How staff act and what they experience in relation to the autonomy of older adults with physical impairments living in nursing homes

Loon, J. Van; Janssen, Meriam; Janssen, Bienke; Rooij, Ietje de

doi:10.1177/20571585221126890

“…Staff members have been shadowed to find out which actions they take to enhance the autonomy of older persons with physical impairments. Moreover, an action research has been conducted in which older persons and staff members formulated concrete actions with the aim to strengthen the autonomy of older persons (Van Loon et al, 2022). By studying both perspectives of older persons and of staff members, and by facilitating a dialogue between older persons and staff members about the study insights, older persons become more empowered and actively involved in care; in this way, care and autonomy can be provided in a more person-centred way.…”

Section: Autonomymentioning

confidence: 99%

An Introduction to Silver Empowerment

Witte¹,

Regenmortel²

2023

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tvr-18-tse-lssrc1-o2010-resilience-of-vulnerable.pdf De Witte, J., & Van Regenmortel, T. (2019b). Silver Empowerment. Loneliness and social isolation among elderly. An empowerment perspective. HIVA -KU Leuven. https://hiva.kuleuven.be/ nl/nieuws/docs/tvr-18-tse-lssrc1-o2010-loneliness-and-social.pdf De Witte, J., & Van Regenmortel, T. (2020a). Silver Empowerment. A quantitative picture of loneliness among elderly in Belgium and Europe. HIVA -KU Leuven. https://hiva.kuleuven.be/nl/nieuws/ docs/tvr-18-tse-lssrc1-o2010-loneliness-of-people-with.pdf De Witte, J., & Van Regenmortel, T. (2020b). Silver Empowerment. Family care for communitydwelling older seniors in times of corona: the power of giving and/or a burden of care? HIVA -KU Leuven. https://hiva.kuleuven.be/nl/nieuws/docs/tvr-18-tse-lssrc1-o2010-informal-care.pdf

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Developing a person-centred care environment aiming to enhance the autonomy of nursing home residents with physical impairments, a descriptive study

van Loon,

Janssen,

Janssen

et al. 2023

BMC Geriatr

2

0

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Background Enhancing autonomy is important within the context of the care environment in nursing homes. A nursing home is a place for older adults with physical impairments, who need assistance, to live and where staff work who help them to exercise autonomy. Previous research shows that older adults and staff are influenced by the care environment to apply autonomy-enhancing activities. Therefore, organisational policies regarding the care environment seem promising for enhancing autonomy. The aim is to gain a deeper insight into the development and implementation of organisational policies aimed to enhance the autonomy of older adults with physical impairments. Methods A qualitative descriptive design was chosen, using two methods. A document study was conducted on the policies, plans and proceedings in two care organisations. Moreover, interviews were conducted with 17 stakeholders involved in the policies, such as managers and members of the client council. The fragments of the 137 documents and 17 verbatim transcripts were coded and deductively categorised into the seven aspects (i.e., power-sharing, supportive organisational systems, appropriate skill mix, potential for innovation and risk-taking, the physical environment, effective staff relationships and shared decision-making systems) of the key domain care environment, as defined in the person-centred practice (PCP) framework developed by McCormack and McCance. Results The aspect of power-sharing was used the most in the policies of the two participating organisations. The organisations expected much from the implementation of indirect interventions, such as access to the electronic care plan for residents and the development of staff towards self-managing teams. Less attention was paid to interventions in the physical environment, such as the interior of the building and privacy, and the collaboration processes between staff. Conclusions The PCP framework poses that all aspects of the key domain care environment are important to develop a person-centred practice. This is not yet the case in practice and the authors therefore recommend using all seven aspects of the care environment in a balanced combination with the other key domains of the PCP framework to achieve person-centred practice and as a result the enhancement of the autonomy of nursing home residents with physical impairments.

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An Empowerment Perspective on Loneliness Among Older Persons

Witte¹,

Regenmortel²

2023

View full text Add to dashboard Cite

tvr-18-tse-lssrc1-o2010-resilience-of-vulnerable.pdf De Witte, J., & Van Regenmortel, T. (2019b). Silver Empowerment. Loneliness and social isolation among elderly. An empowerment perspective. HIVA -KU Leuven. https://hiva.kuleuven.be/ nl/nieuws/docs/tvr-18-tse-lssrc1-o2010-loneliness-and-social.pdf De Witte, J., & Van Regenmortel, T. (2020a). Silver Empowerment. A quantitative picture of loneliness among elderly in Belgium and Europe. HIVA -KU Leuven. https://hiva.kuleuven.be/nl/nieuws/ docs/tvr-18-tse-lssrc1-o2010-loneliness-of-people-with.pdf De Witte, J., & Van Regenmortel, T. (2020b). Silver Empowerment. Family care for communitydwelling older seniors in times of corona: the power of giving and/or a burden of care? HIVA -KU Leuven. https://hiva.kuleuven.be/nl/nieuws/docs/tvr-18-tse-lssrc1-o2010-informal-care.pdf

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How staff act and what they experience in relation to the autonomy of older adults with physical impairments living in nursing homes

Cited by 4 publications

References 24 publications

An Introduction to Silver Empowerment

An Introduction to Silver Empowerment

Developing a person-centred care environment aiming to enhance the autonomy of nursing home residents with physical impairments, a descriptive study

An Empowerment Perspective on Loneliness Among Older Persons

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