An Evolutionary Concept Analysis of Urinary Incontinence

Nicole Zhang


Urol Nurs. 2018;38(6):289-295. 

In This Article

Limitations and Future Directions

While the use of the term incontinence is rooted in philosophy, there is a paucity of literature relating to UI in other disciplines. Nursing is the only discipline where UI is explored in all domains. The medical literature refers to treatments and procedures of incontinence but lacks a holistic perspective. Undoubtedly, due to the prevalence of UI, other dialogues should occur. Future research should explore and/or identify the interface where health care meets cultural and personal factors in a comprehensive way.

This analysis identified many other terms related to UI, yet these terms were seldom found in the literature. Generally, the convention is to focus on the condition of UI rather than the act of voiding itself. In the future, it is important to continue the discussion about how we define and operationalize UI. This discussion should happen among nurses, especially within academic programs. If a nurse enters into practice understanding UI as simply a loss of urine, then the education is inadequate. Nurses must also be aware that labeling of a patient as "incontinent" is a potentially demeaning and life-changing occurrence, so the rhetoric surrounding this condition becomes significant to the nurse. Willington (1976) summed up the association of UI by healthcare professionals and patients as being one of failure. However, addressing UI should be about health promotion, not failure.