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A team approach to managing urinary incontinence.

C Taft1

  • 1Tacoma Lutheran Home, Wash., USA.

Geriatric Nursing (New York, N.Y.)
|June 26, 1999
PubMed
Summary

A pilot program improved urinary incontinence management in long-term care by involving nursing assistants. Staff found incontinence easier to manage, and felt heard by administration.

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Area of Science:

  • Gerontology
  • Nursing Science
  • Healthcare Management

Background:

  • Urinary incontinence (UI) significantly impacts over 50% of residents in long-term care facilities.
  • Nursing assistants are central to resident care, yet often excluded from UI management program development.
  • Effective UI management requires a multidisciplinary approach, integrating frontline staff knowledge.

Purpose of the Study:

  • To describe a pilot UI management program at Tacoma Lutheran Home utilizing a team-based approach.
  • To assess the impact of the program on resident care and nursing assistant perceptions.
  • To identify program strengths and weaknesses for future implementation.

Main Methods:

  • Implementation of a pilot team-based urinary incontinence management program.
  • Inclusion and education of nursing assistants in program development and execution.
  • Data collection on resident outcomes and staff feedback regarding program effectiveness and management.

Main Results:

  • Residents experienced benefits from the implemented UI management program.
  • 27% of nursing staff reported that UI became easier to manage post-program implementation.
  • 50% of staff felt their suggestions were acknowledged and acted upon by administration.

Conclusions:

  • A team approach involving nursing assistants can enhance urinary incontinence management in long-term care.
  • Staff engagement and perceived administrative support are crucial for program success.
  • Consistent supervision and time commitment are necessary considerations for program sustainability.

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