Perceptions and barriers that influence the ability to provide appropriate incontinence care in nursing home residents: Statements from nursing staff

作     者：Liv Heidi Skotnes Ove Hellzen Esther Kuhry 

作者机构：Department of MedicineDivision of GeriatricsNord-Trondelag HealthTrustNamsosNorway Nord-Trondelag University CollegeNamsosNorway Department of Health SciencesMid-Sweden UniversityOstersundSweden Department of SurgerySt.Olavs HospitalTrondheimNorway 

出 版 物：《Open Journal of Nursing》 (护理学期刊（英文）)

年 卷 期：2013年第3卷第6期

页      面：437-444页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Content Analysis Focus Groups Incontinence Care Nursing Homes Urinary Incontinence 

摘      要：Urinary incontinence is a common medical condition among nursing home residents. Urinary incontinence in older people has a multifactorial etiology and is therefore more difficult to assess and treat than urinary incontinence in younger people. Previous research has shown that incontinence care in nursing home residents often is inadequate and little systematized. The aim of this study was to identify perceptions and barriers that influence the ability of the nursing staff to provide appropriate incontinence care. This was a qualitative study using focus-group methodology. Data were collected from three focus-group interviews with 15 members of the nursing staff from six different units in a nursing home. The focus-group interviews were recorded on tape, transcribed verbatim and analyzed according to qualitative content analysis. Three topics and eight categories were identified. The first topic, Perceptions and barriers associated with residents, consisted of one category: “physical and cognitive problems. The second topic, Perceptions and barriers associated with nursing staff, consisted of three categories: “lack of knowledge, “attitudes and beliefs and “lack of accessibility. The third topic, Perceptions and barriers associated with organizational culture, consisted of four categories: “rigid routines, “lack of resource, “lack of documentation and “lack of leadership. The findings from this study show that there are many barriers that might influence the possibilities of nursing staff to provide appropriate incontinence care to residents in nursing homes. However, it can nevertheless seem like opinions and the attitude of nursing staff, together with a lack of knowledge about UI, are the most important barriers to provide appropriate incontinence care.