Gender and Interactions Between Care Staff and Elderly Nursing Home Residents With Dementia

Lindesay, James; Skea, Derek

doi:10.1002/(sici)1099-1166(199703)12:3<344::aid-gps504>3.0.co;2-i

Cited by 26 publications

(20 citation statements)

References 2 publications

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“…A study by Harris (1993) of older men caring for a spouse has revealed that personal commitment, feelings of social isolation, loss of companionship, need for control and sense of accomplishment are all important factors in understanding older men’s experiences of caring activities (Harris, 1993). However, little thought has been given to the importance of gender when considering the social experiences of this group (Lindesay & Skea, 1997). There is a need for further understanding from a gender identity perspective of how older men experience the beginnings and process of caring for a spouse (Hellström, 2005).…”

Section: Theoretical Understandingmentioning

confidence: 99%

Transitions in men’s caring identities: experiences from home‐based care to nursing home placement

Eriksson

Sandberg²

2008

Int J Older People Nursing

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Objectives. The aim of this study is to describe, from a gender identity perspective, the experiences of older men involved in the process of caring for a partner at home and the placement into a nursing home. Background. Few studies have paid attention to the importance of gender when considering the social experiences of older men providing care for an ill spouse and finally placing a partner in a nursing home. Further understanding is much needed of how older men experience the process of caring for a spouse from a gender identity perspective. Design. A qualitative constructivist approach was adopted for this study. Participants. Data consists of interviews with seven men that have been informal carers and experienced the placement of their wife in a nursing home. Methods. Interviews were analysed with a constructivist approach. Results. The results indicate that men go through two transitions in their gender identity during the caregiving process and placement. From the mutual loving relationship of being a loving husband, the social responsibility of daily care of their wives changes the situation into that of being a caring husband, and finally with the move to a nursing home there is a transition from intimate care to a relationship based on friendship. Conclusions. The results show that older caregiving men undergo a process involving a reconstruction of gender identity. To formally recognize men's caring activities and to make them sustainable, we believe that men in an informal caring relationship need support. Relevance to clinical practice. Nurses need to recognize the identity struggles resulting in sadness and suffering that are related to changes in men's lives during the caregiving process. Understanding the dynamics and changes that occur when men take on a caring task is important for the development of their role as carers.

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Section: Theoretical Understandingmentioning

confidence: 99%

Transitions in men’s caring identities: experiences from home‐based care to nursing home placement

Eriksson

Sandberg²

2008

Int J Older People Nursing

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“…Although there is a grow ing literature on the role of social support in areas such as life satisfaction (Arm er, 1993;M cIvor et al, 1984;Thom pson & Heller, 1990) and m or tality (Sugisawa et al, 1994), there have been few investigations of staff± resident interactions (Lindesay & Skea, 1997) or the role of social support am ong nursing hom e residents (Wells & M acdonald, 1981). Since m ost instrum ental needs are assu m ed to be provided by the institution, emotional support would seem to be a critical aspect of support that fam ily or friends could offer the nursing hom e resident.…”

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confidence: 99%

The relationship between staff empathy and depressive symptoms in nursing home residents

Hollinger-Samson¹,

Pearson²

2000

Aging & Mental Health

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“…Given that 232 interactions were coded in Dc1 (with 50 service users attending), and 173 in Dc2 (with 247 attendees), and given that the numbers of staff involved were smaller than the number of service users, it is certain that some of the interactions observed involved the same participants, and likely that they involved the same pairs of participants, thus potentially compromising the independence of the observations coded. I have however argued elsewhere (Lindesay and Skea 1997;Skea and Lindesay 1996), that in the analysis of interactions between large numbers of service users and staff in congregate settings, the number of potential interacting dyads is sufficiently large, and the context of each interaction likely to be sufficiently unique, that observations can usefully be regarded as independent and chi-square analysis be used to explore associations between settings and tendencies towards particular styles of interaction.…”

Section: Discussionmentioning

confidence: 99%

“…QUIS is a non-participant time-sampling process where the number and quality of interactions are estimated from a series of (20-30 minute) observational slots spread over a number of visits and giving a 'typical' day within that particular environment. QUIS has been applied by the writer in previous studies in psycho-geriatric traditional hospital wards and new NHS community based environments (Lindesay and Skea 1997;Skea and Lindesay 1996).…”

Section: Introductionmentioning

confidence: 99%

Quality of Staff Service User Interaction in Two Day Centres for Adults with Learning Disabilities

Skea¹

2007

MHLDRP

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This study involves quality of interaction between Day Centre staff and Service-Users with Learning Disabilities in two Day Centres (Dc1 n=50, Dc2 n=247). The Quality of Interactions Schedule (QUIS) was applied within an eight month prospective design, involving 32 visits which constructed a 'typical day' composed of 20-30 minute observational sessions within each Day Centre.The largest proportions of interactions were of a positive nature (87%) across both Day Centres. More positive care interactions were seen in Dc1 and significantly higher rates of positive interactions in Dc1. The greatest use of Verbal and Non-verbal interaction was observed in Dc1. Service users initiated more of the interactions in Dc2. Lengthier verbal interactions were seen in Dc1 and conversely greater amounts of short verbal interactions were seen in Dc2. Within both centres time-tables that were inspected indicated similar proportions spent in: Work, Leisure, Education, Community and Social skills sessions. In comparison to previous studies a relatively low proportion of activities were community based and social skills orientated.Results are framed within comparable observational studies in Day Centres; differences in measurement characteristics employed (Cummins, 2000(Cummins, , 2002 and service evaluation of quality of life in Day centres for adults with Learning Disabilities. Reliability and validity of results were also examined.

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Gender and Interactions Between Care Staff and Elderly Nursing Home Residents With Dementia

Cited by 26 publications

References 2 publications

Transitions in men’s caring identities: experiences from home‐based care to nursing home placement

Transitions in men’s caring identities: experiences from home‐based care to nursing home placement

The relationship between staff empathy and depressive symptoms in nursing home residents

Quality of Staff Service User Interaction in Two Day Centres for Adults with Learning Disabilities

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