“…The findings from this research are consistent with national and international studies conducted over the past decade evidencing poor continence care, 6,9,[14][15][16][17][18] and identified by the Australian Royal Commission into Aged Care 19 that reported:…”
Section: Discussionsupporting
confidence: 88%
“…The findings from this research are consistent with national and international studies conducted over the past decade evidencing poor continence care, 6,9,14–18 and identified by the Australian Royal Commission into Aged Care 19 that reported:The evidence indicates that some residential aged care providers unintentionally contribute to incontinence by adopting flawed approaches to its management. We also heard that staff members do not have the time needed to assist residents to go to the toilet in a timely manner.…”
ObjectiveIncontinence is one of the main reasons for institutionalisation into residential aged care. It is linked with increased falls, skin breakdown, depression, social isolation and impaired quality of life. Studies over the past decade have demonstrated poor‐quality incontinence care, which has led to ongoing development of best practice guidelines and educational resources. This study investigated current practices, and staff and resident experiences with continence assessment and management, in comparison with best practice guidelines.MethodsThis concurrent mixed methods study was conducted in a 120‐bed residential aged care home. Secondary analysis of data from clinical records provided a snapshot of how continence was assessed and managed. Semistructured interviews with four staff and five residents explored their experiences to understand the impact of current practice on resident emotional well‐being. Mixing methods allowed for comparison between quantitative and qualitative findings, enabling a deeper understanding.ResultsFindings from the two data sets were highly congruent and identified: (1) lack of communication with residents and family members about continence needs; (2) heavy reliance on product usage and limited other conservative strategies; (3) staff frustration at inability to respond to calls in a timely manner; and (4) positive staff–resident relationships protect resident emotional well‐being.ConclusionsCurrent practices are not consistent with best practice guidelines, which raises the question as to why nothing has changed. We argue that a stronger focus on implementation underpinned by a relationship‐centred approach is required to improve continence care practices among residential care staff, and the quality of life for adults living with incontinence.
“…The findings from this research are consistent with national and international studies conducted over the past decade evidencing poor continence care, 6,9,[14][15][16][17][18] and identified by the Australian Royal Commission into Aged Care 19 that reported:…”
Section: Discussionsupporting
confidence: 88%
“…The findings from this research are consistent with national and international studies conducted over the past decade evidencing poor continence care, 6,9,14–18 and identified by the Australian Royal Commission into Aged Care 19 that reported:The evidence indicates that some residential aged care providers unintentionally contribute to incontinence by adopting flawed approaches to its management. We also heard that staff members do not have the time needed to assist residents to go to the toilet in a timely manner.…”
ObjectiveIncontinence is one of the main reasons for institutionalisation into residential aged care. It is linked with increased falls, skin breakdown, depression, social isolation and impaired quality of life. Studies over the past decade have demonstrated poor‐quality incontinence care, which has led to ongoing development of best practice guidelines and educational resources. This study investigated current practices, and staff and resident experiences with continence assessment and management, in comparison with best practice guidelines.MethodsThis concurrent mixed methods study was conducted in a 120‐bed residential aged care home. Secondary analysis of data from clinical records provided a snapshot of how continence was assessed and managed. Semistructured interviews with four staff and five residents explored their experiences to understand the impact of current practice on resident emotional well‐being. Mixing methods allowed for comparison between quantitative and qualitative findings, enabling a deeper understanding.ResultsFindings from the two data sets were highly congruent and identified: (1) lack of communication with residents and family members about continence needs; (2) heavy reliance on product usage and limited other conservative strategies; (3) staff frustration at inability to respond to calls in a timely manner; and (4) positive staff–resident relationships protect resident emotional well‐being.ConclusionsCurrent practices are not consistent with best practice guidelines, which raises the question as to why nothing has changed. We argue that a stronger focus on implementation underpinned by a relationship‐centred approach is required to improve continence care practices among residential care staff, and the quality of life for adults living with incontinence.
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