pain and symptom management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Michelina D StoddardDepartment of Urology, Weill Cornell Medicine/New York Presbyterian, New York, New York, USA; Weill-Cornell/Rockefeller/Sloan Kettering Tri-Institutional MD-PhD Program, New York, New York, USA.
David RussellCenter for Home Care Policy & Research, Visiting Nurse Service of New York, New York, New York, USA; Department of Sociology, Appalachian State University, Boone, North Carolina, USA.
Margaret V McDonaldCenter for Home Care Policy & Research, Visiting Nurse Service of New York, New York, New York, USA.
Ritchell DignamVisiting Nurse Service of New York Hospice, New York, New York, USA.
Kathryn H BowlesCenter for Home Care Policy & Research, Visiting Nurse Service of New York, New York, New York, USA; Department of Biobehavioral Health Sciences, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.
Holly G PrigersonDepartment of Medicine, Weill Cornell Medicine, New York, New York, USA.
Bilal ChughtaiDepartment of Urology, Weill Cornell Medicine/New York Presbyterian, New York, New York, USA. Electronic address: bic9008@med.cornell.edu.
VNS Health · USCornell University · US

Funding

Weill Cornell/Rockefeller/Sloan-Kettering MST ProgramT32GM007739 · NIGMS · WEILL MEDICAL COLL OF CORNELL UNIV · PI HSU, KATHARINE C · 1985 to 2023
$51.1M
NIGMS NIH HHS T32 GM007739
6 · The paper itself

Abstract

contextTo date, no studies have characterized the impacts of urinary incontinence (UI) at the end of life in the home hospice (HH) setting. UI is highly prevalent at the end of life and adversely affects quality of life.

objectivesTo characterize HH nurses' perspectives on UI in HH patients.

methodsWe conducted a qualitative descriptive study of interviews between HH nurses and the study investigator. Thirty-two interviews with HH nurses were transcribed and analyzed. Nurses were mostly female, college-educated, and had several years of experience in HH nursing.

resultsWe identified findings in four major themes: 1) HH nurses' definition and identification of UI, 2) the absence of formal guidelines for diagnosing UI in HH patients, 3) UI's adverse effect on HH patients and their families, and 4) the lack of standardized guidelines for the management of UI in the HH setting. We found that there was a general lack of clarity on the subtypes of UI and no standardized guidelines for management of UI in the HH setting. Nurses reported that UI was bothersome to HH patients and their caregivers, citing patient discomfort, loss of dignity, and additional labor burden as reasons for this. Management strategies for UI lacked standardization.

conclusionUI is a prevalent and debilitating condition in HH patients. There is a need for studies to further characterize the impacts of UI on HH patients and their caregivers. Formal training on UI subtypes and management is needed to facilitate proper documentation, research, and improve patient outcomes.

Indexed as

Hospice and Palliative Care NursingHospice CareHospicesUrinary IncontinenceFemaleHumansMaleQuality of Lifeend of lifegeriatricshome hospicenursingUrinary incontinence

Identifiers

PMID33271313
OpenAlexW3109321247

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.