Mean percentage of patients with urinary incontinence (UI) diagnoses by availability of quality systems
Quality systems | No of teams with quality system(s) | Raw percentages % (SD) | Adjusted estimated mean % of diagnoses | Mean difference | 95% CI interval of difference | p Value* |
Agency level | ||||||
A | 8 | 39.3 (17.6) | 39.3 | 8.4 | −16.7 to 33.5 | 0.47 |
AB | 14 | 50.3 (23.1) | 50.4 | −2.7 | −27.2 to 21.8 | 0.79 |
ACD | 6 | 53.1 (21.0) | 53.1 | −5.4 | −31.4 to 20.7 | 0.66 |
B | 16 | 38.3 (21.2) | 39.3 | 8.4 | −9.2 to 25.9 | 0.32 |
BCD | 22 | 40.8 (21.9) | 41.4 | 6.3 | −12.2 to 24.9 | 0.45 |
BC | 1 | 51.5 | 51.5 | −3.8 | −51.0 to 43.3 | 0.87 |
None (reference) | 55 | 46.6 (24.6) | 47.7 | |||
Team level | ||||||
a | 5 | 52.1 (22.5) | 54.7 | −10.3 | −33.7 to 13.1 | 0.39 |
ac | 40 | 47.9 (22.5) | 48.5 | −4.1 | −18.0 to 9.8 | 0.56 |
abc | 9 | 51.1 (23.9) | 52.2 | −7.8 | −27.0 to 11.4 | 0.43 |
acd | 1 | 57.1 | 58.1 | −13.7 | −60.4 to 32.9 | 0.56 |
abcd | 7 | 51.8 (19.4) | 52.6 | −8.1 | −31.3 to 15.0 | 0.48 |
b | 1 | 58.3 | 60.9 | −16.4 | −62.9 to 30.0 | 0.49 |
bc | 3 | 46.6 (3.0) | 47.3 | −2.9 | −31.1 to 25.3 | 0.84 |
c | 39 | 37.1 (22.5) | 36.8 | 7.7 | −6.6 to 21.9 | 0.29 |
None (reference) | 17 | 45.0 (26.3) | 44.4 |
A, protocol on incontinence; B, updating of protocol; C, continence nurse; D, UI education; a, nurse with special UI focus; b, check as to whether UI protocol is used; c, documentation in patient record, d, UI brochure.
↵* When compared with teams (within home care agencies) without quality systems.