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This realist synthesis provides a theory driven understanding of the conditions influencing how care home staff understand continence care and the conditions under which improvement is likely to be successful.

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Claire Goodman, Christine Norton, Marina Buswell, Bridget Russell, Danielle Harari, Rowan Harwood, Brenda Roe, Jo Rycroft-Malone, Vari M Drennan, Mandy Fader, Michelle Maden, Karen Cummings & Frances Bunn.

Claire Goodman 1,*, Christine Norton 2, Marina Buswell 1, Bridget Russell 1, Danielle Harari 3,4, Rowan Harwood 5, Brenda Roe 6, Jo Rycroft-Malone 7, Vari M Drennan 8, Mandy Fader 9, Michelle Maden 10, Karen Cummings 11, Frances Bunn 1

1 Centre for Research in Primary and Community Care, University of Hertfordshire, Hatfield, UK
2 Florence Nightingale Faculty of Nursing and Midwifery, King’s College London, London, UK
3 Department of Ageing and Health, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
4 Division of Health and Social Care, King’s College London, London, UK
5 Health Care of Older People, Nottingham University Hospitals NHS Trust, University of Nottingham, Nottingham, UK
6 Faculty of Health and Social Care, Edge Hill University, Ormskirk, UK
7 School of Healthcare Sciences, Bangor University, Bangor, UK
8 Centre for Health and Social Care Research, Faculty of Health, Social Care and Education, Kingston and St George’s, London, UK
9 Health Sciences, University of Southampton, Southampton, UK
10 School of Health Sciences, University of Liverpool, Liverpool, UK
11 Order of St John Care Trust, Witney, UK
* Corresponding author Email:

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