Impact of the Eden Alternative on Family Satisfaction

Rosher, Richard B.; Robinson, S.

doi:10.1016/j.jamda.2005.03.005

Cited by 33 publications

(18 citation statements)

References 13 publications

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“…In addition, it is claimed that the number of professional–family contacts is insufficient due to time constraints and the structure or philosophy of the care institution (Hertzberg et al . 2003; Rosher et al . 2005; Weman et al .…”

Section: Resultsmentioning

confidence: 99%

Comparative review of family–professional communication: What mental health care can learn from oncology and nursing home care

Bovenkamp

Trappenburg

2012

Int J Mental Health Nurs

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Because family members take on caring tasks and also suffer as a consequence of the illness of the patient, communication between health-care professionals and family members of the patient is important. This review compares communication practices between these two parties in three different parts of health care: oncology, nursing home care, and mental health care. It shows that there are important differences between sectors. Mental health stands out because contacts between family members and professionals are considered problematic due to the autonomy and confidentiality of the patient. The article explores several explanations for this, and, by comparing the three health sectors, distils lessons to improve the relationship between family members and health-care professionals.

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Section: Resultsmentioning

confidence: 99%

Comparative review of family–professional communication: What mental health care can learn from oncology and nursing home care

Bovenkamp

Trappenburg

2012

Int J Mental Health Nurs

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“…The improved satisfaction scores reflected greater communication and interaction among families, staff, and residents (Rosher and Robinson, 2005).…”

Section: Family Member Involvementmentioning

confidence: 94%

Patients and Health Care Teams Forging Effective Partnerships

Okun¹,

Schoenbaum²,

Andrews³

et al. 2014

NAM Perspectives

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1 interactions with health professionals and providing feedback that strengthens the relationship and their mutual understanding of the patient's needs and how they may best be addressed. Strong primary care, the care setting focused on in this paper, is critical to achieving better patient outcomes, especially as the prevalence of multiple chronic health conditions increases (AHRQ, 2014a). More than 75 percent of U.S. health care spending is devoted to treating persons with chronic conditions (CDC, 2009). Of course, specialists and subspecialists also play very important roles. The complexity of care and services often required today requires health professionals across the system to work with people in a coordinated, collaborative way and to consider the whole person-not just the condition or array of conditions that a person might have (Bodenheimer et al., 2002). All patients bring unique expertise regarding their preferences, skills, knowledge, and experiences into a potential relationship with a health care team. Patients-and, often, their families and caregivers-live with their conditions and symptoms 24 hours a day, 7 days a week. Patients are experts in knowing how they feel from moment to moment and day to day. However, not all patients are well informed about their medical conditions and how best to manage them (Fagerlin et al., 2010). Relatively few come to medical encounters with the same technical skills, clinical knowledge, and detailed understanding of the health care system that most clinicians have. Some patients prefer to be involved at a more detailed level, others less so (Alston et al., 2012). But many patients and family members have acquired, and many more are capable of developing, considerable knowledge, skills, and confidence in decision making that could influence their outcomes positively-especially those outcomes that matter most to them. Only recently, with increased attention on patient-centered care at the practice level, has it become evident that a large percentage of patients who have personal physicians and, especially minorities, do not have an effective health care team (Beal et al., 2007). When people have a personal physician and an effective practice team, their outcomes are better (Beal et al., 2007; Havyer et al., 2014). There is still much to learn about the practical realities of patients becoming true partners in their care, and the most effective teachers will be patients themselves. When patients and clinicians have an effective partnership, the relationship becomes more fluid. It transcends the traditional roles of learner and teacher, leader and follower. Valid, ongoing assessments of team functioning and performance, including assessments by patients themselves, will be important to identify and illuminate team functioning and the strength of the partnership with patients, and to inform improvement efforts so that demonstrably better patient outcomes can be achieved consistently. Methods Given the scope of the project, an early decision of the authors was to divi...

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“…Residential aged-care facilities have been viewed as places of long-term treatment and therapy dominated by the biomedical model that values efficiency, consistency, and hierarchical decision-making 1. Older people (particularly baby-boomers) have expressed a strong preference for alternative forms of aged care and accommodation, and a greater ability to exercise control over where they live and the nature and quality of services they will receive 2,3.…”

Section: Introductionmentioning

confidence: 99%

Effects of person-centered care on residents and staff in aged-care facilities: a systematic review

Brownie

Nancarrow²

2013

CIA

321

302

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BackgroundSeveral residential aged-care facilities have replaced the institutional model of care to one that accepts person-centered care as the guiding standard of practice. This culture change is impacting the provision of aged-care services around the world. This systematic review evaluates the evidence for an impact of person-centered interventions on aged-care residents and nursing staff.MethodsWe searched Medline, Cinahl, Academic Search Premier, Scopus, Proquest, and Expanded Academic ASAP databases for studies published between January 1995 and October 2012, using subject headings and free-text search terms (in UK and US English spelling) including person-centered care, patient-centered care, resident-oriented care, Eden Alternative, Green House model, Wellspring model, long-term care, and nursing homes.ResultsThe search identified 323 potentially relevant articles. Once duplicates were removed, 146 were screened for inclusion in this review; 21 were assessed for methodological quality, resulting in nine articles (seven studies) that met our inclusion criteria. There was only one randomized, controlled trial. The majority of studies were quasi-experimental pre-post test designs, with a control group (n = 4). The studies in this review incorporated a range of different outcome measures (ie, dependent variables) to evaluate the impact of person-centered interventions on aged-care residents and staff. One person-centered intervention, ie, the Eden Alternative, was associated with significant improvements in residents’ levels of boredom and helplessness. In contrast, facility-specific person-centered interventions were found to impact nurses’ sense of job satisfaction and their capacity to meet the individual needs of residents in a positive way. Two studies found that person-centered care was actually associated with an increased risk of falls. The findings from this review need to be interpreted cautiously due to limitations in study designs and the potential for confounding bias.ConclusionTypically, person-centered interventions are multifactorial, comprising: elements of environmental enhancement; opportunities for social stimulation and interaction; leadership and management changes; staffing models focused on staff empowerment; and assigning residents to the same care staff and an individualized philosophy of care. The complexity of the interventions and range of outcomes examined makes it difficult to form accurate conclusions about the impact of person-centered care interventions adopted and implemented in aged-care facilities. The few negative consequences of the introduction of person-centered care models suggest that the introduction of person-centered care is not always incorporated within a wider “hierarchy of needs” structure, where safety and physiological need are met before moving onto higher level needs. Further research is necessary to establish the effectiveness of these elements of person-centered care, either singly or in combination.

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Impact of the Eden Alternative on Family Satisfaction

Cited by 33 publications

References 13 publications

Comparative review of family–professional communication: What mental health care can learn from oncology and nursing home care

Comparative review of family–professional communication: What mental health care can learn from oncology and nursing home care

Patients and Health Care Teams Forging Effective Partnerships

Effects of person-centered care on residents and staff in aged-care facilities: a systematic review

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