Developing a Nurse Practitioner-Directed Overactive Bladder Program

Nancy L. Yates, DNP, FNP-BC, CRNP, RN


Urol Nurs. 2019;39(6):317-322, 325. 

In This Article

Abstract and Introduction


This plan for a Nurse Practitioner (NP)-Directed Overactive Bladder Program describes how the NP may link current theory and evidence to improve efficiency, attrition, revenue, and productivity for a urologic practice. These four terms are defined with illustrations of how to make this program a reality.


Nurse practitioners (NPs) in urology practices are in a unique position to provide cost-effective evidence-based quality care to patients with overactive bladder (OAB). A review of the literature detailed the evidence-based treatment pathway: first-line treatments (behavioral), second-line treatments (medications), and third-line treatments (percutaneous tibial nerve stimulation [PTNS], sacral neuromodulation [InterStim™], and onabotulinum toxin A injections [Botox®]) (Yates, 2019). Findings from that review and the DNP Project Logic Model (see Figure 1) (McCawley, 2001) provided the foundation to conceptualize an NP-directed OAB Program to present to stakeholders in a urology practice. The goals for this program are to improve efficiency, attrition, revenue, and productivity for the urologic practice.

Figure 1.

The Overactive Bladder Clinic Logic Model Plan
Source: Adapted with permission from McCawley, 2001.
Notes: OAB = overactive bladder, PTNS = percutaneous tibial nerve stimulation, CRNP = certified registered nurse practitioner, MD = medical doctor.