Enabling and inhibitory factors that influenced implementation of evidence-based practice for urinary incontinence in a nursing home
Engelsk titel: Enabling and inhibitory factors that influenced implementation of evidence-based practice for urinary incontinence in a nursing home
Läs online
Författare:
Hägglund, Doris
;
Olai, Lena
Email: dhl@du.se
Språk: Eng
Antal referenser: 28
Dokumenttyp:
Artikel
UI-nummer: 17060243
Sammanfattning
The aim of the present follow-up study was to describe staff perceptions of enabling and inhibitory factors that influenced implementation of evidence-based practice (EBP) for urinary incontinence in a nursing home. Focus-group interviews were carried out and the text was deductively analyzed using the PARIHS framework and qualitative content analysis. Factors believed to be most enabling for implementation were EBP being considered as relevant and as a social process, and visiting the lavatory being considered as a right for all. One determinant of successful implementation was having clear and involved leaders who had a continuous positive attitude toward EBP and demanded results. Staff members who were given the role of continence agents were important facilitators. The factor believed to inhibit implementation most was staff having to carry out pad-weight tests before prescribing individual incontinence aids. Evidence-based practice offers a successful concept for caring for older people with urinary incontinence in nursing homes. Evidence-based practice should be spread, both local and more widely.