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[Pilot study on drinking and voiding management in child day-care facilities in the district of
U Necknig1, H Leyh2, K Hauenstein2
1Abteilung für Urologie, Klinikum Garmisch-Partenkirchen, Auenstr. 6, 82467, Garmisch-Partenkirchen, Deutschland. ulrike.necknig@klinikum-gap.de.
Insights
Child day-care facilities are increasingly responsible for children
Area of Science:
- Pediatrics and Public Health
- Early Childhood Education and Care
- Continence Management in Young Children
Background:
- Growing trend of children attending day-care facilities at younger ages.
- Shift of key educational responsibilities, including continence, to day-care institutions.
- Need to understand current practices in drinking and voiding management within these settings.
Purpose of the Study:
- To assess the current status of drinking and voiding management in child day-care facilities.
- To evaluate the organization of fluid intake and toilet routines.
- To gauge staff perceptions regarding continence education needs.
Main Methods:
- Anonymous survey distributed to 40 child day-care facilities in Garmisch-Partenkirchen.
- Questionnaires queried organization of drinking/voiding advice and continence education.
- Data collected from 29 responding facilities (73% response rate).
Main Results:
- Average fluid intake at 12 PM was 260 ml; wide range observed (50-750 ml).
- Only 43% of facilities allowed children to decide on breakfast and drinking times.
- 92% of staff routinely sent children to the toilet, and 85% saw a need for a continence education concept.
Conclusions:
- No verifiable continence educational concept currently exists in surveyed facilities.
- Majority of staff support the development and implementation of a continence education concept.
- Recommendation for an interprofessional health education program integrating drinking and voiding training.
Background And Objectives:
The development of child day care is currently the focus of a public discussion. More and more very young children are cared for in a day-care facility rather than by the family. Therefore, key aspects of education are shifted into these institutions. The aim of this survey was to inquire about the current situation of drinking and voiding management in day-care facilities in the district of Garmisch-Partenkirchen.
Materials And Methods:
In all, 322 questionnaires were sent to employees of 40 child day-care facilities. Organization of drinking and voiding behavior advices and personal assessments of continence education were queried. The evaluation was carried out anonymously.
Results:
A total of 29 facilities (73%) replied. The average fluid intake was 260 ml (50-750 ml) at 12 o'clock in all day-care facilities included. The possibility to decide when to have breakfast and when to drink according to the individual thirst is practised in 43% (62/143) of the facilities. A fixed amount of fluid intake was offered by 11% (16/150) of the institutions. Of those responding, 92% (139/151) specifically send the children to the toilet, while 85% of the participants consider a continence education concept would be useful.
Conclusion:
According to a general trend, children attend day-care facilities earlier and spend more time there. This means that educational staff are taking care of children who are not yet continent. A verifiable continence educational concept does not exist in any of the institutions surveyed; however, most participants would favor such a concept. It would be desirable to establish an interprofessional health education program in which drinking and voiding training is integrated according to national recommendations.
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