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The Gerontologist, Vol 38, Issue 3 370-378, Copyright © 1998 by The Gerontological Society of America

ARTICLES

In their own words: nursing assistants' perceptions of barriers to implementation of prompted voiding in long-term care

D Lekan-Rutledge, MH Palmer and M Belyea
School of Nursing, University of North Carolina at Chapel Hill 27599- 7460, USA. [email protected]

Prompted voiding is an effective intervention for the improvement of continence in long-term care. This study investigated certified nursing assistants' (CNAs) perceptions of incontinence etiologies, as well as perceived barriers to prompted voiding implementation. A questionnaire was administered to CNAs in 23 long-term care facilities. Data analysis was conducted using descriptive statistics and correspondence analysis. CNAs perceived prompted voiding as helpful; however, inadequate staffing, workload, and turnover/absenteeism hindered implementation. CNA recommendations for long-term success included increased staff, staff support, improved communication, ongoing education, and alternative delivery models of care.


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