提高护士在失禁护理中的参与度

IF 0.8 Q4 NURSING Nursing-Research and Reviews Pub Date : 2018-08-01 DOI:10.2147/NRR.S144356
K. Hunter, A. Wagg
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引用次数: 18

摘要

尿失禁(UI)和大便失禁(FI)是社会上许多人困扰的问题;UI和FI患病率均随年龄增长而增加。尽管人们公认尿失禁对健康、福祉和生活质量有影响,但护理提供者和付款人往往将其视为一个社会问题,而不是与健康有关的问题。护士在帮助那些受尿失禁影响的人方面处于关键地位。护士有潜力识别失禁的人,建立适当的干预措施,并提供有价值的教育,赋予病人权力。事实上,护士是执行失禁的初步评估和管理的理想人选,这部分护理途径是至关重要的,但往往做得不好。不幸的是,这并不总是容易实现;护理人员已经确定了环境障碍,例如缺乏工作时间,并认为UI的优先级较低,阻碍了干预措施的便利。本文回顾了失禁护理中护理介入或缺乏护理介入的证据,并提出了一种改善这种情况的策略,包括知识翻译的复杂干预。
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Improving nurse engagement in continence care
: Urinary (UI) and fecal incontinence (FI) are troublesome conditions for many in society; both UI and FI increase in prevalence with increasing age. Despite well-recognized effects on health, well-being and quality of life, incontinence is often seen by care providers and payers as a social problem, rather than a health related one. Nurses are in a key position to assist those affected by UI. Nurses have the potential to identify people with incontinence, establish appropriate interventions and provide valuable education to empower patients. Indeed, nurses are ideally placed to perform the initial assessment and management of incontinence, that portion of the care pathway which is crucial, but often poorly done. Unfortunately, this is not always easily implemented; nursing staff have identified environmental barriers, such as lack of time at work, and consider UI a low priority that prevents the facilitation of interventions. This article reviews the evidence on nursing involvement, or lack of it, in continence care and suggests a strategy to improve the situation, involving a complex intervention of knowledge translation.
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发文量
19
审稿时长
16 weeks
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