Competence to Provide Urinary Incontinence Care in Taiwan's Nursing Homes Perceptions of Nurses and Nurse Assistants

PURPOSE: Nursing staff play an essential role in ensuring the quality of continence care in nursing homes. The purpose of this study was to describe the level of competence (knowledge, attitudes, and practice behaviors) of urinary incontinence (UI) care in nursing home staff in Taiwan. METHOD: A cross- sectional postal survey was used to gather selfreported data from an island- wide sample of 195 nurses and 99 nurse assistants (NAs) in Taiwan. Participants completed the UI knowledge, the UI attitude, and the practice behaviors of UI care scales. RESULTS: The level of UI knowledge in nurses was higher than that of NAs, although nurses had less- positive attitudes than NAs. Reported practice behaviors of UI care did not differ between nurses and NAs. Changes of wet clothes, linens, and diapers were the most commonly reported practice behaviors. Informationgathering, physical examination, and pelvic fl oor muscle exercises were performed less commonly in nursing homes. CONCLUSIONS: Knowledge and positive attitudes regarding UI need to be improved in both nurses and NAs in nursing homes. Several defi cits were found in practice behaviors of UI care. A competency- based education approach is suggested to enable awareness of UI and cultural changes on individual and institutional levels.