Nursing Staff’s Experiences of Providing Toilet Assistance to Elderly Nursing Home Residents with Urinary Incontinence

Abstract

Introduction: Urinary incontinence is a common condition among elderly. It affects their daily life and quality of life. Toilet assistance may decrease urinary incontinence episodes among elderly. Many nursing home residents do not receive the available evidence-based toilet assistance they need. Aim: The aim of the present study was to describe nursing staff members' experiences of providing toilet assistance to elderly nursing home residents with urinary incontinence. Design: A descriptive design with a qualitative content analysis method was used. Method: Four nurses and seven auxiliary nurses were interviewed in three homogenous focus groups. Data were collected during spring 2015. Results: The most essential opportunity factor for good toilet assistance was the nursing staff's attitude and behavior regarding the elderly's need to visit the lavatory. This resulted in individual toilet assistance in which the elderly's integrity and needs were cared for. Functioning routines and sufficient staff availability were crucial in determining whether the elderly could visit the lavatory. Other enabling factors for good toilet assistance were information and education of staff. The main obstructing factors for good toilet assistance were the elderly's decreased cognitive ability, negative attitudes toward receiving toilet assistance and lack of communication and co-operation between professionals with regard to prescribing and fastening individual incontinence aids. Conclusion: Providing toilet assistance is a considerable nursing intervention for elderly to help them regain continence or contain incontinence, whenever possible. Person-centered incontinence care is important for developing and adjusting toilet assistance based on each older person's individual needs.

Toileting‐related falls at night in hospitalised patients: The role of nocturia

“…This may reflect a systems error; in that, the instruction to patients was not understood, the importance of complying was unrecognised, or patients considered themselves to be more competent than therapy assessments indicated. Alternatively, patients may have been ashamed to ask for help, perceived nurses to be busy and felt their request to be a burden to staff . Further work is required to understand why patients at risk of falling while in hospital do not utilise assistance to toilet safely.…”

“…Alternatively, patients may have been ashamed to ask for help, perceived nurses to be busy and felt their request to be a burden to staff. 24 Further work is required to understand why patients at risk of falling while in hospital do not utilise assistance to toilet safely.…”

Prevalensi dan Faktor Risiko Inkontinensia Urin pada lansia di Panti Sosial Tuna Werdha (PSTW) Sabai Nan Aluih Sicincin Pariaman

“…Prevalensi Inkontinensia urin di panti jompo dikaitkan dengan lingkungan. Faktor imobilitas dan penyakit medis seperti diabetes militus, stroke dan dementia 8 .…”