ERIC Number: EJ720205
Record Type: Journal
Publication Date: 2005
Reference Count: N/A
Understanding Barriers to Continence Care in Institutions
Tannenbaum, Cara; Labrecque, Danielle; Lepage, Christiane
Canadian Journal on Aging, v24 n2 p151-159 Sum 2005
This work seeks to identify factors that facilitate or diminish care-providers' propensity to improve continence care in long-term care (LTC) settings. We conducted a cross-sectional qualitative study using focus group methodology in four long-term care institutions in Montreal, QC. Forty-two nurses, nursing assistants, and orderlies caring for incontinent elderly residents were asked how they perceived urinary incontinence (UI), how it was being managed, and what factors enabled or hindered continence care in their institution. Content analysis was used. Facilitating and inhibiting elements of three individual/internal factors (beliefs about UI, attitudes towards the elderly, and knowledge about UI) and five institutional/external factors (workload demands, type of patient, environmental support, co-worker support, and attributes of UI interventions) emerged as important determinants of care-providers' propensity to manage UI. To be successful, continence programs must target multidimensional elements that take into account personal, systems, and organizational level factors.
Descriptors: Older Adults, Health Personnel, Health Services, Foreign Countries, Residential Institutions, Residential Care, Institutionalized Persons, Caregiver Role, Caregivers, Work Environment, Caregiver Attitudes
University of Toronto Press, 5201 Dufferin Street, North York, Ontario M3H 5T8 Canada. Tel: 416-667-7838; Fax: 416-667-7881.
Publication Type: Information Analyses; Journal Articles
Education Level: N/A
Authoring Institution: N/A
Identifiers - Location: Canada; Canada (Montreal)