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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Polly Hulme


urinary incontinence, stress urinary incontinence, pelvic-floor muscle training, primary care


This paper outlines a Doctor of Nursing Practice project aimed to improve the ability of rural, primary care providers to recognize stress urinary incontinence in adult women and also increase the use of an evidence-based treatment strategy for the disorder in wellwomen over the age of 20 attending a rural primary care clinic. While stress urinary incontinence is prevalent, the disorder often goes unrecognized and untreated in primary care. Primary care providers performed case-finding for stress urinary incontinence using a validated form. Providers then educated affected patients on first-line treatment of stress urinary incontinence with pelvic floor muscle training. A pre-intervention and postintervention chart review confirmed the project led to an increase in both recognition and treatment of stress urinary incontinence using a chi-squared analysis (p < 0.0001). While rural healthcare can face challenges in carrying out evidence-based change due to lack of personnel and resources, this project proved change can occur. In addition, the project supported that Doctor of Nursing Practice leadership can influence evidence-based practice change even when faced with challenges such as those in rural healthcare.

Library of Congress Subject Headings

Urinary stress incontinence
Urinary stress incontinence -- Treatment
Rural health services


Includes bibliographical references (page 68-75)



Number of Pages



South Dakota State University


In Copyright - Educational Use Permitted