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Effective and ineffective management of incontinence: a qualitative study with implications for health professionals and health services

Effective and ineffective management of incontinence: a qualitative study with implications for health professionals and health services
Effective and ineffective management of incontinence: a qualitative study with implications for health professionals and health services
Objectives:
to determine the impact of incontinence on individual patients. To identify the impact of effective and ineffective health interventions for the management of incontinence on individuals.

Design:
a multiple case study approach using qualitative and quantitative research methods.

Setting:
this research was undertaken in two health authorities, one with an established continence advisory service (CAS) that fulfilled 10 of the 11 key features for a continence service (Department of Health 1991), and one without a service that fulfilled three of these features.

Participants:
a quota sample of subjects whose incontinence had been successfully managed and unsuccessfully managed was identified by health professionals (n=28).

Main outcome measures:
qualitative data — themes related to health professionals, health services, consumer views and continence status. Quantitative data — Self Esteem Scale and Incontinence Impact Questionnaire.

Findings:
themes from the qualitative data related to the effective and ineffective management of incontinence are discussed in relation to health professionals and health services, along with suggestions for purchasers and providers.

Conclusions:
the effective management of incontinence is not simply a matter of the technical skills of health professionals. It demands a patient-centred approach that emphasizes the possibility of self-referral, open access to services and services that maintain the patient's privacy and dignity. Such services need to be seen in the light of their appropriateness and acceptability to users.
incontinence, effective management, qualitative research, health services
1361-9004
16-22
Roe, Brenda
83e2fecd-9c4b-48cd-af74-12b37c915d05
May, Carl
17697f8d-98f6-40d3-9cc0-022f04009ae4
Roe, Brenda
83e2fecd-9c4b-48cd-af74-12b37c915d05
May, Carl
17697f8d-98f6-40d3-9cc0-022f04009ae4

Roe, Brenda and May, Carl (1997) Effective and ineffective management of incontinence: a qualitative study with implications for health professionals and health services. Clinical Effectiveness in Nursing, 1 (1), 16-22. (doi:10.1016/S1361-9004(97)80025-8).

Record type: Article

Abstract

Objectives:
to determine the impact of incontinence on individual patients. To identify the impact of effective and ineffective health interventions for the management of incontinence on individuals.

Design:
a multiple case study approach using qualitative and quantitative research methods.

Setting:
this research was undertaken in two health authorities, one with an established continence advisory service (CAS) that fulfilled 10 of the 11 key features for a continence service (Department of Health 1991), and one without a service that fulfilled three of these features.

Participants:
a quota sample of subjects whose incontinence had been successfully managed and unsuccessfully managed was identified by health professionals (n=28).

Main outcome measures:
qualitative data — themes related to health professionals, health services, consumer views and continence status. Quantitative data — Self Esteem Scale and Incontinence Impact Questionnaire.

Findings:
themes from the qualitative data related to the effective and ineffective management of incontinence are discussed in relation to health professionals and health services, along with suggestions for purchasers and providers.

Conclusions:
the effective management of incontinence is not simply a matter of the technical skills of health professionals. It demands a patient-centred approach that emphasizes the possibility of self-referral, open access to services and services that maintain the patient's privacy and dignity. Such services need to be seen in the light of their appropriateness and acceptability to users.

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More information

Published date: March 1997
Keywords: incontinence, effective management, qualitative research, health services

Identifiers

Local EPrints ID: 163377
URI: http://eprints.soton.ac.uk/id/eprint/163377
ISSN: 1361-9004
PURE UUID: c9d25f0d-2f7f-49b4-a84d-64a75af956bc
ORCID for Carl May: ORCID iD orcid.org/0000-0002-0451-2690

Catalogue record

Date deposited: 17 Sep 2010 08:49
Last modified: 14 Mar 2024 02:04

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Contributors

Author: Brenda Roe
Author: Carl May ORCID iD

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