Management of urinary incontinence in frail elderly women

Alexander, Leanne; Shakespeare, Kathleen; Barradell, Victoria; Orme, Susie

doi:10.1016/j.ogrm.2015.01.002

Cited by 5 publications

(1 citation statement)

References 10 publications

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“…UI can have a major impact, particularly since it is known to have a multifactorial aetiology in older people and as several of the contributing factors can be reversed using suitable interventions (Shaw & Wagg, ). Thus, it is negatively associated with a decrease in quality of life and well‐being (Alexander, Shakespeare, Barradell, & Orme, ; Sahin‐Onat, Unsal‐Delialioglu, Guzel, & Ucar, ), as well as an increase in falls (Chiarelli, Mackenzie, & Osmotherly, ) and depression (Sims, Browning, Lundgren‐Lindquist, & Kendig, ). In addition, it can lead to the need for long‐term care (Nazarko, ).…”

Section: Introductionmentioning

confidence: 99%

Registered nurse’s experiences of continence care for older people: A qualitative descriptive study

Borglin

Thach²,

Jeppsson

et al. 2019

Int J Older People Nursing

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Aim This study aimed to illuminate nurses’ experience of continence care for older people receiving home care, either in their own home or in an assisted living facility. Background Registered Nurses (RNs) have a major role to play in identifying and establishing appropriate actions regarding continence care for older people. However, the crucial nursing care pathway for continence care is commonly described as poor. Methods Interviews were conducted with 11 RNs providing home care, and the transcribed texts were analysed using inductive content analysis. Result The impressions of RNs were categorised according to four themes: perceptions of continence care, an open approach to continence care, the need for personalised aid fittings and the importance of teamwork in continence care. Key findings were the importance of teamwork; the need for nurses to embrace leadership at the point of care and be more visible in terms of the provision of direct care; substantiation that evidence‐based interventions, such as scheduled toileting and prompted voiding, should constitute the norm in continence care within the context of home care; and the need for nurses to support the right of older persons to receive an assessment of their continence problems, deemed to be the minimum standard of quality care. Conclusion The provision of continence care that is based on key nursing standards, such as evidence‐based and person‐centred care, as well as individualised continence care that is based on evidenced‐based guidelines, would ensure an improvement in the continence care that is presently on offer to older people. Implications for practice Nurses need to embrace leadership at the point of care and to be more visible with the provision of direct care in order to improve continence care for older people receiving home care.

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