NURSES KNOWLEDGE AND BELIEFS ABOUT CONTINENCE INTERVENTIONS IN LONG-TERM-CARE

Incontinence in nursing homes is a prevalent condition requiring a programmatic approach due to its diverse aetiology. Awareness of antecedent factors, such as knowledge and beliefs about incontinence and its treatment by the individuals responsible for establishing and maintaining a continence programme, is important prior to implementation. A questionnaire was administered to licensed nurses who attended a workshop on urinary incontinence in nursing homes. One purpose of the questionnaire was to elicit information about beliefs regarding the effects of continence programmes on residents and staff and potential staff reaction to implementation of a continence programme in their facility. Responses by licensed practical nurses (LPNs) were compared to the responses of registered nurses (RNs). Attribution for causes of incontinence differed between LPNs and RNs. There were no significant differences in the report of current routine nursing care which included scheduled toileting, changing clothing when necessary, and use of adult briefs and underpads. Most nurses anticipated a favourable reaction by the staff to the implementation of a continence programme. However, at least 20% responded that the nursing staff would be apathetic or resistant to a programme. Administrative support was infrequently chosen as the most important factor in the implementation of a programme. The implications of these findings to continence programmes that are integrated into the organization and provide comprehensive services, including preventive interventions, are discussed.