{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T08:52:15Z","timestamp":1791363135565,"version":"4.3.1"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Nursing Scholarship"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Urinary incontinence (UI) is a prevalent geriatric syndrome that significantly affects the physical, psychological, and social well\u2010being of older adults. Non\u2010pharmacological interventions are recommended as the first\u2010line approach, especially in frail older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This was a prospective pre\u2013post observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study included sixty\u2010one patients with rehabilitable UI who were admitted to an intermediate care hospital. The nurse\u2010led multidisciplinary program integrated education, hygiene\u2010dietary measures, pelvic floor physiotherapy, behavioral strategies, and transcutaneous electrical nerve stimulation (TENS). The primary outcomes were UI severity (International Consultation on Incontinence Questionnaire\u2010Short Form (ICIQ\u2010SF)), voiding awareness, diurnal and nocturnal voids, disposable absorbent product use, functional status (Barthel Index), cognitive status (Pfeiffer test), and quality of life (EQ\u20105D). Data were collected at baseline and discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Data from 61 participants were analyzed. Significant improvements were observed in the ICIQ\u2010SF scores (16.72\u2009\u00b1\u20093.39 vs. 9.10\u2009\u00b1\u20095.86;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), daytime voiding awareness (83.6% vs. 100%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002), nocturnal voiding awareness (66.7% vs. 88.5%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002), nocturnal voids (3.46\u2009\u00b1\u20092.22 vs. 2.35\u2009\u00b1\u20091.68;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), Barthel Index (49.83\u2009\u00b1\u200923.84 vs. 70.33\u2009\u00b1\u200919.59;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and EQ\u20105D scores (0.39\u2009\u00b1\u20090.28 vs. 0.56\u2009\u00b1\u20090.26;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The use of disposable absorbent products decreased from 98.36% to 62.30% (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.065). The patient's cognitive status remained stable. The mean satisfaction with the program was 8.53\/10.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A nurse\u2010led, multidisciplinary, non\u2010pharmacological intervention effectively reduced UI severity, increased voiding awareness, enhanced functional autonomy, and improved the quality of life in older adults. These findings support the implementation of individualized, evidence\u2010based programs in intermediate care settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Non\u2010pharmacological interventions led by advanced practice nurses provide effective, patient\u2010centered management of urinary incontinence, improving autonomy and quality of life while potentially reducing healthcare costs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jnu.70139","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T08:22:57Z","timestamp":1791361377000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Implementation of a Multidisciplinary Non\u2010Pharmacological Program to Improve Urinary Incontinence in an Intermediate Care Hospital"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5314-2342","authenticated-orcid":false,"given":"Susana","family":"Malgrat\u2010Caballero","sequence":"first","affiliation":[{"name":"Parc Sanitari Pere Virgili  Barcelona Spain"},{"name":"Research on Aging, Frailty and Transitions in Barcelona (REFiT\u2010BCN) Parc Sanitari Pere Virgili and Vall d'Hebron Research Institute(VHIR)  Barcelona Spain"},{"name":"Universitat Ramon Llull Blanquerna School of Health Sciences  Barcelona Spain"},{"name":"Interuniversity PhD Program in Integrated Care and Health Services University of Vic\u2013Central University of Catalonia  Vic Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1448-3803","authenticated-orcid":false,"given":"Maite","family":"Franco","sequence":"additional","affiliation":[{"name":"Parc Sanitari Pere Virgili  Barcelona Spain"},{"name":"Research on Aging, Frailty and Transitions in Barcelona (REFiT\u2010BCN) Parc Sanitari Pere Virgili and Vall d'Hebron Research Institute(VHIR)  Barcelona Spain"},{"name":"University of Lleida  Lleida Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7576-1176","authenticated-orcid":false,"given":"Oriol","family":"Planesas\u2010P\u00e9rez","sequence":"additional","affiliation":[{"name":"Research on Aging, Frailty and Transitions in Barcelona (REFiT\u2010BCN) Parc Sanitari Pere Virgili and Vall d'Hebron Research Institute(VHIR)  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Estefania Garbero","family":"Garcia","sequence":"additional","affiliation":[{"name":"Parc Sanitari Pere Virgili  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleonora","family":"Alexandrova","sequence":"additional","affiliation":[{"name":"Parc Sanitari Pere Virgili  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Z.","family":"Techera","sequence":"additional","affiliation":[{"name":"Parc Sanitari Pere Virgili  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Perea\u2010Garcia","sequence":"additional","affiliation":[{"name":"Parc Sanitari Pere Virgili  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belen Sendra","family":"Criado","sequence":"additional","affiliation":[{"name":"Parc Sanitari Pere Virgili  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aida","family":"Ribera","sequence":"additional","affiliation":[{"name":"Parc Sanitari Pere Virgili  Barcelona Spain"},{"name":"Research on Aging, Frailty and Transitions in Barcelona (REFiT\u2010BCN) Parc Sanitari Pere Virgili and Vall d'Hebron Research Institute(VHIR)  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"crossref","unstructured":"Ag\u00e8ncia de Qualitat i Avaluaci\u00f3 Sanit\u00e0ries de Catalunya.2025.\u201cCentral de resultats: Dades del sistema de salut de Catalunya 2017\u20132024.\u201dDepartament de Salut Generalitat de Catalunya.https:\/\/doi.org\/10.62727\/DSalut.AQUAS\/14065.","DOI":"10.62727\/DSalut.AQUAS\/14065"},{"key":"e_1_2_13_3_1","unstructured":"Alianza Contra la Incontinencia Urinaria (ALiNUR) y sociedades cient\u00edficas colaboradoras.2025.\u201cRetos y propuestas para la mejora de la continencia urinaria femenina en Espa\u00f1a: Documento de consenso.\u201d"},{"issue":"2","key":"e_1_2_13_4_1","first-page":"15","article-title":"Incontinencia urinaria: diagn\u00f3stico, manejo y tratamiento","volume":"5","author":"Amador K. 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