URINARY INCONTINENCE AND THE EMERGENCE OF QUALITY IN TEXAS NURSING FACILITIES. (11th November 2018)

• Record Type: Journal Article
• Authors: Manning, A; Harrison, T; Blozis, S; Dionne-Vahalik, M; Mead, S
• Is Part Of: Innovation in aging. Volume 2(2018)Supplement 1
• Page Start: 727
• Page End: 727
• Publication Date: 2018-11-11
• Subjects: Aging -- Periodicals; Gerontology -- Periodicals; 612.67
• DOI: 10.1093/geroni/igy023.2687
• Languages: English
• ISSNs: 2399-5300

Abstract

Abstract: Objective: The interaction between task based urinary incontinence (UI) care and resident caregiver relational interactions is examined to understand how they contribute to the overall emergence of quality in nursing facilities. Design and Methods: Data came from 1560 residents living in 815 Texas nursing facilities. We performed chart reviews using the instrument designed for the Texas Nursing Facility Quality review study. Both residents and facility management were also interviewed. We used multilevel statistical modeling and maximum likelihood estimation to examine the data. Results: Overall, 49% of residents experienced UI and 54% of the residents with UI had an incontinence care plan in place. Of those, 15% had prompted voiding, 20% had scheduled voiding, 3% had bladder retraining and 35% had a plan based on the resident's voiding pattern and needs. In examining the interaction between skill performance and the UI resident–provider interaction and quality of care, we found the presence of a UI care plan was associated with the resident's health perception. For the subgroup of residents with UI we studied the same relationships between skill performance and the UI resident-provider interaction and quality of care and found the resident's rating of the frequency of assistance in using the bathroom was related to the resident satisfaction rating. Implications: Using complexity science, these results show how task based care delivered in the context of a relationship is an important aspect of the resident's perception of quality in nursing facilities.