Nurse competencies for person-directed care in nursing homes

Making Each Other’s Daily Life: Nurse Assistants’ Experiences and Knowledge on Developing a Meaningful Daily Life in Nursing Homes

“…For a well-functioning team [6, 12, 13] it is crucial to learn from NAs and use that knowledge in the care of older persons, that is to sense and find the right way of being, and read the older person to judge how the person is feeling. It is crucial to adapt to the older person and share their daily life.…”

“…Alongside NAs there is also the need for an interdisciplinary team of care providers who attend to the older persons’ psychosocial, emotional, spiritual, physical, and clinical care needs [12]. Blomberg et al .’s [6] study showed that the team can design this care and they can initiate changes in the care.…”

“…NAs have an important role in the team, as they act as the others team members’ eyes and ears [7]. Within the team registered nurses (RNs) promote teamwork with NAs, guiding them in problem solving and decision-making [7, 12]. Occupational therapists also have an important role in the team, as they address different aspects of daily living, and provide advice and support to maintain or increase independence in the older person’s daily activities [14].…”

O processo de ensinar e aprender o cuidado domiciliar nos cursos de graduação em saúde

“…Communication skills are important to overcome problems and help promote critical thinking: active listening, giving effective feedback and clearly putting across ideas are essential components of effective communication 17,24,25 . Furthermore, it is fundamental to anticipate patients' needs, know how to deal with family members, understand the daily routine of people involved in home care, and help patients to keep themselves occupied and encourage social interaction 17 .…”

“…Furthermore, it is fundamental to anticipate patients' needs, know how to deal with family members, understand the daily routine of people involved in home care, and help patients to keep themselves occupied and encourage social interaction 17 . Practitioners should take a multidimensional approach to dealing with patients and their families and the following attributes are essential components of effective home care: conflict resolution; flexibility to adapt daily routines and care practices considering the preferences of household residents; ability to identify and overcome obstacles to care delivery; leadership skills; clinical problem solving; and the ability to share decision making, planning and problem solving with the other members of the health team 25 . Learning scenarios should be capable of promoting changes in ways of thinking that involve the reconnection of knowledge, whereby practitioners are able to conceive that global issues manifest themselves in local issues and vice versa, go beyond mutilated knowledge -understanding the complexities, linkages, interactions and mutual implications of phenomena -, and contextualize, globalize and multidimensionalize, ultimately relearning how to think 6 .…”