Obstacles to Providing Urinary Incontinence Care Among Nurses in Turkey: A Descriptive Study

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dc.contributor.authorCaliskan, Nurcan
dc.contributor.authorGulnar, Emel
dc.contributor.authorAydogan, Sinan
dc.contributor.authorBayram, Sule Biyik
dc.contributor.authorYagci, Nilay
dc.date.accessioned2020-06-25T18:30:37Z
dc.date.available2020-06-25T18:30:37Z
dc.date.issued2019
dc.departmentKırıkkale Üniversitesi
dc.description.abstractNurses play an important role in identifying, evaluating, monitoring, and managing patients with urinary incontinence (UI). PURPOSE: This study was conducted to determine nurses' knowledge, attitudes, practices, and obstacles to managing patients' UI. METHODS: A descriptive study was conducted between September 2017 and February 2018 at 2 university hospitals, 2 private hospitals, and 4 state hospitals in a metropolitan city in Turkey. All registered nurses present at the times of data collection were eligible to participate. After providing informed consent, they were asked to complete a 25-item demographic characteristic questionnaire, a 7-item UI assessment and care implementation form, a 12-item form assessing obstacles faced during UI care provision, a 24-item UI knowledge questionnaire (higher scores indicated more knowledge; a score of 70% correct was considered adequate), and the Urinary Incontinence Attitude Scale. The latter comprised 15 Likert-type questions that measures attitudes toward UI symptoms, treatment, and prevention (maximum score of 60; higher scores infer positive attitude). Data were collected and entered into a software program for statistical analysis including Mann Whitney U, chi-square, and correlation tests. Incomplete forms were excluded. RESULTS: Of the 475 potential participants, 254 nurses completed all forms; 228 (89.8%) were women, 177 (69.7%) had a bachelor's degree, 146 (57.5%) worked in a state hospital, and 105 (41.3%) worked for 2 to 3 years. The mean score for UI knowledge was 15.22 +/- 3.43 (range 0-24), and the mean attitude score was 46.40 +/- 5.50 (range 15-60). The major nurse- or hospital-related obstacles to providing UI care were a lack of systems for patient follow-up (67.7%) and lack of patient education materials (60.2%). A weak positive correlation was noted between UI knowledge level and attitude (r = 0.263; P =.000). CONCLUSION: Although nurses had a positive attitude toward UI, UI knowledge scores were low. Lack of patient follow-up systems and patient education materials were important obstacles to nurses providing UI care. In addition to addressing these obstacles, postgraduation evidence-based UI education for nurses is needed to optimize care.en_US
dc.identifier.citationCaliskan N, Gulnar E, Aydogan S, Bayram SB, Yagci N. Obstacles to Providing Urinary Incontinence Care Among Nurses in Turkey: A Descriptive Study. Wound Manag Prev. 2019 Sep;65(9):36-47.en_US
dc.identifier.doi10.25270/wmp.2019.9.3647
dc.identifier.endpage47en_US
dc.identifier.issn2640-5237
dc.identifier.issn2640-5245
dc.identifier.issue9en_US
dc.identifier.pmid31702991
dc.identifier.scopus2-s2.0-85074710141
dc.identifier.scopusqualityQ1
dc.identifier.startpage36en_US
dc.identifier.urihttps://doi.org/10.25270/wmp.2019.9.3647
dc.identifier.urihttps://hdl.handle.net/20.500.12587/7689
dc.identifier.volume65en_US
dc.identifier.wosWOS:000496718300003
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherHmpen_US
dc.relation.ispartofWound Management & Prevention
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectstudyen_US
dc.subjectnursingen_US
dc.subjectattitudeen_US
dc.subjectknowledgeen_US
dc.subjecturinary incontinenceen_US
dc.titleObstacles to Providing Urinary Incontinence Care Among Nurses in Turkey: A Descriptive Studyen_US
dc.typeArticle

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