Social-Interaction Knowledge Translation for In-Home Management of Urinary Incontinence and Chronic Care.
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; fi ne-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.
College of Nursing, University of Saskatchewan, Regina, SK S4T OH8. lynn.jansen@usask.ca
Lynn
L
Jansen
Arthur Labatt Family School of Nursing, University of Western Ontario.
Carol L
CL
McWilliam
Faculty of Nursing, University of Alberta.
Dorothy
D
Forbes
Arthur Labatt Family School of Nursing, University of Western Ontario.
Cheryl
C
Forchuk
D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers; D003704:Dementia / Q000451:nursing*; D005260:Female; D066296:Grounded Theory; D006699:Home Care Services; D006801:Humans; D057187:Independent Living; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D051346:Mobility Limitation; D036301:Qualitative Research; D057170:Translational Research, Biomedical; D014549:Urinary Incontinence / Q000451:nursing*