Yan F, Xiao LD, Tang S, Guo Q, Huang H. Perceptions of primary health care nurses and general practitioners in the care of older people with urinary incontinence.
J Adv Nurs 2024;
80:644-655. [PMID:
37650490 DOI:
10.1111/jan.15835]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2023] [Revised: 07/21/2023] [Accepted: 08/14/2023] [Indexed: 09/01/2023]
Abstract
AIMS
To identify the challenges and opportunities among primary health care nurses and general practitioners (GPs) in the care of older people with urinary incontinence (UI) and other chronic conditions in China.
BACKGROUND
UI is highly prevalent among community-dwelling older people with chronic conditions but is underreported and poorly managed. Understanding the factors that affect primary health care professionals' practices in their care for this population is imperative to foster nurse-led UI care services.
DESIGN
A qualitative descriptive study.
METHODS
Four focus groups were held with 24 primary health care nurses and GPs in Changsha, Hunan Province, China, between July and September 2021. A reflective thematic analysis was used to identify themes.
RESULTS
This study revealed misconceptions regarding older people living with UI and other chronic conditions in primary care health professional participants. Moreover, primary health care nurses had very limited autonomy in UI diagnosis and initiating care interventions for this patient population. By reflecting on practices, participants recognized various practical solutions to improve the detection and management of UI. Participants also identified barriers to accessing care services in older people with UI. They suggested changes in the health care system to achieve universal access to UI care services for older people.
CONCLUSION
Nurse-led UI care services in primary health care for community-dwelling older people with chronic conditions are in high demand but are underdeveloped due to professional and health care system factors.
IMPACT
Findings from this study provide new insights into challenges faced by primary health care professionals and illuminate practical solutions to address these challenges.
REPORTING METHODS
Adherence to COREQ guidelines was maintained.
PATIENT OR PUBLIC CONTRIBUTION
No patient or public contribution.
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