Evidence based descision making masters level Essay

Evidence based descision making masters level - Essay Example The Medline, Embase, Chinahl, British nursing index and the Cochrane controlled trials register databases were searched. Two randomized controlled trials containing raw data were selected for use in the review. Both were underpowered, therefore the data were used to create a meta-analysis. The meta-analysis indicated that sacral neurostimulation is an efficient means of treating refractory urinary incontinence. The study concluded that sacral neuromodulation is an effective and safe treatment for refractory urge incontinence with long lasting effects. The aim of this study is to evaluate the effectiveness of sacral nerve stimulation for the treatment of refractory urinary urge incontinence and review the current knowledge as well as identify knowledge gaps on the effectiveness of the treatment. The review will focus on research studies that either prove or dispel the effectiveness of the treatment in those with refractory urge incontinence. The review will also elaborate on the discussion based on the critical analysis of the literature and will seek to establish the validity and reliability of the findings from the reviewed studies. The study will culminate in recommendations that could advise and inform nursing practice on novel and innovative clinical approaches in dealing with patients with refractory urge incontinence. Research-based or best practice-based solutions will be highlighted as constant reminders for nursing practitioners and other health professionals dealing with urge incontinence. Involuntary release of urine, which may be caused by physiologic, pharmacologic, pathologic, or psychological factors, is known as urinary incontinence (Ogundele, 2006). The International Continence Society (ICS) defines urinary incontinence "as a condition of involuntary urine loss that is objectively demonstrable and is a social or hygienic problem" (Ogundele, 2006). The lifetime prevalence of UI in all ages has been estimated to be about 6.6% in males and