Starting a programme

Abstract

The emphasis throughout this book has been, very firmly, on the positive aspects of continence promotion. The most significant factor affecting the success or otherwise of a programme of continence promotion, both on the level of the individual patient and at an institutional level, is the degree of motivation on the part of all those concerned. It cannot be over stressed, however, that the approach adopted initially by nursing staff not only influences how well their care (and that of their colleagues) is delivered but also how patients and their carers perceive the problem and its eventual outcome. It is therefore important to consider what factors serve to motivate, and also de-motivate, staff, patients and carers.