Ostaszkiewicz Joan
Deakin University, School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Geelong, Australia.
Geriatr Nurs. 2017 Nov-Dec;38(6):520-526. doi: 10.1016/j.gerinurse.2017.03.014. Epub 2017 Apr 23.
International guidelines promote active investigation and treatment of incontinence; however, these guidelines do not fully accommodate the psychosocial aspects associated with providing continence care i.e. the caregiving dynamics. The author developed a new framework that aims to support nurses and care workers in their efforts to identify and meet the continence care needs of individuals with complex health conditions who are dependent on another person for assistance to manage incontinence or to maintain continence. The framework is underpinned by two core concepts: 'dignity' and 'care', and is characterized by a focus on: empathic continence care; personhood in dementia; therapeutic communication; authentic partnership in continence care; acknowledging stigma, social taboos and courtesy stigma; and the need for a foundational continence assessment. This paper describes the Dignity in Continence Care Framework and suggests strategies for its use in the future education of nurses and care workers about continence care.
国际指南提倡对失禁进行积极的调查和治疗；然而，这些指南并未充分考虑与提供失禁护理相关的社会心理方面，即护理动态。作者开发了一个新框架，旨在支持护士和护理人员努力识别并满足患有复杂健康状况、需要他人协助管理失禁或维持控尿的个人的失禁护理需求。该框架以“尊严”和“护理”这两个核心概念为基础，其特点是关注：共情失禁护理；痴呆症患者的人格；治疗性沟通；失禁护理中的真实伙伴关系；承认耻辱感、社会禁忌和礼貌性耻辱；以及进行基础失禁评估的必要性。本文介绍了失禁护理中的尊严框架，并提出了在未来护士和护理人员失禁护理教育中使用该框架的策略。
