• Barbara Resnick, Linda J Keilman, Barbara Calabrese, Patricia Parmelee, Larry Lawhorne, Janet Pailet, and Joseph Ouslander.
• University of Maryland School of Nursing, Baltimore, MD, USA. barbresnick@aol.com
• J Wound Ostomy Continence Nurs. 2006 Nov 1;33(6):610-8.

ObjectiveThe purpose of this qualitative study was to consider the current beliefs of nursing assistants and directors of nursing about management of urinary incontinence (UI) among the residents in nursing homes.DesignThis was a qualitative study using purposive sampling and a focus group methodology.Setting And SubjectsThree focus groups including 38 participants were held in 2 different regions. Two of the focus groups comprised nursing assistants and 1 comprised directors of nursing.MethodThe focus groups were facilitated by 2 different advanced practice nurses (BR and LJK), and 2 similar interview guides were used: 1 for the nursing assistants and 1 for the nurses. The interviews were tape recorded and transcribed verbatim; data were analyzed via content analysis.ResultsTen themes were identified from the data; 3 focused on resident factors that influence UI, 4 related to staff and family contributors to UI, and 3 focused on recommendations to improve UI management in the nursing home setting.ConclusionsThe findings from this study can be used to guide interventions to decrease or eliminate barriers to continence care and thereby facilitate the implementation of clinical practice guidelines and evidence-based interventions to improve urinary continence among nursing home residents.

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