JAMDA
Volume 9, Issue 3 , Pages 178-189 , March 2008

A Systemwide Formula for Continence Care: Overcoming Barriers, Clarifying Solutions, and Defining Team Members’ Roles

  • Francis Etheridge, MSc. cand.

      Affiliations

    • Centre de recherche, Institut universitaire de gériatrie de Montréal, Montreal, Canada
    • Research Centre on Aging, Institut universitaire de gériatrie de Sherbrooke, Sherbrooke, Canada.
    • Francis Etheridge was the recipient of the Leopold-Renaud summer student bursary granted by the University of Montreal.
    • Corresponding Author InformationAddress correspondence to Francis Etheridge, MSc. cand., Research Centre on Aging, Institut universitaire de gériatrie de Sherbrooke, 855 rue LaRocque, Sherbrooke, QC J1H4R2.
  • ,
  • Cara Tannenbaum, MD, MSc

      Affiliations

    • Centre de recherche, Institut universitaire de gériatrie de Montréal, Montreal, Canada
    • Dr. Cara Tannenbaum is the recipient of a junior career award from the Fondation de Recherche en Santé du Québec (FRSQ).
  • ,
  • Yves Couturier, PhD

      Affiliations

    • Research Centre on Aging, Institut universitaire de gériatrie de Sherbrooke, Sherbrooke, Canada.

