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Research Abstracts Online
January 2010 - March 2011

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University of Minnesota Twin Cities
School of Nursing

PI: Bonnie L. Westra

The Influence of a Certified Wound, Ostomy, Continence Nurse on Wounds and Incontinence Outcomes

The purpose of this research is to identify and evaluate the contributions and benefits of the certified wound, ostomy, and continence nurse (CWOCN) for prevention and improvement of wounds and incontinence outcomes for patients receiving home health care (HHC). These researchers are obtaining a national convenience sample of data from approximately 1,038 agencies representing an estimate of 1,037,600 episodes of care for 975,000 patients. This study includes an internet-based survey to describe agency characteristics and CWOCN practices if the agency employs or contracts with a CWOCN. Survey information will be linked with de-identified HHC agency visits (to determine which patients had a CWOCN) and OASIS clinical data to compare the effectiveness of CWOCN practice on patient and agency outcomes. The researchers will use step-wise logistic regression to compare risk adjusted patient and agency level outcomes for pressure ulcers, stasis ulcers, and surgical wounds, urinary incontinence, bowel incontinence, and development of urinary tract infections (UTIs). Outcomes will include prevalence at admission for each condition; improvement, stabilization, and deterioration incidences occurring after the start of care for wounds, incontinence, and UTIs.

Group Members

Donna Z. Bliss, Co-Principal Investigator
Alina Dina, Staff
Yuefeng Hou, Graduate Student
Kay Savik, Staff