Consistent efforts to identify and clinically validate new nursing diagnosis within recognized categories are essential to taxonomy development. Mixed incontinence is a clinical condition resulting in leakage of urine associated with increased intra-abdominal pressure (stress) and inability to delay voiding (urge). The presence of mixed incontinence was clinically validated in two populations (n = 9, n = 40) of community-dwelling women and initial defining characteristics were identified. Research findings from both studies support the addition of a proposed sixth nursing diagnosis, mixed incontinence, to the diagnostic category, alteration in urinary elimination.
Agency for Health Care Policy and Research. (1992). Urinary incontinence in adults: Clinical practice guidelines (AHCPR Pub. No. 92–0638). Rockville, MD: Public Health Service, U.S. Department of Health and Human Services.
2.
BurgioK.WhiteheadW.EngelB. (1985). Urinary incontinence in the elderly: Bladder-sphincter biofeedback and toileting skills training. Annals of Internal Medicine, 104, 507–515.
3.
DioknoA.BrockB.BrownM.HerzogR. (1986). Prevalence of urinary incontinence and other urological symptoms in the non institutionalized elderly. The Journal of Urology.136, 1022–1025.
4.
EngelB.BurgioL.McCormickK.HawkinsA.ScheveA.LeahyE. (1990). Behavioral treatment of incontinence in the long-term care setting, Journal of The American Geriatrics Society, 38, 361–363.
5.
FantlJ.WymanJ.HarkinsS.HadleyE. (1990). Bladder training in the management of lower urinary tract dysfunction in women: A review. Journal of the American Geriatrics Society, 38, 329–332.
6.
GordonR. (1968). Issues in multiple regression. American Journal of Sociology, 73, 592–616.
7.
GrantJ.KinneyM.GuzzettaC. (1990). Using magnitude estimation scaling to examine the validity of nursing diagnoses. Nursing Diagnosis, 1, 64–69.
8.
HinshawA.AtwoodJ. (1982). A patient satisfaction instrument: Precision by replications. Nursing Research, 3, 170–175, 191.
9.
KerrM.HoskinsL.FitzpatrickJ.WarrenJ.AvantK.CarpenitoL.HurleyM.JakobD.LunneyM.MillsW.RottkampB. (1992). Development of definitions for Taxonomy II. Nursing Diagnosis, 3, 65–77.
10.
KerrM.HoskinsL.FitzpatrickJ.WarrenJ.AvantK.HurleyM.LunneyM.MillsW.RottkampB. (1993). Taxonomic validation: An overview. Nursing Diagnosis, 4, 6–14.
11.
Lewis-AbneyK.RosenkranzC. (1994). Content validation of impaired skin integrity and urinary incontinence in the home health setting. Nursing Diagnosis, 5, 36–42.
12.
McCormickK.BurgioL.EngelB.ScheveA.LeahyE. (1992). Urinary incontinence: An augmental prompted void approach. Journal of Gerontological Nursing, 18, 3–10.
13.
MetzgerK.HiltunenE. (1987). Diagnostic content validation of ten frequently reported nursing diagnoses. In McLaneA. (Ed.), Classification of nursing diagnoses: Proceedings of the seventh conference (pp. 144–153). St. Louis: Mosby.
14.
MunroB.VisintainerM.PageE. (1986). Statistical methods for health care research. Philadelphia: Lippincott.
15.
NANDA. (1990). Taxonomy 1–Revised. St. Louis: Author.
16.
OuslanderJ.StaskinD.RazS.SuH.HeppsK. (1987). Urological neurology and urodynamics. The Journal of Urology, 137, 68–71.
17.
ScheveA.EngelB.McCormickK.LeahyE. (1991). Exercise in continence. Geriatric Nursing, 12, 124.
18.
SchnelleJ. (1990). Treatment of urinary incontinence in nursing home patients by prompted voiding. Journal of The American Geriatrics Society, 38, 356–360.
19.
SchnelleJ.TraughberB.SowellM.NewmanD.PetrilliC.OryM. (1989). Prompted voiding treatment of urinary incontinence in nursing home patients. Journal of The American Geriatics Society, 37, 1051–1057.
20.
VoithA.SmithD.MadsonL.YoungbauerP. (1987). Validation of nursing diagnoses regarding alterations in urinary elimination. In McLaneA. (Ed.), Classification of nursing diagnosis: Proceedings of the seventh conference (pp. 281). St. Louis: Mosby.
21.
VoithA.SmithD. (1985). Validation of the nursing diagnosis of urinary retention. Nursing Clinics of North America, 20, 723–729.
22.
WarrenJ.HoskinsL. (1990). The development of NANDAs nursing diagnosis taxonomy. Nursing Diagnosis, 1, 162–168.
23.
WoodtliA. (1995). Stress incontinence: Clinical validation and validation of defining characteristics. Nursing Diagnosis, 6, 115–122.
WoodtliM.SidaniS. (1994). Testing and validation of an instrument to assess the defining characteristics of stress and urge incontinence. In Carroll-JohnsonR. M.PaquetteM. (Eds.), Classification of nursing diagnoses: Proceedings of the tenth conference (pp. 179–181). Philadelphia: Lippincott.
26.
WoodtliM.YochumK. (1994). Urge incontinence: Identification and clinical validation of defining characteristics. In Carroll-JohnsonR.PaquetteM. (Eds.), Classification of nursing diagnosis: Proceedings of the tenth conference (pp. 182). Philadelphia: Lippincott.
