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Incontinence care in nursing homes: a cross-sectional study
Manuela Mandl1, Ruud J G Halfens2, Christa Lohrmann1
1Institute of Nursing Science, Medical University of Graz, Austria.
Journal of Advanced Nursing
|April 21, 2015
Summary
Nursing homes show limited structural quality indicators for incontinence care. High prevalence of double incontinence necessitates improved training interventions and overall care quality.
Area of Science:
- Gerontology
- Nursing Science
- Healthcare Quality
Background:
- Urinary incontinence is a significant issue in aged care, increasing nurse workload and costs.
- Improving incontinence care quality requires structural indicators and nursing interventions.
- Limited data exists on the actual quality of incontinence care in nursing homes.
Purpose of the Study:
- To assess the quality of incontinence care in nursing homes.
- Evaluate structural quality indicators, nursing interventions, and incontinence prevalence.
Main Methods:
- Cross-sectional multicentre study in 16 nursing homes with 1302 residents.
- Data collected using standardized, validated questionnaires by trained nurses.
Main Results:
- Limited availability of structural quality indicators like information brochures.
- Body-worn pads were common; training interventions were infrequent.
- High prevalence of incontinence, especially double incontinence (69.2%).
Conclusions:
- The high prevalence of double incontinence indicates a need for enhanced care strategies.
- Low rates of specific training interventions highlight areas for improvement.
- Continuous efforts are essential to elevate the quality of incontinence care in nursing homes.
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