Kathleen F Hunter, Sherry Dahlke, Nicholas Smith, Alina Lin, Saima Rajabali, Adrian Wagg
{"title":"老年人及护理人员对康复中失禁护理的看法:一项质性研究。","authors":"Kathleen F Hunter, Sherry Dahlke, Nicholas Smith, Alina Lin, Saima Rajabali, Adrian Wagg","doi":"10.1097/RNJ.0000000000000313","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the study was to understand continence care in geriatric rehabilitation from the perspectives of older persons and nursing staff.</p><p><strong>Design: </strong>This is a qualitative descriptive study.</p><p><strong>Methods: </strong>Ten patients and 10 nursing staff participated in semistructured interviews. Observations of care were recorded in field notes. Content analysis was used to develop themes of patient and nursing staff perspectives.</p><p><strong>Findings: </strong>Three themes were developed: Perceptions of Assessment, Continence Management, and Rehab: The Repair Shop. Patients had limited insight into continence assessment and management by nursing staff. For older persons, incontinence was embarrassing and created dependence; independence in toileting meant gaining control. Staff viewed continence as an important part of rehabilitation nursing but focused on containment and regular toileting, with patients seeing absorbent pads as commonly suggested.</p><p><strong>Conclusions: </strong>Continence care approaches that engage older persons during rehabilitation are needed.</p><p><strong>Clinical relevance: </strong>Restoration of continence through patient-centered care is core to older person rehabilitation.</p>","PeriodicalId":49631,"journal":{"name":"Rehabilitation Nursing","volume":null,"pages":null},"PeriodicalIF":1.1000,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":"{\"title\":\"Older Persons and Nursing Staff's Perspectives on Continence Care in Rehabilitation: A Qualitative Study.\",\"authors\":\"Kathleen F Hunter, Sherry Dahlke, Nicholas Smith, Alina Lin, Saima Rajabali, Adrian Wagg\",\"doi\":\"10.1097/RNJ.0000000000000313\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>The aim of the study was to understand continence care in geriatric rehabilitation from the perspectives of older persons and nursing staff.</p><p><strong>Design: </strong>This is a qualitative descriptive study.</p><p><strong>Methods: </strong>Ten patients and 10 nursing staff participated in semistructured interviews. Observations of care were recorded in field notes. Content analysis was used to develop themes of patient and nursing staff perspectives.</p><p><strong>Findings: </strong>Three themes were developed: Perceptions of Assessment, Continence Management, and Rehab: The Repair Shop. Patients had limited insight into continence assessment and management by nursing staff. For older persons, incontinence was embarrassing and created dependence; independence in toileting meant gaining control. Staff viewed continence as an important part of rehabilitation nursing but focused on containment and regular toileting, with patients seeing absorbent pads as commonly suggested.</p><p><strong>Conclusions: </strong>Continence care approaches that engage older persons during rehabilitation are needed.</p><p><strong>Clinical relevance: </strong>Restoration of continence through patient-centered care is core to older person rehabilitation.</p>\",\"PeriodicalId\":49631,\"journal\":{\"name\":\"Rehabilitation Nursing\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2021-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Rehabilitation Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/RNJ.0000000000000313\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Rehabilitation Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/RNJ.0000000000000313","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
Older Persons and Nursing Staff's Perspectives on Continence Care in Rehabilitation: A Qualitative Study.
Purpose: The aim of the study was to understand continence care in geriatric rehabilitation from the perspectives of older persons and nursing staff.
Design: This is a qualitative descriptive study.
Methods: Ten patients and 10 nursing staff participated in semistructured interviews. Observations of care were recorded in field notes. Content analysis was used to develop themes of patient and nursing staff perspectives.
Findings: Three themes were developed: Perceptions of Assessment, Continence Management, and Rehab: The Repair Shop. Patients had limited insight into continence assessment and management by nursing staff. For older persons, incontinence was embarrassing and created dependence; independence in toileting meant gaining control. Staff viewed continence as an important part of rehabilitation nursing but focused on containment and regular toileting, with patients seeing absorbent pads as commonly suggested.
Conclusions: Continence care approaches that engage older persons during rehabilitation are needed.
Clinical relevance: Restoration of continence through patient-centered care is core to older person rehabilitation.
期刊介绍：
Rehabilitation Nursing is a refereed, award-winning publication and is the official journal of the Association of Rehabilitation Nurses. Its purpose is to provide rehabilitation professionals with high-quality articles with a primary focus on rehabilitation nursing. Topics range from administration and research to education and clinical topics, and nursing perspectives, with continuing education opportunities in every issue.
Articles range from administration and research to education and clinical topics; nursing perspectives, resource reviews, and product information; and continuing education opportunities in every issue.
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