{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T04:55:37Z","timestamp":1790398537356,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T00:00:00Z","timestamp":1679875200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ageing"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Incontinence is one of the main reasons for institutionalisation into residential aged care. It is linked with increased falls, skin breakdown, depression, social isolation and impaired quality of life. Studies over the past decade have demonstrated poor\u2010quality incontinence care, which has led to ongoing development of best practice guidelines and educational resources. This study investigated current practices, and staff and resident experiences with continence assessment and management, in comparison with best practice guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This concurrent mixed methods study was conducted in a 120\u2010bed residential aged care home. Secondary analysis of data from clinical records provided a snapshot of how continence was assessed and managed. Semistructured interviews with four staff and five residents explored their experiences to understand the impact of current practice on resident emotional well\u2010being. Mixing methods allowed for comparison between quantitative and qualitative findings, enabling a deeper understanding.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Findings from the two data sets were highly congruent and identified: (1) lack of communication with residents and family members about continence needs; (2) heavy reliance on product usage and limited other conservative strategies; (3) staff frustration at inability to respond to calls in a timely manner; and (4) positive staff\u2013resident relationships protect resident emotional well\u2010being.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Current practices are not consistent with best practice guidelines, which raises the question as to why nothing has changed. We argue that a stronger focus on implementation underpinned by a relationship\u2010centred approach is required to improve continence care practices among residential care staff, and the quality of life for adults living with incontinence.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajag.13188","type":"journal-article","created":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T09:38:51Z","timestamp":1679909931000},"page":"554-563","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["A mixed methods study investigating the quality of urinary and faecal continence assessment and management in residential aged care: Challenges, implications and solutions"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7911-3822","authenticated-orcid":false,"given":"Xanthe","family":"Golenko","sequence":"first","affiliation":[{"name":"Bolton Clarke Research Institute  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"McLeod","sequence":"additional","affiliation":[{"name":"Bolton Clarke Research Institute  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9780-5256","authenticated-orcid":false,"given":"Judy A.","family":"Lowthian","sequence":"additional","affiliation":[{"name":"Bolton Clarke Research Institute  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,27]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Understanding What Constitutes Quality Continence Care for People Living in Long\u2010Term Aged Care Facilities","author":"Ostaszkiewicz J","year":"2016"},{"key":"e_1_2_12_3_1","first-page":"3","volume-title":"Continence SMART Care: Introducing a Dignified Approach to Continence Care in Residential Aged Care","author":"Continence Foundation of Australia","year":"2021"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.2147\/NRR.S144356"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2015.20.8.378"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000651"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2011.00959.x"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/47.4.468"},{"key":"e_1_2_12_9_1","unstructured":"Aged Care Quality and Safety Commission.Aged care quality standards.2019. 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