References 

  1. Holroyd-Leduc JM, Lyder CH, Tannenbaum C. Practical management of urinary incontinence in the long-term care setting. Ann Long Term Care. 2006;14:30–37
  2. Tannenbaum C, Dubeau CE. Urinary incontinence in the nursing home: Practical approach to evaluation and management. Clin Geriatr Med. 2004;20:437–452
  3. Rogalski NM. A graduate nursing curriculum for the evaluation and management of urinary incontinence. Educ Gerontol. 2005;31:139–159
  4. Robinson JP. Managing urinary incontinence in the nursing homes: Residents’ perspectives. J Adv Nurs. 2000;31:68–77
  5. Palmer MH. Nurses’ knowledge and beliefs about continence interventions in long-term care. J Adv Nurs. 1995;21:1065–1072
  6. Mather KF, Bakas T. Nursing assistants’ perceptions of their ability to provide continence care. Geriatr Nurs. 2002;23:76–81
  7. Holroyd-Leduc JM, Mehta MM, Covinsky KE. Urinary incontinence and its association with death, nursing home admission and functional decline. J Am Geriatr Soc. 2004;52:712–718
  8. Lekan-Rutledge D, Palmer MH, Belyea M. In their own words: nursing assistants’ perceptions of barriers to implementation of prompted voiding in long-term care. Gerontologist. 1998;38:370–378
  9. Yu LC, Johnson K, Kaltreider L, et al. Urinary incontinence: nursing home staff reaction toward residents. J Gerontol Nurs. 1991;17:34–41
  10. Tannenbaum C, Labrecque D, Lepage C. Understanding barriers to continence care in institutions. Can J Aging. 2005;24:51–60
  11. Mueller CA. Quality improvement and incontinence in long-term care. Clin Geriatr Med. 2004;20:539–551
  12. Palmer MH, Johnson TH. Quality of incontinence management in U.S. nursing homes: a failing grade. J Am Geriatr Soc. 2003;51:1810–1812
  13. Roe B, Watson N, Palmer M, et al. Translating research on incontinence into practice. Nurs Res. 2004;53:56–60
  14. Burgio LD, Engel BT, Hawkins A, et al. A staff management system for maintaining improvements in continence with elderly nursing home residents. J Appl Behav Anal. 1990;23:111–118
  15. Schnelle JF, Newman D, White M, et al. Maintaining continence in nursing home resident’s through application of industrial quality control. Gerontologist. 1993;33:114–121
  16. Schnelle JF, Alessi CA, Simmons SF, et al. Translating clinical research into practice: a randomized controlled trial of exercise and incontinence care with nursing home residents. J Am Geriatr Soc. 2002;50:1476–1483
  17. Department of Health and Human ServicesCenters for Medicaid and Medicare Services. Revision of Appendix PP – Section 483.25(d) – Urinary Incontinence, Tags F315 and F316. 2007;Available at: http://www.fdhc.state.fl.us/mchq/Field_Ops/Protocols/Nursing_Homes/Files/SOM_REV_of_Appendix_PP_Urinary_Incontinence.pdf. Accessed September 17
  18. Aylward S, Stolee P, Keat N, Johncox V. Effectiveness of continuing education in long-term care: a literature review. Gerontologist. 2003;43:259–271
  19. Harke JM, Richgels K. Barriers to implementing a continence program in nursing homes. Clin Nurs Res. 1992;1:158–168
  20. Snyder M, Pearson V, Hanscom J, et al. Barriers to progress in urinary incontinence: Achieving quality assessments. Geriatr Nurs. 1998;19:77–80
  21. Burgio LD, Burgio KL. Institutional staff training and management: a review of the literature and a model for geriatric, long-term care facilities. Int J Aging Hum Dev. 1990;30:287–302
  22. Palmer MH. Use of health behavior change theories to guide urinary incontinence research. Nurs Res. 2004;53(6S):S49–S55
  23. Wengraf T. Qualitative research interviewing: biographic narrative and semi-structured methods. London: Sage Publications; 2001;
  24. Schnelle JF. Treatment of urinary incontinence in nursing home patients by prompted voiding. J Am Geriatr Soc. 1990;38:356–360
  25. Pope C, Ziebland S, Mays N. Qualitative research in health care: analysing qualitative data. Br Med J. 2000;320:114–116
  26. Thompson DL. Geriatric incontinence: the long-term care challenge. Urol Nurs. 2004;24:305–313
  27. Wells TJ. Curiouser and curiouser. J Wound Ostomy Continence Nurs. 2003;30:300–304
  28. Institute of Medecine (US) Committee on improving quality in long-term care. Improving the quality of long-term care. Washington, DC: National Academy Press; 2001;
  29. Resnick B, Keilman LJ, Calabrese B, et al. Nursing staff beliefs and expectations about continence care in nursing homes. J Wound Ostomy Continence Nurs. 2006;33:610–618
  30. Sinangil HK, Avallone F. Organizational development and change. In:  Anderson N editors. Handbook of Industrial, Work & Organizational Psychology. Thousand Oaks, CA: Sage Publications; 2001;p. 332–345
  31. Van de Ven AH, Rogers E. Innovations and organizations: Critical perspectives. Communic Res. 1998;15:632–651
  32. Berta W, Teare GF, Gilbart E, et al. The contingencies of organizational learning in long-term care: Factors that affect innovation adoption. Health Care Manage Rev. 2005;10:282–292
  33. Clegg C, Walsh S. Change management: time for change. Eur J Work Organ Psychol. 2004;13:217–239
  34. Vroom VH, Deci EL. Management and motivation. London: Penguin; 1992;
  35. Schnelle JF, Ouslander JG. CMS guidelines in improving continence in nursing homes: The role of the medical director. J Am Med Dir Assoc. 2006;7:131–132
  36. Sminia H, Van Nistelrooij A. Strategic management and organization development: planned change in a public sector organization. J Change Manag. 2006;6:99–113
  37. Amar AD. Leading innovating organizations. Mid Atl J Bus. 1998;34:185–187
  38. Greenhalgh T, Robert G, Macfarlane F, et al. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q. 2004;82:581–629
  39. Bridges W. Managing Transitions: Making the Most of Change. 2nd ed.. Cambridge, MA: Da Capo Press; 2003;
  40. Swauger K, Tomlin CC. Moving toward restraint-free patient care. J Nurs Adm. 2000;30:325–329
  41. Dunbar JM, Neufeld RR, Libow LS, et al. Taking charge: The role of nursing administrators in removing restraints. J Nurs Adm. 1997;27:42–48
  42. Mayhew PA, Christy K, Berkebile J, et al. Restraint reduction: Research utilization and case study with cognitive impairment. Geriatr Nurs. 1999;20:305–308
  43. Markwell SK. Long-term restraint reduction. J Nurs Care Qual. 2005;20:253–260
  44. Centers for Medicaid and State Operations/Survey and Certification Group. Interpretative guidelines for the medical directors (F501) 483.75(i) Medical Director. 2007;Available at: http://www.cms.hhs.gov/SurveyCertificationGenInfo/downloads/SCLetter05-29.pdf. Accessed September 17

PII: S1525-8610(07)00522-1

doi: 10.1016/j.jamda.2007.11.013

JAMDA
Volume 9, Issue 3 , Pages 178-189 , March 2008