An Overview of Potential Labor-Saving and Quality-Improving Innovations in Long-Term Care for Older People

Thoma‐Lürken, Theresa; Bleijlevens, Michel H. C.; Lexis, Monique A. S.; Hamers, Jan P.H.; Witte, Luc de

doi:10.1016/j.jamda.2014.12.017

Cited by 14 publications

(10 citation statements)

References 9 publications

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“…Thoma-Lürken et al [1] also conclude that the effectiveness of many implemented health care interventions, such as washing without water, need to be further assessed. One could take the argument of Feo and Kitson [32], that bathing is often perceived as a low-priority nursing task, to explain the lack of evidence regarding washing without water [19, 33].…”

Section: Discussionmentioning

confidence: 99%

“…This hypothetical scenario represents the actual bathing practice in an increasing number of European and American health care institutions for immobile patients who, irrespective of the cause or level of immobility, need to be bathed in bed [1]. The package with washcloths in the example is often called “washing without water”, which can be described as disposable, prepacked products for the full body wash consisting of a non-woven carrier (washcloth) and a no-rinse cleansing fluid that allows nursing staff to bathe someone without the use of water [2].…”

Section: Introductionmentioning

confidence: 99%

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How does washing without water perform compared to the traditional bed bath: a systematic review

et al. 2017

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BackgroundFor immobile patients, a body wash in bed is sometimes the only bathing option. Traditionally, the bed bath is performed with water and soap. However, alternatives are increasingly used in health care. Washing without water is one such alternative that has been claimed to offer several advantages, such as improved hygiene and skin condition. This systematic review aims to provide a comprehensive overview of the evidence on outcomes of the washing without water concept compared to the traditional bed bath.MethodsControlled trials about washing without water outcomes published after 1994 were collected by means of a systematic literature search in CINAHL, Embase, MEDLINE, and PUBMED at the 25th of February, 2016. Additionally, references and citations were searched and experts contacted. Studies were eligible if (1) the study designs included outcomes of washing without water products developed for the full body wash compared to the traditional bed bath, and (2) they were controlled trials. Two researchers independently used a standardized quality checklist to assess the methodological quality of the eligible studies. Finally, outcomes were categorized in (1) physiological outcomes related to hygiene and skin condition, (2) stakeholder-related outcomes, and (3) organizational outcomes in the data synthesis.ResultsOut of 33 potentially relevant articles subjected to full text screening, six studies met the eligibility criteria. Only two studies (of the same research group) were considered of high quality. The results of these high quality studies show that washing without water performed better than the traditional bed bath regarding skin abnormalities and bathing completeness. No differences between washing without water and the traditional bed bath were found for outcomes related to significant skin lesions, resistance during bathing and costs in the studies of high quality.ConclusionsThere is limited moderate to high quality evidence that washing without water is not inferior to the traditional bed bath. Future research on washing without water is needed and should pay special attention to costs, hygiene, and to stakeholder-related outcomes, such as experiences and value perceptions of patients, nursing staff and family.Electronic supplementary materialThe online version of this article (doi:10.1186/s12877-017-0425-4) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

How does washing without water perform compared to the traditional bed bath: a systematic review

et al. 2017

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“…Knowledge of the most important problem domains facilitate nurses to target their efforts in early detection so that they can intervene as soon with (innovative) solutions to prevent transfer to nursing homes. To support self-reliance, technological solutions may be employed such as medication dispensers with a reminder function, tools to apply and remove compression stockings, 26 audible or visual prompts for other ADL activities such as eating or drinking, or specific clocks or agendas for people with dementia to facilitate a daily structure. 27 For safety-related problems, of the caregiver can consider GPS tracking devices for people who tend to wander, fall sensors, systems to shut of the gas or water to prevent injuries at home, 27 or lifestyle monitoring to assess deviant behavioral patterns from a distance.…”

Section: Implications For Practice and Researchmentioning

confidence: 99%

“…27 For safety-related problems, of the caregiver can consider GPS tracking devices for people who tend to wander, fall sensors, systems to shut of the gas or water to prevent injuries at home, 27 or lifestyle monitoring to assess deviant behavioral patterns from a distance. 26 Solutions to support informal caregivers are also currently available. Examples of solutions to reduce caregiver burden or to increase caregivers well-being are: adult day care, respite care, 28 educational programs for informal caregivers 29 or internet-based support interventions for informal caregivers.…”

Section: Implications For Practice and Researchmentioning

confidence: 99%

Facilitating aging in place: A qualitative study of practical problems preventing people with dementia from living at home

et al. 2018

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Although the majority of people with dementia wish to age in place, they are particularly susceptible to nursing home admission. Nurses can play an important role in detecting practical problems people with dementia and their informal caregivers are facing and in advising them on various ways to manage these problems at home. Six focus group interviews (n = 43) with formal and informal caregivers and experts in the field of assistive technology were conducted to gain insight into the most important practical problems preventing people with dementia from living at home. Problems within three domains were consistently described as most important: informal caregiver/social network-related problems (e.g. high load of care responsibility), safety-related problems (e.g. fall risk, wandering), and decreased self-reliance (e.g. problems regarding self-care, lack of day structure). To facilitate aging in place and/or to delay institutionalization, nurses in community-based dementia care should focus on assessing problems within those three domains and offer potential solutions.

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“…Also, contextual characteristics in nursing homes may bias the relationship between staffing and quality. Lower staffing levels in nursing homes might, for example, be compensated for by higher physician or allied professionals staffing levels (1), labor-saving technologies (e.g., digitalization of administrative processes, nurse call system, camera supervision) (1,38) or the physical environment of the nursing home (e.g., length of hallways, location of medications and other equipment) (1). In the public debate on staffing and quality in nursing homes, people tend to forget these contextual characteristics.…”

Section: Lessons Learned From the Literature Study And Implications Fmentioning

confidence: 99%

Rethinking the Staff-Quality Relationship in Nursing Homes

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Beerens

Rossum

et al. 2018

The Journal of nutrition, health and aging

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An Overview of Potential Labor-Saving and Quality-Improving Innovations in Long-Term Care for Older People

Cited by 14 publications

References 9 publications

How does washing without water perform compared to the traditional bed bath: a systematic review

How does washing without water perform compared to the traditional bed bath: a systematic review

Facilitating aging in place: A qualitative study of practical problems preventing people with dementia from living at home

Rethinking the Staff-Quality Relationship in Nursing Homes

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