Lindsay Dingwall

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Lindsay Dingwall

COVID-19: ‘Infection prevention and control is as vital in care homes as in the NHS’

Lindsay Dingwall on caring for some of society's most vulnerable people

Could using simulated practice with registered nurses improve the delivery of physical...

How you can improve the outcomes for older people in clinical settings by integrating physical and mental healthcare.

cleaning teeth

Why is oral hygiene important to older people’s health?

Research shows poor oral health in older people can cause a range of health problems

Oral

Oral health for older people

Summaries of three studies into issues of concern for older people's nurses

Medication issues for nursing older people (part 2)

This article aims to raise awareness about professional responsibility and accountability in medication issues that impact on older people. Nurses must recognise their responsibilities in regard to the safe administration of medicines and challenge poor drug administration practices.

Medication issues for nursing older people (part 1)

This article aims to raise awareness about professional responsibility and accountability in medication issues that impact on older people. Nurses must recognise their responsibilities in regard to the safe administration of medicines and challenge poor drug administration practices.

Nurses’ perceptions of indwelling urinary catheters in older people

Aim To explore nurses’ perceptions about whether urinary continence is promoted for older people in acute medical and specialist medicine for the elderly care settings, or whether containment strategies are used.

Method A qualitative approach was adopted using five focus group interviews (n=17) and four semi-structured single interviews (n=4). Data were analysed thematically using the computer software package QSR NVivo 2.

Findings Six themes emerged of which one was the use of indwelling urinary catheters. Nursing perceptions of and practice with their use varied between acute medical and specialist medicine for the elderly care settings. Whereas some decision-making lacked an underpinning evidence base or assessment, nurses’ awareness about inappropriate catheterisation was increasing. Knowledge about the clinical input of continence nurse advisers was lacking and referral of patients to specialist services reduced with age.

Conclusion A validated continence assessment tool specific to older people is required for documented evidence-based decision-making about the use of indwelling urinary catheters. Identified referral pathways are needed for equity of integrated continence services for older people.

Nurses’ perceptions of indwelling urinary catheters in older people

Aim To explore nurses’ perceptions about whether urinary continence is promoted for older people in acute medical and specialist medicine for the elderly care settings, or whether containment strategies are used. Method A qualitative approach was adopted using five focus group interviews ( n =17) and four semi-structured single interviews ( n =4). Data were analysed thematically using the computer software package QSR NVivo 2. Findings Six themes emerged of which one was the use of indwelling urinary catheters. Nursing perceptions of and practice with their use varied between acute medical and specialist medicine for the elderly care settings. Whereas some decision-making lacked an underpinning evidence base or assessment, nurses’ awareness about inappropriate catheterisation was increasing. Knowledge about the clinical input of continence nurse advisers was lacking and referral of patients to specialist services reduced with age. Conclusion A validated continence assessment tool specific to older people is required for documented evidence-based decision-making about the use of indwelling urinary catheters. Identified referral pathways are needed for equity of integrated continence services for older people.