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  • The effectiveness of nurse-led interventions for preventing urinary tract infections in older adults in residential aged care facilities: A systematic review

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    Accepted Manuscript (AM)
    Author(s)
    Wu, Min-Lin Winnie
    Pu, Lihui
    Grealish, Laurie
    Jones, Cindy
    Moyle, Wendy
    Griffith University Author(s)
    Wu, Winnie
    Grealish, Laurie A.
    Pu, Lihui
    Moyle, Wendy
    Jones, Cindy J.
    Year published
    2020
    Metadata
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    Abstract
    Aims and Objectives: To explore the effectiveness of nurse-led interventions to prevent urinary tract infections in older adults living in residential aged care facilities. Background: While most empirical studies focus on the treatment of urinary tract infections, few studies have examined the effectiveness of nurse-led interventions in preventing urinary tract infections. Design: Systematic review. Methods: Eight electronic databases were searched for relevant studies published between 2008–2018. The inclusion criteria were as follows: (a) a focus on older adults, (b) evaluation of nurse-led interventions, focusing on ...
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    Aims and Objectives: To explore the effectiveness of nurse-led interventions to prevent urinary tract infections in older adults living in residential aged care facilities. Background: While most empirical studies focus on the treatment of urinary tract infections, few studies have examined the effectiveness of nurse-led interventions in preventing urinary tract infections. Design: Systematic review. Methods: Eight electronic databases were searched for relevant studies published between 2008–2018. The inclusion criteria were as follows: (a) a focus on older adults, (b) evaluation of nurse-led interventions, focusing on prevention of urinary tract infection, (c) implemented in residential aged care facilities, and (d) outcomes reported as incidence or prevalence of urinary tract infection. The selected papers were critically appraised using the Mixed Methods Appraisal Tool. The data were analysed with narrative synthesis, and findings were reported following the PRISMA guidelines. Results: A review of 1,614 titles and abstracts identified four studies that met the inclusion criteria. Three types of nurse-led interventions were identified: (a) the appointment of advanced practice nurses, (b) those focused on a single specific nursing intervention, and (c) implementation of a multicomponent nursing intervention. All included studies reported at least some positive outcomes. However, the included studies were highly heterogeneous and it was impossible to determine the most effective intervention approach. Conclusions: Nurses are leaders in health care and are well placed to lead prevention of urinary tract infections in residential aged care; however, evidence of the effectiveness of a nurse-led approach is limited. High-quality randomised controlled trials are warranted to address the knowledge gap and advance practice in this area. Relevance to clinical practice: When developing an effective nurse-led intervention programme, the programme should be grounded in nurse-led principles and consider the complex staffing factors to ensure that nurse-led programmes are tailored to an effective level.
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    Journal Title
    Journal of Clinical Nursing
    Volume
    29
    Issue
    9-10
    DOI
    https://doi.org/10.1111/jocn.15198
    Copyright Statement
    © 2020 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: The effectiveness of nurse-led interventions for preventing urinary tract infections in older adults in residential aged care facilities: A systematic review, Journal of Clinical Nursing, 2020, 29 (9-10), pp. 1432-1444, which has been published in final form at https://doi.org/10.1111/jocn.15198. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
    Subject
    Nursing
    Health services and systems
    Public health
    Psychology
    Science & Technology
    Life Sciences & Biomedicine
    nurse-led interventions
    older adults
    Publication URI
    http://hdl.handle.net/10072/396209
    Collection
    • Journal articles

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