Incontinence: prevalence, management, staff knowledge andprofessional practice environment in rehabilitation units

Geraldine McCarthy, Brendan McCormack, Alice Coffey, Jayne wright, Paul F Slater

Research output: Contribution to journalArticle

Abstract

Background. Bladder and bowel incontinence is a major health care problem, whichadversely affects the lives of many individuals living at home or in health servicefacilities. Current approaches to continence care emphasize comfort, safety andreduction of risk, rather than detailed individualized assessment and management.The literature illustrates a gap between evidence and actual practice and emphasizesthe context of care as being a key element for successful implementation of evidencebased practice.Aims. To identify prevalence of bowel and bladder incontinence and its management,investigate continence knowledge and describe the professional practiceenvironment within a rehabilitation unit for older people.Method. An integrated evaluation of continence prevalence, staff knowledge andthe work environment was adopted.Results. Findings revealed a high incidence of incontinence (60% urinary,3% faecal,37% mixed) a lack of specific continence assessment and specific rationale fortreatment decisions or continuation of care. The focus was on continence containmentrather than on proactive management. Staff demonstrated a reasonableknowledge of incontinence causation and treatment as measured by the staffknowledge audit. The evaluation of the work environment indicated a low to moderateperception of control over practice (2.39), autonomy in practice (2.87), nursedoctor relationship (2.67) and organizational support (2.67).
LanguageEnglish
Pages3-11
JournalInternational Journal of Nursing Older People
Volume4
Issue number1
DOIs
Publication statusPublished - 2009

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Knowledge Management
Urinary Bladder
Rehabilitation
Urinary Incontinence
Causality
Delivery of Health Care
Safety
Incidence
Health
Therapeutics
Patient Comfort

Cite this

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title = "Incontinence: prevalence, management, staff knowledge andprofessional practice environment in rehabilitation units",
abstract = "Background. Bladder and bowel incontinence is a major health care problem, whichadversely affects the lives of many individuals living at home or in health servicefacilities. Current approaches to continence care emphasize comfort, safety andreduction of risk, rather than detailed individualized assessment and management.The literature illustrates a gap between evidence and actual practice and emphasizesthe context of care as being a key element for successful implementation of evidencebased practice.Aims. To identify prevalence of bowel and bladder incontinence and its management,investigate continence knowledge and describe the professional practiceenvironment within a rehabilitation unit for older people.Method. An integrated evaluation of continence prevalence, staff knowledge andthe work environment was adopted.Results. Findings revealed a high incidence of incontinence (60{\%} urinary,3{\%} faecal,37{\%} mixed) a lack of specific continence assessment and specific rationale fortreatment decisions or continuation of care. The focus was on continence containmentrather than on proactive management. Staff demonstrated a reasonableknowledge of incontinence causation and treatment as measured by the staffknowledge audit. The evaluation of the work environment indicated a low to moderateperception of control over practice (2.39), autonomy in practice (2.87), nursedoctor relationship (2.67) and organizational support (2.67).",
author = "Geraldine McCarthy and Brendan McCormack and Alice Coffey and Jayne wright and Slater, {Paul F}",
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Incontinence: prevalence, management, staff knowledge andprofessional practice environment in rehabilitation units. / McCarthy, Geraldine; McCormack, Brendan; Coffey, Alice; wright, Jayne; Slater, Paul F.

In: International Journal of Nursing Older People, Vol. 4, No. 1, 2009, p. 3-11.

Research output: Contribution to journalArticle

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