‘It's the little things that count’. Families' experience of roles, relationships and quality of care in rural nursing homes

Ryan, Assumpta; McKenna, Hugh

doi:10.1111/opn.12052

Cited by 57 publications

(91 citation statements)

References 38 publications

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“…The results may also be interpreted as indicating that nursing home management could possibly influence the perceived quality of care by systematically planning for and performing activities that can provide residents and relatives with the little extra things that give meaning in everyday life and facilitate hospitable attitudes towards residents and relatives to make them feel welcomed and respected. Expanding previous findings on relatives’ experiences of quality of care in nursing homes (Ryan & McKenna, ), the current findings thus provide support for nursing home staff and management to improve the quality of care by using aspects of a person‐centred climate.…”

Section: Discussionsupporting

confidence: 75%

Associations between person‐centred climate and perceived quality of care in nursing homes: A cross‐sectional study of relatives’ experiences

Lood

Kirkevold

Sjögren

et al. 2019

Journal of Advanced Nursing

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Aims To explore the extent to which a more person‐centred climate could explain the variation in quality of care, as rated by relatives to nursing home residents in three countries. Design A cross‐sectional, correlational, anonymous questionnaire study. Methods Questionnaires were administered to 346 relatives to residents in six nursing homes in Australia, Norway and Sweden between April–June 2016. Relatives (N = 178) agreed to participate. Data were analysed using descriptive statistics and hierarchical multiple regression. Results The results showed that the relatives’ experiences of a more person‐centred climate were associated with higher ratings of the quality of care. A person‐centred climate of safety had the strongest unique association with the quality of care, explaining 14% of the variance in quality of care. In addition, the results indicated that the relatives in general were satisfied with the quality of care and that children to the residents rated the quality of care higher than partners or other relatives. Conclusion This study advances the understanding of the relationship between person‐centredness in nursing homes and quality of care, showing that person‐centred climate aspects of safety and hospitality have a significant role in the quality of care as perceived by relatives. Impact Person‐centredness in nursing homes is often mentioned as a quality of care indicator, but the empirical evidence for this suggestion is limited. This study expanded the evidence‐base for person‐centredness as a significant aspect of relatives’ experiences of the quality of care in nursing homes.

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Section: Discussionsupporting

confidence: 75%

Associations between person‐centred climate and perceived quality of care in nursing homes: A cross‐sectional study of relatives’ experiences

Lood

Kirkevold

Sjögren

et al. 2019

Journal of Advanced Nursing

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show abstract

“…This familiarity was further influenced by a high degree of social capital and an efficient ‘ grapevine ’, (an informal person-to-person means of communication) which appeared to thrive in these small rural communities. As other aspects of the study (pertaining to research questions 2, 3 and 4) have been reported elsewhere [25,26], the findings presented in this paper will focus specifically on the core category that emerged from the study and the impact of familiarity on the choice of home and the success of the transition from the perspective of the family carers.…”

Section: Resultsmentioning

confidence: 99%

‘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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“…The second theme was connections and relationships with co‐residents, staff and families which had the potential to facilitate and inhibit transition. Bradshaw, Playford, and Riazi () similarly reported that meaningful relationships with co‐residents and staff are important for a good care home life, as are relationships between residents, staff and families (Davies, ; Ryan & McKenna, ). Continuing valued relationships and beginning new relationships was identified by Brownie et al () as a factor that facilitated adjustment for older people and our findings corroborate this but from the perspective also of staff and families.…”

Section: Discussionmentioning

confidence: 99%

Facilitators and inhibitors of transition for older people who have relocated to a long‐term care facility: A systematic review

Fitzpatrick

Tzouvara

2018

Health Soc Care Community

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Moving into a long‐term care facility to live permanently is a significant life event for older people. Care facilities need to support older people to make a healthy transition following relocation. To help achieve this, we need to understand what facilitates and inhibits the transition process from the perspective of older people, their families, and care facility staff. Our review generated new knowledge to inform this understanding. We addressed the question: what factors facilitate and inhibit transition for older people who have relocated to a long‐term care facility? Five electronic databases, PsychINFO, British Nursing Index, CINAHL, MEDLINE and Web of Science were searched for the period January 1990 to October 2017. Grey literature searches were conducted using Google Scholar, and Social Science Research Network. Data were extracted for individual studies and a narrative synthesis was conducted informed by Meleis's Theory of Transition. Thirty‐four studies (25 qualitative, 7 quantitative and 2 mixed methods) met the inclusion criteria. Data synthesis identified that transition following relocation was examined using a variety of terms, timelines and study designs. Potential personal and community focused facilitators and inhibitors mapped to four themes: resilience of the older person, interpersonal connections and relationships, this is my new home, and the care facility as an organisation. These findings can inform the development of interventions for these target areas. They highlight also that further research is warranted to understand the organisational culture of long‐term care facilities, how this influences transition, and how it might be shaped to create and sustain a caring culture for older people.

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‘It's the little things that count’. Families' experience of roles, relationships and quality of care in rural nursing homes

Abstract: A number of programmes and initiatives already exist to enhance the quality of life of older people in care homes and their families. Serious consideration should be given to more widespread uptake of these initiatives.

Cited by 57 publications

References 38 publications

Associations between person‐centred climate and perceived quality of care in nursing homes: A cross‐sectional study of relatives’ experiences

Associations between person‐centred climate and perceived quality of care in nursing homes: A cross‐sectional study of relatives’ experiences

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

Facilitators and inhibitors of transition for older people who have relocated to a long‐term care facility: A systematic review

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