Resident and family member perceptions of cultural diversity in aged care homes

Xiao, Lily Dongxia; Willis, Eileen; Harrington, Ann; Gillham, David; Bellis, Anita De; Morey, Wendy; Jeffers, Lesley

doi:10.1111/nhs.12302

Cited by 20 publications

(19 citation statements)

References 25 publications

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“…The aim of this study was to examine active actions (agencies) residents and staff undertook in their daily interactions to improve CCC and the social conditions (structures) that might enable and sustain these actions. This study reports in part on a larger critical action research project entitled ‘Developing the multicultural workforce to improve the quality of care for residents’ that is reported elsewhere (Xiao et al., ).…”

Section: Methodsmentioning

confidence: 99%

Improving socially constructed cross‐cultural communication in aged care homes: A critical perspective

et al. 2017

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Cultural diversity between residents and staff is significant in aged care homes in many developed nations in the context of international migration. This diversity can be a challenge to achieving effective cross-cultural communication. The aim of this study was to critically examine how staff and residents initiated effective cross-cultural communication and social cohesion that enabled positive changes to occur. A critical hermeneutic analysis underpinned by Giddens' Structuration Theory was applied to the study. Data were collected by interviews with residents or their family and by focus groups with staff in four aged care homes in Australia. Findings reveal that residents and staff are capable of restructuring communication via a partnership approach. They can also work in collaboration to develop communication resources. When staff demonstrate cultural humility, they empower residents from culturally and linguistically diverse backgrounds to engage in effective communication. Findings also suggest that workforce interventions are required to improve residents' experiences in cross-cultural care. This study challenges aged care homes to establish policies, criteria and procedures in cross-cultural communication. There is also the challenge to provide ongoing education and training for staff to improve their cross-cultural communication capabilities.

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Section: Methodsmentioning

confidence: 99%

Improving socially constructed cross‐cultural communication in aged care homes: A critical perspective

et al. 2017

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“…Often family members are informal care partners to their relative living with dementia prior to transitioning into LTC, which may play a part in their continued level of involvement after their relative has moved into a care home (Graneheim et al, 2014). Eating together is a familiar ritual among most families prior to moving into LTC, thus, mealtimes may be able to provide a medium through which families of all structures and diverse ethno‐cultural backgrounds can exercise their cultural traditions and norms with their relatives, both as a way of providing dedicated, individualized care to the resident and to reinforce familial bonds (Henkusens et al, 2014; Petersen et al, 2014; Xiao et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Family member eating assistance and food intake in long‐term care: A secondary data analysis of the M3 Study

Morrison‐Koechl

Slaughter

et al. 2020

Journal of Advanced Nursing

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Aim: To determine if protein and energy intake is significantly associated with a family member providing eating assistance to residents in long-term care homes as compared with staff providing this assistance, when adjusting for other covariates. Background: Who provides eating support has the potential to improve resident food intake. Little is known about family eating assistance and if this is associated with resident food intake in long-term care. Design: Cross-sectional, secondary data analysis. Methods: Between October and January 2016, multilevel data were collected from 32 long-term care homes across four Canadian provinces. Data included 3-day weighed/observed food intake, mealtime observations, physical dining room assessments, health record review, and staff report of care needs. Residents where family provided eating assistance were compared with residents who received staff-only assistance. Regression analysis determined the association of energy and protein intake with family eating assistance versus staff assistance while adjusting for covariates. Results: Of those residents who required any physical eating assistance (N = 147), 38% (N = 56) had family assistance during at least one of nine meals observed. Residents who received family assistance (N = 56) and those who did not (N = 91) were statistically different in several of their physiological eating abilities. When adjusting for covariates, family assistance was associated with significantly higher consumption of protein and energy intake. Conclusion: Energy and protein intake is significantly higher when family provides eating assistance. Family are encouraged to provide this direct care if it is required. Impact: Residents who struggle with independent eating can benefit from dedicated support during mealtimes. Findings from this study provide empirical evidence that family eating assistance is associated with improved resident food intake and provides strong justification to encourage families to be active partners in the care and well-being of their relatives. Home administrators and nursing staff should support the specialized care that families can provide at mealtimes.

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“…Another study [ 12 ] investigated the best practice of providing person-centred care for residents with moderate to advanced dementia from diverse ethnic backgrounds and showed that it was associated with residents’ perceptions of their individual preferences and feelings of belonging. Further, other previous research focusing on residents’ and family members’ perceptions of cultural diversity in aged care homes [ 13 ] found that they were generally satisfied with the cultural and linguistic diversity in care homes.…”

Section: Introductionmentioning

confidence: 90%

The experiences of the process of planning, starting and organizing a culturally specific nursing home for Finnish-speaking older persons: a qualitative study

Hadziabdic

Hjelm

2020

BMC Health Serv Res

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Background: Globally there are growing multicultural and multilingual societies. As a result of extensive international migration, the number of elderly migrants has increased and will further increase in the future. This makes it necessary for elderly healthcare services to meet elderly migrants' healthcare needs concerning language and cultural barriers. To our knowledge, previous research in the area of culturally specific nursing homes for migrant seniors is still limited. Thus, the study aimed to investigate the experiences of planning, starting and organizing a culturally specific nursing home for Finnish-speaking older persons. Methods: An explorative qualitative study using both semi-structured individual interviews and focus group interviews as data collection. Thirteen informants were purposively recruited, two from Finnish-speaking association, seven healthcare professionals and two family members. Data were analysed by qualitative content analysis. Results: Three categories, each with sub-categories, emerged from the data: 1) Motivation to develop this particular culture-specific nursing home; 2) Organizational issues and 3) Aspirations for the future. The study found that information from policy makers, the localization and activities of the nursing home, having healthcare staff who speak the minority language, organizing the nursing home as a mixture of older members of both the majority and the minority communities, all affected the planning, starting and organization of a culturally specific nursing home. Conclusion: This study found that information, localization, activities and language adapted to elderly migrants affected the planning, starting and organization of a culturally specific nursing home for Finnish-speaking older persons. These findings should support the healthcare organization in planning, managing and organizing sustainable nursing home care for older people belonging to a minority in order to attain the aim of personcentered and equal healthcare.

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Resident and family member perceptions of cultural diversity in aged care homes

Cited by 20 publications

References 25 publications

Improving socially constructed cross‐cultural communication in aged care homes: A critical perspective

Improving socially constructed cross‐cultural communication in aged care homes: A critical perspective

Family member eating assistance and food intake in long‐term care: A secondary data analysis of the M3 Study

The experiences of the process of planning, starting and organizing a culturally specific nursing home for Finnish-speaking older persons: a qualitative study

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