Researchers suggest enhancing incontinence care to reduce CNA turnover

A recent study published in the Journal of Gerontological Nursing highlights the significant role urinary incontinence (UI) management plays in certified nursing assistant (CNA) turnover in nursing homes. The study, based on a survey of over 100 Directors of Nursing (DONs), reveals that CNAs spend an average of 56% of their shift managing residents’ UI needs, including toileting and product changes. On average, CNAs assist with 25.5 toileting episodes and change 36.6 UI products per shift, which can take between 12 to 13 minutes each. The study found that UI management is a key factor in CNA turnover, with 59.2% of DONs reporting it as a major or significant cause.

The research also uncovered a treatment gap, as only 14% of residents with UI were receiving medication. The study emphasized the need for improved management, such as implementing toileting programs and limiting the use of anticholinergic medications. For male residents with mobility issues, effective medications to control urgency could help reduce CNA stress and improve care efficiency. The researchers recommended better education for staff about incontinence causes and treatment options to address these challenges and reduce turnover.

Stefanacci, R. G. (2023, January 23). Improve incontinence care to slow CNA turnover, researchers say. McKnight's Long-Term Care News. https://www.mcknights.com/news/improve-incontinence-care-to-slow-cna-turnover-researchers-say/