Paper
Saturday, 22 July 2006
This presentation is part of : Strategies for Care of the Aging
Identifying the Indicators of Practice Context that Enable Person Centred Continence Care for Older People
Alice Coffey, MEd, BA, Catherine McAuley School of Nursing and Midwifery, University College Cork, Cork, Ireland
Learning Objective #1: describe the research methods used to evaluate existing practice context and culture and identify key detriments that impact on continence management.
Learning Objective #2: to follow the development and testing of a research instrument to measure practice context.
In care settings for older people, the promotion and improved management of continence is a key theme in developing practice. Despite major advancements in the evidence base underpinning continence promotion and management of continence (DoH 2001b), there continues to be little emphasis placed on detailed and individualised assessment or programmes of treatment.  Literature suggests that in the utilisation of research in practice ‘context’ as a key issue McCormack et al (2002).  

A two- year all-Ireland collaborative research project, (funded by the Northern Ireland DHSSPS R&D Office and the Republic of Ireland Health Research Board), between the University of Ulster, Belfast and  University College Cork is now completed.  

Aim:

To investigate the components of practice context that, enable or hinder proactive approaches to the promotion of continence and treatment in rehabilitation settings for older people. 

A case study methodology (Stake 2002) and multiple data collection methods were used in two rehabilitation settings for older people to:

 
 
 
Aim of this presentation

To provide an overview of the project to include:

Phase one: evaluating existing context and culture of practice and identifying the key detriments that impact on practice.

Phase two: Instrument development, refinement and testing.  
 
 
References:

Stake R. E (2002) Case Studies in Denzin N. and Lincoln Y. (eds) Handbook of Qualitative research. Newbury Park, CA Publications.

Department of Health (2001b) The Essence of Care Benchmarks. DoH: London

McCormack McCormack B, Kitson A, Harvey G, Rycroft-Malone J, Titchen A, Seers K (2002) Getting evidence into practice: the meaning of ‘context’.  Journal of Advanced Nursing, 38(1), 94-104 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

See more of Strategies for Care of the Aging
See more of The 17th International Nursing Research Congress Focusing on Evidence-Based Practice (19-22 July 2006)