From Promoting Dignity to Installing Distrust: Understanding the Role of Continence Care Technology in Nursing Homes

Strauven, H.; Spiel, Katta; D'Haeseleer, Ine; Hallez, Hans; Vanrumste, Bart; Abeele, Vero Vanden

doi:10.1145/3419249.3420104

Cited by 4 publications

(10 citation statements)

References 38 publications

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“…19,21 Data were collected through observations, reviews, survey questions, semistructured interviews, questionnaires, and focus group discussions. 2,5,6,12,13,17,21 Most studies involved the use of sensors or telemonitoring system for continence care. 6,[14][15][16]19,20,[22][23][24] Studies using sensors described how the sensors had the potential to measure urine volume and thus containment product saturation, facilitating the delivery of appropriate and timely continence care for those with contained incontinence.…”

Section: Resultsmentioning

confidence: 99%

“…Sample sizes ranged from 0 to 80 human participants. Participants were older adults, residents of nursing homes, nursing care staff, and informal caregivers 5,12–20. Sample sizes where residents of LTC or nursing homes were included were generally small, ranging from 1 to 101 19,21.…”

Section: Resultsmentioning

confidence: 99%

“…Sample sizes where residents of LTC or nursing homes were included were generally small, ranging from 1 to 101 19,21. Data were collected through observations, reviews, survey questions, semistructured interviews, questionnaires, and focus group discussions 2,5,6,12,13,17,21…”

Section: Resultsmentioning

confidence: 99%

“…A majority of existing technologies used for UI management are designed to determine urine saturation levels of continence products to facilitate efficient toileting and pad changes 6,22,25. Evidence suggests that effective technology-assisted delivery of continence care is dependent on the context in which it is used, the residents, care staff, and healthcare facilities, along with proper use and handling of technological devices 17,20…”

Section: Summary Of Evidencementioning

confidence: 99%

“…Potential limitations of these technologies were also identified. For example, while UI management technologies were found to enhance time management, their use also has the potential to reduce patient-caregiver interaction and impair social engagement 17. Sensors that are visible may contribute to users feeling embarrassed or aggravate incontinence-associated stigma 5.…”

Section: Summary Of Evidencementioning

confidence: 99%

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Technological Solutions for Urinary Continence Care Delivery for Older Adults

Omotunde

Wagg

2023

Journal of Wound, Ostomy &Amp; Continence Nursing

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PURPOSE: The aim of this scoping review was to examine available evidence regarding use of technology-based continence care delivery for older adults and to identify gaps in knowledge. METHODS: Scoping review. SEARCH STRATEGY: With the help of a medical librarian, CINAHL, Cochrane Library, EMBASE, MEDLINE, ProQuest, PubMed, SCOPUS, Web of Science, and websites were searched. Search terms included technology, sensors, older adults, urinary incontinence, continence care, nursing homes, long-term care, and continence management. All literature elements except for opinion pieces and case reports written in English within the last 15 years were included. Articles not written in the English language were excluded; our search indicated that less than 6% of returned elements were written in other languages. FINDINGS: After duplications were removed, 2146 potential sources were identified. After exclusions, 19 results were included in the review. Review findings suggest positive effects of technology-based continence care on older adults and those involved in their care such as enhanced delivery of a successful toileting program. Information on potential harms, from either the perspective of care provider or recipient, is limited. It is important that needs of older adults and collaborative efforts are considered in the implementation of technology-based continence care. A paucity of guidelines on the use and adoption of technology-based continence care was found; additional research into uptake and sustainability is needed. CLINICAL IMPLICATIONS: Technological solutions, such as sensors, need to be accurate in the measurement of urine saturation levels and timely in notifying caregivers for effective delivery of continence care. Adverse consequences of incontinence, such as incontinence-associated dermatitis or urinary tract infection, may potentially be reduced or avoided with technology-based continence care delivery.

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