Quality systems | No of teams with quality system(s) | Unadjusted mean urine loss | Adjusted estimated mean urine loss§ | Mean difference | 95% CI interval difference | p Value* |
Agency level† | ||||||
A | 9 | 1.93 (0.36) | 1.96 | −0.55 | −0.3 to 0.20 | 0.66 |
AB | 18 | 1.71 (0.31) | 1.70 | 0.20 | −0.03 to 0.43 | 0.08 |
ACD | 7 | 2.1 (0.58) | 2.02 | −0.12 | −0.4 to 0.2 | 0.39 |
BC | 1 | 1.86 | 1.92 | −0.02 | −0.7 to 0.6 | 0.95 |
BCD | 29 | 1.90 (0.31) | 1.91 | −0.01 | −0.2 to 0.2 | 0.92 |
C | 17 | 1.83 (0.27) | 1.82 | 0.08 | −0.1 to 0.3 | 0.41 |
D | 2 | 2.17 (0.32) | 2.16 | −0.26 | −0.7 to 0.2 | 0.28 |
None (reference) | 72 | 1.90 (0.35) | 1.90 | |||
Team level‡ | ||||||
a | 6 | 1.84 (0.28) | 1.86 | 0.10 | −0.2 to 0.4 | 0.51 |
ab | 4 | 1.97 (0.31) | 2.05 | −0.08 | −0.4 to 0.3 | 0.67 |
ac | 48 | 1.83 (0.29) | 1.81 | 0.15 | −0.03 to 0.3 | 0.10 |
abc | 11 | 1.95 (0.39) | 1.97 | −0.001 | −0.3 to 0.3 | 0.99 |
acd | 1 | 2.00 | 1.98 | −0.01 | −0.7 to 0.7 | 0.97 |
abcd | 9 | 1.96 (0.53) | 1.92 | 0.04 | −0.2 to 0.3 | 0.77 |
b | 1 | 1.67 | 1.67 | 0.3 | −0.4 to 1.0 | 0.40 |
bc | 4 | 1.87 (0.23) | 1.87 | 0.1 | −0.3 to 0.5 | 0.60 |
c | 48 | 1.87 (0.35) | 1.90 | 0.07 | −0.1 to 0.3 | 0.47 |
None (reference) | 23 | 1.95 (0.38) | 1.97 |
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.
↵† Adjusted for sex (% female): b=−0.001, p=0.001.
↵‡ Adjusted for sex (% female): b=−0.006, p=0.001.
↵§ Range 1–3.