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Assessment, Selection, Use, and Evaluation of Body-Worn Absorbent Products for Adults With Incontinence: A WOCN Society Consensus Conference

Gray, Mikel; Kent, Dea; Ermer-Seltun, JoAnn; McNichol, Laurie

Journal of Wound, Ostomy and Continence Nursing: May/June 2018 - Volume 45 - Issue 3 - p 243–264
doi: 10.1097/WON.0000000000000431
Continence Care

The Wound, Ostomy and Continence Nurses (WOCN) Society charged a task force with creating recommendations for assessment, selection, use, and evaluation of body-worn absorbent products. The 3-member task force, assisted by a moderator with knowledge of this area of care, completed a scoping literature review to identify recommendations supported by adequate research to qualify as evidence-based, and area of care where evidence needed to guide care was missing. Based on findings of this scoping review, the Society then convened a panel of experts to develop consensus statements guiding assessment, use, and evaluation of the effect of body-worn absorbent products for adults with urinary and/or fecal incontinence. These consensus-based statements underwent a second round of content validation using a modified Delphi technique using a different panel of clinicians with expertise in this area of care. This article reports on the scoping review and subsequent evidence-based statements, along with generation and validation of consensus-based statements that will be used to create an algorithm to aid clinical decision making.

Mikel Gray, PhD, FNP, PNP, CUNP, CCCN, FAANP, FAAN, Department of Urology, School of Medicine, and Department of Acute & Specialty Care, School of Nursing, University of Virginia, Charlottesville, Virginia.

Dea Kent, DNP, RN, NP-C, CWOCN, QCP, Nursing Home Oversight and Consulting, Community Health Network, Indianapolis, Indiana.

JoAnn-Ermer-Seltun, MS, RN, FNP-BC, CWOCN, CFCN, WEB WOC Nursing Education Program, Minneapolis, Minnesota; and Mercy Medical Center Continence Clinic, Mason City, Iowa.

Laurie McNichol, MSN, RN, CNS, GNP, CWOCN, CWON-AP, FAAN, WOC Nurse, Cone Health, Wesley Long Hospital, Greensboro, North Carolina.

Correspondence: Mikel Gray, PhD, FNP, PNP, CUNP, CCCN, FAANP, FAAN, Department of Urology, University of Virginia, 500 Ray C. Hunt Dr, Charlottesville, VA 22903 (

The consensus panel and validation process for Assessment, Selection, Use and Evaluation of Body-Worn Absorbent Products for Adults With Incontinence was sponsored by an unrestricted educational grant from Domtar Personal Care.

© 2018 by the Wound, Ostomy and Continence Nurses Society.