Caring for Residents of Eldercare Facilities: A Concept Analysis

Hwang, Huei-Lih

doi:10.1111/2047-3095.12103

Cited by 4 publications

(3 citation statements)

References 48 publications

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“…Nurses' sharing of information with other caregivers in our concept of identification of discomfort means that nurses may contact other NH multidisciplinary caregivers should any uncertainties regarding discomfort arise in the course of patient with dementia care management. This finding is consistent with Hwang (2017); communication is critical not only between the caregiver and the patient, but also between observing and acting within the caregiver.…”

Section: Discussionsupporting

confidence: 88%

Concept Development of Identification of Discomfort for Nursing Home Patients With Advanced Dementia

Lee

Park

Choi

et al. 2020

Int J of Nursing Knowl

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The aim of this study is to clarify the concept of discomfort identification by concept development in the nursing home. METHODS: The Schwartz-Barcott and Kim's hybrid model was used. FINDINGS: The identification of discomfort can be explained as an interactive and confirmative process of sympathetically responding to patients with dementia's problem behavior expressions that communicate unmet needs. CONCLUSIONS: The identification of discomfort has the potential to improve the detection of multidimensional discomfort related to nursing diagnosis as a holistic and patient-centered approach. IMPLICATION FOR NURSING PRACTICE: The findings could help nursing home nurses have a better understanding of identification of discomfort and can improve nurses and interdisciplinary caregivers' knowledge for developing appropriate comfort caring activities.

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Section: Discussionsupporting

confidence: 88%

Concept Development of Identification of Discomfort for Nursing Home Patients With Advanced Dementia

Lee

Park

Choi

et al. 2020

Int J of Nursing Knowl

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“…The caring perceived by elderly long‐term care residents has been described as calming, respectful and life enriching 8. Caring is an interactive process characterised by seeing, helping and communicating 9. Ray claimed that caring is an interpersonal resource for the benefit of patients and organisations 10.…”

Section: Introductionmentioning

confidence: 99%

Factors related to perceived caring among older people residing in long‐term care facilities: a cross‐sectional study

Hwang

2019

Scandinavian Caring Sciences

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Factors related to perceived caring among older people residing in long-term care facilities: a crosssectional study Background: Healthcare providers who exhibit caring behaviours promote quality of care. Theoretical and empirical models have promoted a three-dimensional paradigm of care perception. However, the perception of elderly residents in long-term care facilities related to caring has not been investigated. Objectives: This study explored factors related to the elderly's perception of healthcare providers' caring in long-term care facilities. Methods: A cross-sectional survey was conducted among 461 elderly residents living in 57 long-term care facilities in southern Taiwan. A structured questionnaire included demographic information, facility characteristics and the 12-item Caring Scale for Institutionalized Elders. Hierarchical regression analysis was used to determine significant factors related to the elderly residents' caring perceptions. Findings: A hierarchical regression model showed 49.9% of the variance in elderly's perception of caring. Significant related factors included resident's age, number of comorbidities, need for caring, time spent being cared for, bed-to-nurse staffing ratios and accreditation status. Conclusions: Improved Registered Nurse staffing ratios with a higher level of accreditation status yield better perceptions of caring among residential elderly. Those with comorbid diseases and fewer caring needs have a higher perception of healthcare provider caring. Implications: The related factors of elderly's perceived caring provide long-term care managers and nursing staff with beneficial information to develop strategies that can manage residents with high expected-care needs. Policies to improve the accreditation standards of long-term care facilities are needed.

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“…A project director, who was an architectural designer in a famous eldercare enterprise, conducted a survey in several cities in China. Among the 83 community-based eldercare facilities he and his colleagues had designed in several cities, almost 80% encountered resistance from local residents during the period of construction in 2015 and 2016, and more than one-third of these facilities were suspended or cancelled due to local resistance (Zhang, 2018a). According to this director, factors leading to the failure of community-based eldercare facilities included the poor infrastructure system and improper administration.…”

Section: The State’s Controversial Effort To Promote Dementia-friendly Communitiesmentioning

confidence: 99%

Negotiating a sociophysical space for elders with dementia in Shanghai

Zhang

2021

Dementia

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Dementia, which used to be a private issue due to the stigma and cultural expectations of family-based support in China, has been transformed into a social concern due to its increasing number in recent years. As a response, advocates have introduced the dementia-friendly initiative to deal with related challenges. Yet, as a project mainly proposed by developed countries, we know little about its localisation in developing countries. Based on 20-month ethnographic research in Shanghai, this article explores the localisation process of this global project. While many stakeholders who advocate on behalf of people with dementia and their family caregivers have made remarkable progress in terms of embracing the global concepts and practices, one project – community-based dementia care units – generates a lot of resistance from nearby residents due to the feng shui damage, a specific scheme in traditional Chinese culture. These findings reveal an important source of obstacle – the cultural context that shapes the public understanding of dementia and the ways of arranging dementia care – that may prevent the dementia-friendly initiative from further localisation in China. Through this ethnographic analysis, I call attention to the significance of cultural contexts in the design and implementation of dementia-friendly projects globally.

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Caring for Residents of Eldercare Facilities: A Concept Analysis

Abstract: The metaphor of an axle and wheel can guide caregivers in delivering effective care as the demand for improved well-being of residents of eldercare facilities increases.

Cited by 4 publications

References 48 publications

Concept Development of Identification of Discomfort for Nursing Home Patients With Advanced Dementia

Concept Development of Identification of Discomfort for Nursing Home Patients With Advanced Dementia

Factors related to perceived caring among older people residing in long‐term care facilities: a cross‐sectional study

Negotiating a sociophysical space for elders with dementia in Shanghai

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