Introduction: Urinary incontinence is a common condition among elderly. It\naffects their daily life and quality of life. Toilet assistance may decrease urinary\nincontinence episodes among elderly. Many nursing home residents do not\nreceive the available evidence-based toilet assistance they need. Aim: The aim\nof the present study was to describe nursing staff members� experiences of\nproviding toilet assistance to elderly nursing home residents with urinary incontinence.\nDesign: A descriptive design with a qualitative content analysis\nmethod was used. Method: Four nurses and seven auxiliary nurses were interviewed\nin three homogenous focus groups. Data were collected during\nspring 2015. Results: The most essential opportunity factor for good toilet assistance\nwas the nursing staff�s attitude and behavior regarding the elderly�s\nneed to visit the lavatory. This resulted in individual toilet assistance in which\nthe elderly�s integrity and needs were cared for. Functioning routines and sufficient\nstaff availability were crucial in determining whether the elderly could\nvisit the lavatory. Other enabling factors for good toilet assistance were information\nand education of staff. The main obstructing factors for good toilet\nassistance were the elderly�s decreased cognitive ability, negative attitudes toward\nreceiving toilet assistance and lack of communication and co-operation\nbetween professionals with regard to prescribing and fastening individual incontinence\naids. Conclusion: Providing toilet assistance is a considerable\nnursing intervention for elderly to help them regain continence or contain\nincontinence, whenever possible. Person-centered incontinence care is important\nfor developing and adjusting toilet assistance based on each older\nperson�s individual needs.
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