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Registered nurse's experiences of continence care for older people: A qualitative descriptive study
Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).ORCID iD: 0000-0002-7934-6949
Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).ORCID iD: 0000-0002-3594-3944
2020 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 15, no 1, article id e12275Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
John Wiley & Sons, 2020. Vol. 15, no 1, article id e12275
Keywords [en]
content analysis, home care, nursing, qualitative design, urinary incontinence
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mau:diva-5583DOI: 10.1111/opn.12275ISI: 000488401500001PubMedID: 31577389Scopus ID: 2-s2.0-85073938821Local ID: 30282OAI: oai:DiVA.org:mau-5583DiVA, id: diva2:1402445
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-02-05Bibliographically approved

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Borglin, GunillaSjögren Forss, Katarina

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