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Practitioner's knowledge, attitudes, beliefs and practices towards urinary incontinence
Anika C Janse van Vuuren1, Jacobus A van Rensburg2, Susan Hanekom1
1Department of Physiotherapy, Faculty of Health Sciences, Stellenbosch University, Cape Town, South Africa.
The South African Journal of Physiotherapy
|July 7, 2023
Summary
South African primary healthcare practitioners show suboptimal knowledge and practices in managing urinary incontinence, falling short of NICE 2013 guidelines. This highlights a need for targeted interventions to improve patient care and outcomes.
Area of Science:
- Urology
- Primary Healthcare
- Nursing Practice
Background:
- Urinary incontinence affects one in three women in South Africa.
- Effective management hinges on patient help-seeking behaviors and healthcare professional services.
- Current urinary incontinence management practices in South Africa remain largely undocumented.
Purpose of the Study:
- To assess and compare the knowledge and practices of primary healthcare nurses and physicians regarding urinary incontinence.
- To evaluate practitioner performance against the NICE 2013 guideline.
- To explore practitioner attitudes and beliefs concerning urinary incontinence management.
Main Methods:
- A cross-sectional study was conducted using a self-designed online questionnaire.
- Primary healthcare practitioners in the Western Cape were eligible, with stratified random and snowball sampling employed.
- Data analysis was performed in consultation with a statistician using SPSS.
Main Results:
- Practitioners achieved an overall knowledge score of 66.7% and a practice score of 68.9% against NICE 2013 guidelines.
- Deficiencies were observed in screening, patient follow-up, and bladder diary utilization.
- While pelvic floor and bladder training were recognized, only 14.8% referred patients for physiotherapy; many practitioners expressed discomfort but a desire for more training.
Conclusions:
- Practitioner knowledge and practices in Western Cape primary healthcare settings are not aligned with NICE 2013 guidelines.
- Findings indicate a need for improved urinary incontinence management strategies at the primary healthcare level.
- The data can inform the development of targeted interventions for better urinary incontinence care in the region.
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