Taunton Roma Lee, Swagerty Daniel L, Lasseter Joyce A, Lee Robert H
School of Nursing, University of Kansas Medical Center, Kansas City 66160-7503, USA.
J Gerontol Nurs. 2005 Sep;31(9):36-44. doi: 10.3928/0098-9134-20050901-08.
A qualitative, emergent, case study design guided the description of care provided to nursing home residents with urinary incontinence in three Midwestern nursing facilities. Participants included 17 residents and 16 family members or friends of the respective residents. Staff and managers involved in the planning and delivery of care to the participating residents also were included. The three facilities represented variation in size, location, ownership, and Medicare certification. Data were collected via observation, resident record audit, and semi-structured interview. Definitions of incontinence varied among staff. A collectively held expectation that residents would be toileted every 2 hours was not met. Maintaining skin integrity was the primary motivation for keeping residents clean and dry. Medical directors viewed incontinence as a nursing problem. Staff described situations in which incontinence was improved for specific residents, but there was little evidence of formal programs to maintain continence or improve incontinence.
一项定性的、基于实际情况的案例研究设计指导了对美国中西部三个护理机构中尿失禁养老院居民所接受护理的描述。参与者包括17名居民以及各自居民的16名家庭成员或朋友。参与为这些参与研究的居民规划和提供护理的工作人员及管理人员也包括在内。这三个机构在规模、位置、所有权和医疗保险认证方面存在差异。数据通过观察、居民记录审计和半结构化访谈收集。工作人员对失禁的定义各不相同。大家共同期望每2小时为居民安排一次如厕，但这一期望并未实现。保持皮肤完整性是保持居民清洁干爽的主要动机。医疗主任将失禁视为一个护理问题。工作人员描述了某些特定居民失禁情况有所改善的情形，但几乎没有证据表明存在维持尿控或改善失禁情况的正式项目。
