Enabling and inhibitory factors that influenced implementation of evidence-based practice for urinary incontinence in a nursing home
2016 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593Article in journal (Refereed) Epub ahead of print
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 the 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 the EBP and demanded results. Staffs 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. The EBP offers a successful concept for caring for older persons with urinary incontinence in nursing homes. The EBP should be spread, both local and more widely.
Place, publisher, year, edition, pages
Implementation, nursing home, staff, urinary incontinence
Research subject Health and Welfare
IdentifiersURN: urn:nbn:se:du-23358DOI: 10.1177/2057158516667644OAI: oai:DiVA.org:du-23358DiVA: diva2:1046879