An Evolutionary Concept Analysis of Urinary Incontinence

Nicole Zhang


Urol Nurs. 2018;38(6):289-295. 

In This Article

Concept Significance

Ostaszkiewicz (2006) called nurses continence champions because nurses, whether intentionally or not, tend to be the point persons for the management of UI. Dowling-Castronovo (2014) summarized the situation by stating patients often expect physicians to take the lead in managing this condition; however, nurses ultimately manage UI. An inaccurate perception of UI among patients, staff, and caregivers is that UI is a normal part of aging (Ehlman et al., 2012; Flanagan et al., 2012; Kristiansen et al., 2011; Ostaszkiewicz, O'Connell, & Dunning, 2012; Robinson, 2000), leading to the assumption that this condition may not be problematic, and thus, often not addressed appropriately (Dowling-Castronovo, 2014).

A holistic understanding of UI is important for use in nursing for several reasons. The negative psycho-social impact of UI has been demonstrated in the literature repeatedly as negatively impacting quality of life (QoL). Patients place more weight on the psycho-social influences of UI than do medical staff (Lee, Reid, Zorzitto, Nadon, & Craig, 1992). Finally, a patient's satisfaction with care is strongly associated with a decreasing degree of UI (Lee et al., 1992).