{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T05:51:50Z","timestamp":1790229110291,"version":"4.1.0"},"reference-count":45,"publisher":"Wiley","issue":"21-22","license":[{"start":{"date-parts":[[2017,2,8]],"date-time":"2017-02-08T00:00:00Z","timestamp":1486512000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009107","name":"V\u00e5rdalstiftelsen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009107","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To describe what nursing and rehabilitation staff know and do with regard to urinary incontinence and risk of urinary incontinence in patients 65\u00a0years or older undergoing hip surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Urinary incontinence is a common but often neglected issue for older people. Despite the existence of evidence\u2010based guidelines on how to assess, manage and prevent urinary incontinence, there are indications that these guidelines are not applied in hospital care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A qualitative study with descriptive design was conducted in two orthopaedic units.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Forty\u2010six interviews and 36 observations of care were conducted from January\u2013October 2014 and analysed with qualitative content analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Enrolled nurses performed most of the care related to bladder function, with focus on urinary catheterisation and preventing urinary tract infection and urinary retention. Registered nurses\u2019 role in urinary matters mainly comprised documentation, while the rehabilitation staff focused on making it possible for the patient to be independent in toileting. The nursing staff considered urinary incontinence a common condition for older people and that it was convenient for the patients to have an indwelling catheter or incontinence pad\/pant, although they acknowledged some of the risks associated with these procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Urinary incontinence is not a priority in orthopaedic care, and urinary incontinence guidelines are not applied. Further, attitudes and actions are mainly characterised by a lack of urinary incontinence knowledge and the nursing and rehabilitation staff do not take a team approach to preventing and managing urinary incontinence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>An increased focus on knowledge on urinary incontinence and evidence\u2010based guidelines is needed. To secure evidence\u2010based practice, the team of nursing and rehabilitation staff and managers must be aligned and work actively together, also including the patient in the team.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.13686","type":"journal-article","created":{"date-parts":[[2016,12,17]],"date-time":"2016-12-17T15:33:30Z","timestamp":1481988810000},"page":"3345-3353","source":"Crossref","is-referenced-by-count":28,"title":["Urinary incontinence and its management in patients aged 65 and older in orthopaedic care \u2013 what nursing and rehabilitation staff know and do"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0460-3864","authenticated-orcid":false,"given":"Maria","family":"H\u00e4lleberg Nyman","sequence":"first","affiliation":[{"name":"School of Health Sciences \u00d6rebro University \u00d6rebro Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrietta","family":"Forsman","sequence":"additional","affiliation":[{"name":"School of Education Health and Social Studies Dalarna University Falun Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan","family":"Ostaszkiewicz","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Deakin University Melbourne Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ami","family":"Hommel","sequence":"additional","affiliation":[{"name":"Faculty of Health and Society Department of Care Science Malm\u00f6 University Malm\u00f6 Sweden"},{"name":"Department of Orthopaedics Skaane University Hospital Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann Catrine","family":"Eldh","sequence":"additional","affiliation":[{"name":"School of Education Health and Social Studies Dalarna University Falun Sweden"},{"name":"Division of Nursing Department of Neurobiology Care Sciences and Society Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,2,8]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Incontinence: 5th International Consultation on Incontinence, Paris, February 2012","author":"Abrams P","year":"2013"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.12124"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0594.2011.00776.x"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-014-1413-4"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns.29.8.42.e9278"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/010740839701700404"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2008.02688.x"},{"key":"e_1_2_12_9_1","first-page":"57","article-title":"Predictive factors of urinary tract infections among the oldest old in the general population. 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