Can district nurses and care home staff improve bowel care for older people using a clinical benchmarking tool?

Claire Goodman, Susan Davies, Christine Norton, Mandy Fader, Jackie Morris, Mandy Wells, Heather Gage

Research output: Contribution to journalArticlepeer-review

12 Citations (Scopus)


A quasi-experimental study tested a clinical benchmarking tool (Essence of Care) to improve bowel-related care for older people living in six care homes. In the intervention care homes, district nurses and care home staff used the clinical benchmarking tool to discuss and plan how to improve bowel care for residents. In the control care homes, staff were provided with detailed information about the residents and continence services contact details. The intervention was acceptable to care home and district nursing staff, and possible to incorporate into existing working patterns. The study did not demonstrate a significant reduction in bowel-related problems, although there was evidence in one care home of reduction in episodes of avoidable faecal incontinence. At an individual level of care, there were observable benefits, and examples of person-centred care were prompted through participating in the intervention and improved staff awareness. Clinical benchmarking tools can be used to structure discussion between district nurses and care home staff to review and plan care for residents. However, it takes time to achieve change and embedding this kind of approach requires either robust pre-existing working relationships or the involvement of a facilitator.

Original languageEnglish
Pages (from-to)580-587
Number of pages8
JournalBritish journal of community nursing
Issue number12
Publication statusPublished - Dec 2013


  • Bowel care
  • Care homes
  • Clinical benchmarking
  • District nursing
  • Incontinence


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