Experiences of nursing staff in Swiss-German nursing homes with constipation management: A qualitative-descriptive study

IF 2.4 3区 医学 Q3 GERIATRICS & GERONTOLOGY Geriatric Nursing Pub Date : 2025-01-01 Epub Date: 2025-01-08 DOI:10.1016/j.gerinurse.2024.12.016
Ashrafsadat Jafari Zavareh BSc, MScN , Petra Stolz Baskett PhD, RN , Daniela Händler-Schuster Dr. rer. medic., MScN, MSN-Ed
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Abstract

Despite existing guidelines for constipation management, constipation remains a prevalent issue among older individuals in long-term care facilities. The aim of this qualitative study was to provide an overview of nursing constipation management and the associated challenges in Swiss-German nursing homes. From September to December 2022, 51 nursing staff from 20 nursing homes were surveyed online, using literature-based open questions. Using a content analysis approach, four categories were identified in relation to constipation management: Assessment of Constipation and Risks; Prevention and treatment process; Challenges and influencing factors; Impact of constipation. Data analysis revealed that nurses perceive the management of constipation to be extremely challenging, highlighting difficulties arising from limited resources, expertise, few physician visits, and prioritization demands of daily practice. Successful constipation management requires regular training of nursing staff to raise awareness of existing guidelines and screening tools, as well as the optimization of structural conditions for implementation.
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瑞士-德国养老院护理人员便秘管理的经验:一项定性描述性研究。
尽管有便秘管理指南,便秘仍然是长期护理机构中老年人普遍存在的问题。本定性研究的目的是概述瑞士-德国养老院的护理便秘管理和相关挑战。从2022年9月至12月,对来自20家养老院的51名护理人员进行了在线调查,采用文献开放式问题。采用内容分析方法,确定了与便秘管理相关的四个类别:便秘和风险评估;预防和治疗过程;挑战及影响因素;便秘的影响。数据分析显示,护士认为便秘的管理是极具挑战性的,突出了资源有限、专业知识有限、医生就诊少以及日常实践的优先需求所带来的困难。成功的便秘管理需要定期对护理人员进行培训,以提高对现有指南和筛查工具的认识,并优化实施的结构条件。
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来源期刊
Geriatric Nursing
Geriatric Nursing 医学-护理
CiteScore
3.80
自引率
7.40%
发文量
257
审稿时长
>12 weeks
期刊介绍: Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.
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