Nurses' knowledge and beliefs about continence interventions in long-term care

Area of Science:

• Gerontology
• Nursing Science
• Public Health

Background:

• Urinary incontinence is a common issue in nursing homes, necessitating a structured approach.
• Understanding staff knowledge and beliefs is crucial before implementing continence programs.

Purpose of the Study:

• To assess licensed nurses' beliefs about continence programs' effects on residents and staff.
• To explore potential staff reactions to implementing continence programs in nursing homes.
• To compare beliefs between licensed practical nurses (LPNs) and registered nurses (RNs).

Main Methods:

• A questionnaire was administered to nurses attending a workshop on urinary incontinence in nursing homes.
• Responses from LPNs and RNs were compared regarding beliefs and anticipated reactions.

Main Results:

• Attribution for incontinence causes differed between LPNs and RNs.
• No significant differences were found in reported routine nursing care practices.
• Most nurses expected favorable staff reactions, but over 20% anticipated apathy or resistance.
• Administrative support was rarely identified as the most critical implementation factor.

Conclusions:

• Staff beliefs and potential resistance are key considerations for successful continence program implementation.
• Continence programs should be integrated organizationally, offering comprehensive and preventive services.
• Addressing diverse etiologies of incontinence requires tailored interventions and robust administrative backing.