Nurse managers’ perceptions of care environment supporting older people’s ability to function in nursing homes

Suhonen, Riitta; Karppinen, Tiina; Martín, Beatriz; Stolt, Minna

doi:10.1111/jonm.12695

Cited by 6 publications

(9 citation statements)

References 25 publications

(48 reference statements)

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“…Effective management of changed life circumstances can be a source of hopefulness to older people living in nursing homes. Suhonen et al ( 2019 ) noted that practices that increase connections and interaction among people are needed for better resident outcomes.…”

Section: Discussionmentioning

confidence: 99%

Experiences with dignity among older people confined to beds living in a nursing home: A qualitative descriptive study

Fekonja

Kmetec

Lorber

et al. 2022

J Nursing Management

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Aim: The aim of this study is to explore the concept of dignity from the experience of older people with limited mobility and confined to beds while living in a nursing home.Background: Nursing staff have an important impact on the dignity of those older people confined to beds in nursing homes. Individuals' uniqueness with respecting dignity should be ensured.Methods: A qualitative descriptive study was conducted. The study was carried out with 19 older people who were immobile and confined to bed and living in nursing homes. The individual in-depth interviews were conducted between July and October 2021. Inductive thematic analysis was used to synthesize data. Results:The main theme 'Dignity of older people confined to bed' emerged from subthemes 'Emotions', 'Lived experience' and 'Failure to maintain care'. The participants expressed their dissatisfaction towards the nursing staff's disrespectful care, which evoked feelings of insignificance and inferiority. Conclusion:Undignified and disrespectful nursing care can cause feelings of suffering, sadness and anger in older people confined to their beds. Nurses must listen to this group of older people and learn from their experiences. Compassionate, personcentred care with kindness and empathy should be provided by all those providing and receiving care in nursing homes.Implications for Nursing Management: To provide dignified care, nursing staff must understand the importance of person-centred, individually oriented nursing care for older people living with immobility in nursing homes.

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Section: Discussionmentioning

confidence: 99%

Experiences with dignity among older people confined to beds living in a nursing home: A qualitative descriptive study

Fekonja

Kmetec

Lorber

et al. 2022

J Nursing Management

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show abstract

“…This finding is important as in demonstrating the importance and interconnectedness of person‐centredness and perceptions of individuality, it suggests that an improvement of the PCC climate may help in the provision of individualised nursing care. In turn, this would enable older people's further independence and self‐management (Nordin et al, 2017; Suhonen et al, 2018). Additionally, the association makes it possible to use the climate of person‐centredness a contributor for perceptions of individuality in the care and that person‐centredness can potentiate such perceptions.…”

Section: Discussionmentioning

confidence: 99%

Validation of the Finnish Person‐Centered care Climate Questionnaire‐Patient and testing the relationship with individualised care

Stolt

Koskenvuori

Edvardsson

et al. 2020

Int J Older People Nursing

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Aims The aim of the study was two‐fold: (1) to test the psychometric properties of the Person‐Centered care Climate Questionnaire‐Patient‐Finnish version (PCQ‐P‐Fin), and (2) to examine the associations between older patients’ perceptions of the PCC climate and their perceptions of individuality in care delivered within acute care settings for older people. Design An exploratory, correlational, cross‐sectional survey design. Methods The study was conducted within acute care settings for older people with heart failure (n = 111, response rate 54%). Data were collected with self‐completed questionnaires, the Person‐Centered care Climate Questionnaire‐Patient version (PCQ‐P‐Fin) and the Individualized Care Scale‐Patient (ICS‐Patient‐B), between 6/2016 and 5/2017. Data were analysed using descriptive statistics, Pearson's correlation coefficients, exploratory factor analysis and a Rasch analysis. Results The PCQ‐P‐Fin showed satisfactory structural, construct and concurrent validity and high reliability. The ICS‐B‐Patient and the PCQ‐P‐Fin correlated strongly positive suggesting an association between the perceptions of individuality in care and the care climate. Conclusion The PCQ‐P‐Fin is a useful, reliable and valid tool. Characteristics of the care environment, especially the climate and the extent to which this is perceived to be person‐centred, may be used to enhance perceptions of individualised care.

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“…Providing residents with private bedrooms with private bathrooms was fundamental to a good quality of life [22]. Homelike environments could also be created when residents were allowed to decorate private bedrooms with their favourite personal belongings and materials, such as photographs [14,21,26]. RNs also reported that residents would feel more at home when a right to privacy was granted and respected [17].…”

Section: Indoor Spacesmentioning

confidence: 99%

Residential Aged Care and Homelike Environments: A scoping literature review of views of the aged care workforce

Sum¹,

Francis

Naccarella

2023

APJHM

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Evidence exists of the benefits of homelike environments for residents of residential aged care facil-ities (RACF). To date, most research has focused on the perceptions, experiences, and quality-of-life outcomes of homelike environments from residents’ perspectives. The views of the aged care workforce (ACW) about homelike environment in RACF is under-researched. A scoping review was conducted of the Pubmed, Medline, PsychInfo, Cinahl, and Scopus databases in April 2021. Search terms included: homelike environment; residential aged care; staff. Perspectives of ACW were synthesized using Rijnaard’s framework, encompassing three key categories. Of 1597 papers identified, 21 articles published from 1990 to 2021 met the eligibility criteria for review. The scop-ing review provided insights from nursing staff, facility managers, administrators, and also activity coordinators, laundry, and catering staff. Eight key elements of homelike environments were identi-fied, further classified into three key categories: (1) built environment (indoor and outdoor spaces); (2) psychological elements (residents’ choices and control, maintaining residents’ beliefs and habits); (3) social elements (relationships with residents, families, and staff, communal environments and maintaining contact with community). No important differences in themes across ACW groups were evident. Homelike environments were associated with higher job satisfaction, lower burnout, lower staff turnover and did not contribute to staff distress nor perceptions of reduced safety. Homelike environments are potentially beneficial for ACW. Review findings can inform planning, implemen-tation, and evaluation of homelike environments, to ultimately enhance outcomes for ACW and res-idents in RACFs.

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Nurse managers’ perceptions of care environment supporting older people’s ability to function in nursing homes

Abstract: The results provide a framework for nurse managers for analysing and developing the care environment supporting residents' ability to function.

Cited by 6 publications

References 25 publications

Experiences with dignity among older people confined to beds living in a nursing home: A qualitative descriptive study

Experiences with dignity among older people confined to beds living in a nursing home: A qualitative descriptive study

Validation of the Finnish Person‐Centered care Climate Questionnaire‐Patient and testing the relationship with individualised care

Residential Aged Care and Homelike Environments: A scoping literature review of views of the aged care workforce

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