Philosophy of care
"Modern nursing care of the elderly should be about mobilization, not bed care; it should be about regaining and maintaining skills and abilities, not acceptance of less than the older individual's maximum functional level. Underlying such dynamic nursing care of the old is comfort and support" (Wells, T.J.1980)).
- Community nurses are in an ideal position to identify and support those experiencing urinary incontinence (Hunter & Wagg, 2018).
- McCann et al. report that community nurses lacked knowledge in certain areas of urinary continence and incontinence. Nurses reported they were adequately prepared but without sufficient knowledge to effectively care for those with urinary incontinence. Community nurses’ attitudes to urinary incontinence were generally positive, but they demonstrated misconceptions that urinary incontinence was inevitable and less distressing for older people" (McCann, et al. 2021).
- Hunter and Dahike report a study of nurse and healthcare aide knowledge of Urinary incontinence was moderate as demonstrated on a pre-education intervention questionnaire. After the urinary incontinence educational intervention nurses showed significant improvement on post-test after the intervention. Healthcare aides did not have a significat change in knowledge and persisted in their belief that incontinence was a normal cahnge of aging
References
Hunter, K. F., & Wagg, A. (2018). Improving nurse engagement in Continence Care. Nursing: Research and Reviews, Volume 8, 1–7. https://doi.org/10.2147/nrr.s144356
Hunter, K. F., & Dahlke, S. (2021). Nurse and health care aide knowledge of urinary continence promotion and management in hospitalized older people. Journal of Wound, Ostomy & Continence Nursing, 48(5), 435–439. https://doi.org/10.1097/won.0000000000000794
McCann, M., Kelly, A. M., Eustace-Cook, J., Howlin, C., & Daly, L. (2021). Community nurses’ attitudes, knowledge and educational needs in relation to urinary continence, continence assessment and management: A systematic review. Journal of Clinical Nursing, 31(7-8), 1041–1060. https://doi.org/10.1111/jocn.15969
Wells, T. J. (1980). Problems in geriatric nursing care: A study of nurses problems in care of old people in Hospitals. Churchill Livingston.
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