Nursing staff beliefs and expectations about continence care in nursing homes

J Wound Ostomy Continence Nurs. 2006 Nov-Dec;33(6):610-8. doi: 10.1097/00152192-200611000-00004.


Objective: The purpose of this qualitative study was to consider the current beliefs of nursing assistants and directors of nursing about management of urinary incontinence (UI) among the residents in nursing homes.

Design: This was a qualitative study using purposive sampling and a focus group methodology.

Setting and subjects: Three focus groups including 38 participants were held in 2 different regions. Two of the focus groups comprised nursing assistants and 1 comprised directors of nursing.

Method: The focus groups were facilitated by 2 different advanced practice nurses (BR and LJK), and 2 similar interview guides were used: 1 for the nursing assistants and 1 for the nurses. The interviews were tape recorded and transcribed verbatim; data were analyzed via content analysis.

Results: Ten themes were identified from the data; 3 focused on resident factors that influence UI, 4 related to staff and family contributors to UI, and 3 focused on recommendations to improve UI management in the nursing home setting.

Conclusions: The findings from this study can be used to guide interventions to decrease or eliminate barriers to continence care and thereby facilitate the implementation of clinical practice guidelines and evidence-based interventions to improve urinary continence among nursing home residents.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Attitude of Health Personnel*
  • Causality
  • Evidence-Based Medicine
  • Focus Groups
  • Geriatric Assessment
  • Geriatric Nursing / education
  • Geriatric Nursing / organization & administration
  • Health Knowledge, Attitudes, Practice
  • Health Services Needs and Demand
  • Humans
  • Maryland
  • Michigan
  • Nurse Administrators / education
  • Nurse Administrators / organization & administration
  • Nurse Administrators / psychology*
  • Nurse's Role
  • Nursing Assessment
  • Nursing Assistants / education
  • Nursing Assistants / organization & administration
  • Nursing Assistants / psychology*
  • Nursing Homes*
  • Nursing Methodology Research
  • Personnel Staffing and Scheduling
  • Qualitative Research
  • Surveys and Questionnaires
  • Total Quality Management
  • Urinary Incontinence / etiology
  • Urinary Incontinence / nursing*
  • Urinary Incontinence / psychology
  • Workload