Developing relationships in long term care environments: the contribution of staff

Wilson, Christine Brown; Davies, Susan

doi:10.1111/j.1365-2702.2008.02748.x

Cited by 75 publications

(55 citation statements)

References 39 publications

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“…They wanted to focus on the individual as a person and expressed a positive attitude towards patients (4). As indicated in other studies, our informants also stressed the importance of involving the patient (7)(8)(9)(10)12), and using life stories to help practitioners in viewing patients as human beings (12).…”

Section: Attitudesmentioning

confidence: 83%

Factors That Influence Patient Involvement in Nursing Homes: Staff Experiences

Norheim¹,

Vinsnes²

2012

Nordic Journal of Nursing Research

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Tittel:Factors that influence patient involvement in nursing homes: staff experiences Forfatter: Norheim A, Vinsnes A. Referanse: Norheim A, Vinsnes A. (2012) Factors that influence patient involvement in nursing homes: staff experiences. Vård i Norden. 2012;32(3):42-6. Sammendrag:Aim: The aim of this study was to identify the staff's experience with factors influencing patient involvement. Background: The focus of this study was care for frail, elderly patients in Norwegian nursing homes (NHSs). The background was an earlier quality development project where staff participated in a one-year systematic competence-building programme. Recommendations for patient involvement are part of the current legislation and ethical norms in Norway, but patients may not be able or have the opportunity to exercise their rights on every occasion. Method: Focus group interviews were conducted with a multidisciplinary team of professionals. Three groups were selected from different wards in one nursing home. Data were systematized and categorized before further analysis. Results: The results reveal the staff's descriptions of the attitudes and the environmental conditions that contribute to patient involvement. The competence-building programme raised consciousness among staff and contributed to a change in staff attitudes. Furthermore, the results also emphasize the importance of teamwork, continuity, structural conditions, time pressure, and cooperation with the next of kin when evaluating patient involvement. Conclusion: The findings of this study have the potential of contributing to the improvement of clinical practice in nursing homes.Omsorgsbiblioteket har ikke tilgang til å publisere dette dokumentet i fulltekst. Kanskje ditt lokale bibliotek kan hjelpe deg, eller kanskje du kommer videre med lenken nedenfor.Relevant lenke: https://doi

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Section: Attitudesmentioning

confidence: 83%

Factors That Influence Patient Involvement in Nursing Homes: Staff Experiences

Norheim¹,

Vinsnes²

2012

Nordic Journal of Nursing Research

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“…The authors concluded that the creation of a meaningful home for persons with dementia must encompass a relational orientation, both philosophically and in practice that is inclusive of residents, staff and family. These findings were supported by research on the contribution of staff in developing relationships in long-term care settings which concluded that the development of a relationship–based approach to care routines had the potential to improve the experience of older people and their families [15]. Despite the growing body of literature on family caregiving and entry to care, there remains a limited volume of research that explores family carers’ experiences of nursing home placement in a rural setting and this study aimed to address this imbalance.…”

Section: Introductionmentioning

confidence: 85%

‘Familiarity’ as a key factor influencing rural family carers’ experience of the nursing home placement of an older relative: a qualitative study

Ryan¹,

McKenna²

2013

BMC Health Serv Res

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BackgroundAdmission to a nursing home is generally regarded as a stressful time for older people and their carers. Although the choice of home is significant in facilitating a more positive transition, few studies have explored this issue in detail, particularly in the context of rural communities. With a worldwide ageing population and an increasing demand for long-term care facilities, it is important to highlight the factors that can improve the experience of entry to long-term care and the role of nursing home staff in facilitating a more positive transition for older people and their families.MethodsThe overall aim of this qualitative study was to explore rural family carers’ experience of the nursing home placement of an older relative. Semi structured interviews were conducted with 29 relatives of nursing home residents. Participants were selected from a large health and social care trust in the United Kingdom. Data were analysed using grounded theory principles and procedures and NVivo software.ResultsRural family carers had a strong sense of familiarity with the nursing homes in their area and this appeared to permeate all aspects of their experience. Carers who reported a high degree of familiarity appeared to experience a more positive transition than others. This familiarity was influenced by the high degree of social capital that was present in the rural community where the study was conducted. This familiarity, in turn, influenced the choice of nursing home and the responses of family carers. The theory that emerged suggests that familiarity was the key factor influencing rural family carers’ experience of the nursing home placement of an older relative.ConclusionsThe population of the world is ageing and nursing homes are increasingly providing care to older people with multiple and complex needs. This study makes an important contribution to the ways in which the move to long term care can be managed more effectively by increasing awareness of the importance of familiarity, stability and social capital in the lives of older people and their carers.

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“…As connectedness is described as the core of self-transcendence, offering connectedness might be a central aspect of NH care. The interpersonal relationship in patient-nurse interactions has been found to be an essential factor of quality of care, as perceived by long-term care patients [71, 77, 78]. Nurse-patient interaction can help NH patients preserve their dignity, identity, and integrity [79].…”

Section: Relevance To Clinical Nursingmentioning

confidence: 99%

The Effect of Self-Transcendence on Depression in Cognitively Intact Nursing Home Patients

Haugan¹,

Innstrand

2012

ISRN Psychiatry

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Aims. This study's aim was to test the effects of self-transcendence on depression among cognitively intact nursing home patients. Background. Depression is considered the most frequent mental disorder among the elderly population. Specifically, the depression rate among nursing home patients is three to four times higher than that among community-dwelling elderly. Therefore, finding new and alternative ways to prevent and decrease depression is of great importance for nursing home patients' well-being. Self-transcendence is related to spiritual as well as nonspiritual factors, and it is described as a correlate and resource for well-being among vulnerable populations and at the end of life. Methods. A two-factor construct of the self-transcendence scale (interpersonal and intrapersonal) and the hospital anxiety and depression scale (HADS) was applied. A sample of 202 cognitively intact nursing home patients in central Norway was selected to respond to the questionnaires in 2008/2009. Results. A hypothesized SEM model demonstrated significant direct relationships and total effects of self-transcendence on depression. Conclusion and Implication for Practice. Facilitating patients' self-transcendence, both interpersonally and intrapersonally, might decrease depression among cognitively intact nursing home patients.

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Developing relationships in long term care environments: the contribution of staff

Abstract: These findings have implications for developing practice in care homes to improve the experience of older people and their families by encouraging staff to develop a relationship-based approach to care routines.

Cited by 75 publications

References 39 publications

Factors That Influence Patient Involvement in Nursing Homes: Staff Experiences

Factors That Influence Patient Involvement in Nursing Homes: Staff Experiences

‘Familiarity’ as a key factor influencing rural family carers’ experience of the nursing home placement of an older relative: a qualitative study

The Effect of Self-Transcendence on Depression in Cognitively Intact Nursing Home Patients

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