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Urinary continence care in Australian nursing homes

Journal Article


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Abstract


  • Objective

    Exploring urinary continence (UC) assessment and management practices in Australian nursing homes.

    Design

    Mixed method using a questionnaire and interviews.

    Setting

    Five nursing homes in Australian metropolitan cities.

    Subjects

    Participants 121 staff: mostly female (91%) with a range of roles including personal care assistants (PCAs) (63%),

    enrolled nurses (ENs) (11%), registered nurses (RNs) (20%) and managers (4%).

    Main outcomes measure(s)

    Compliance with and perceptions about UC assessment and management.

    Results

    77% (n=71) of care staff (PCAs, ENs and RNs) were compliant with the UC management protocol of checking for

    wetness every 2 to 2.5 hours. Toileting time and frequency of changing continence aids varied between nursing

    homes. Perceptions about the accuracy of UC assessments and knowledge of an older person following UC

    assessment also differed between nursing homes.

    Conclusion

    Areas where UC assessment and management in nursing homes could be improved include identifying the voiding

    times of older people, compliance with care plans in management practice, and caregiver ability to assess the

    capacity of continence aids to absorb urine. Training for effective continence care in nursing homes needs to be

    enhanced.

Publication Date


  • 2015

Citation


  • Yu, P., Traynor, V. & Hailey, D. (2015). Urinary continence care in Australian nursing homes. Australian Journal of Advanced Nursing, 32 (2), 39-46.

Scopus Eid


  • 2-s2.0-84919673843

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=4335&context=eispapers

Ro Metadata Url


  • http://ro.uow.edu.au/eispapers/3319

Number Of Pages


  • 7

Start Page


  • 39

End Page


  • 46

Volume


  • 32

Issue


  • 2

Place Of Publication


  • Australia

Abstract


  • Objective

    Exploring urinary continence (UC) assessment and management practices in Australian nursing homes.

    Design

    Mixed method using a questionnaire and interviews.

    Setting

    Five nursing homes in Australian metropolitan cities.

    Subjects

    Participants 121 staff: mostly female (91%) with a range of roles including personal care assistants (PCAs) (63%),

    enrolled nurses (ENs) (11%), registered nurses (RNs) (20%) and managers (4%).

    Main outcomes measure(s)

    Compliance with and perceptions about UC assessment and management.

    Results

    77% (n=71) of care staff (PCAs, ENs and RNs) were compliant with the UC management protocol of checking for

    wetness every 2 to 2.5 hours. Toileting time and frequency of changing continence aids varied between nursing

    homes. Perceptions about the accuracy of UC assessments and knowledge of an older person following UC

    assessment also differed between nursing homes.

    Conclusion

    Areas where UC assessment and management in nursing homes could be improved include identifying the voiding

    times of older people, compliance with care plans in management practice, and caregiver ability to assess the

    capacity of continence aids to absorb urine. Training for effective continence care in nursing homes needs to be

    enhanced.

Publication Date


  • 2015

Citation


  • Yu, P., Traynor, V. & Hailey, D. (2015). Urinary continence care in Australian nursing homes. Australian Journal of Advanced Nursing, 32 (2), 39-46.

Scopus Eid


  • 2-s2.0-84919673843

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=4335&context=eispapers

Ro Metadata Url


  • http://ro.uow.edu.au/eispapers/3319

Number Of Pages


  • 7

Start Page


  • 39

End Page


  • 46

Volume


  • 32

Issue


  • 2

Place Of Publication


  • Australia