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Social-Interaction Knowledge Translation for In-Home Management of Urinary Incontinence and Chronic Care*

Published online by Cambridge University Press:  24 September 2013

Lynn Jansen ,
Carol L. McWilliam ,
Dorothy Forbes  and
Cheryl Forchuk
Lynn Jansen*
Affiliation:
College of Nursing, University of Saskatchewan
Carol L. McWilliam
Affiliation:
Arthur Labatt Family School of Nursing, University of Western Ontario
Dorothy Forbes
Affiliation:
Faculty of Nursing, University of Alberta
Cheryl Forchuk
Affiliation:
Arthur Labatt Family School of Nursing, University of Western Ontario
*
†Correspondence and requests for offprints should be sent to / La correspondance et les demandes de tirés-à-part doivent être adressées à: Lynn Jansen, R.N., Ph.D. University of Saskatchewan College of Nursing 4400 4th Avenue Regina, SK S4T OH8 ([email protected])
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Abstract

Although urinary incontinence (UI) can be managed conservatively, it is a principal reason for the breakdown of in-home family care. This study explored the social interaction processes of knowledge translation (KT) related to how UI management knowledge might be translated within in-home care. In-depth interview data were collected from a theoretical sample of 23 family caregivers, older home care recipients, and home care providers. Constant comparison and Glaser’s analysis criteria were used to create translating knowledge through relating, a substantive theory with 10 subthemes: living with the problem; building experiential knowledge; developing comfort; easing into a working relationship; nurturing mutuality; facilitating knowledge exchange; building confidence; fine-tuning knowledge; putting it all together; and managing in-home care. Findings inform both theory and practice of in-home UI KT, illuminating how intersubjectivity and bi-directional relational interactions are essential to translating in-home chronic care knowledge, which is largely tacit and experiential in nature.

Résumé

Bien que l’incontinence urinaire peut être géré d’une manière conservatrice, c’est une cause principale de la dégradation des soins de famille dans la maison. Cette étude a examiné les processus d’interaction sociale et de l’application des connaissances (AC) se rapportant à la façon dont la gestion de l’incontinence urinaire (IU) peut être traduit dans les soins à domicile. Les données provenant des entretiens approfondis ont été receuillies auprès d’un échantillon théorique des 23 aidants familiaux, des beneficiaires âgés et des prestataires de soins à domicile. Les comparaisons constantes et les critères d’analyse de Glaser ont été utilisés pour arriver à traduire les connaissances à travers une théorie de fond. Dix sous-themes sont inclus: comment vivre avec le problème; le renforcement de connaissances expérientielles; le développement du confort; l’assouplissement dans une relation de travail; la mutualité nourricière; facilitant l’échange de connaissances; le renforcement de la confiance; l’affinage de connaissances; mettant tous ensemble, et la gestion de soins à domicile. Les résultats sont instructifs pour l’AC au sujet d’IU à la fois dans la théorie et la pratique des soins à domicile, grâce à avoir éclairé comment l’intersubjectivité et les interactions bi-directionelles sont indispensables à l’application des connaissances des soins à domicile chroniques, ce qui sont largement tacites et empiriques.

Keywords

agingfamily caregivershome careknowledge translationolder adultsurinary incontinencevieillissmentaidants membres de la famillesoins à domicileapplication des connaissancesaînésincontinence urinaire
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 32 , Issue 4 , December 2013 , pp. 392 - 404
Copyright
Copyright © Canadian Association on Gerontology 2013 

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Footnotes

*

This research was supported by a Social Sciences and Humanities Research Council Doctoral Fellowship and University of Western Ontario Faculty of Health Sciences Scholarship and Dr. Jansen’s doctoral supervisors, Dr. McWilliam, Dr. Forbes and Dr. Forchuk.

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