“Small” things matter: Residents' involvement in practice improvements in long-term care facilities

Boelsma, Femke; Baur, V.E.; Woelders, Susan; Abma, Tineke

doi:10.1016/j.jaging.2014.08.003

Cited by 41 publications

(66 citation statements)

References 35 publications

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“…Our results underline the need in nursing homes for further efforts in social support, in order to enhance and maintain close, personal relationships. The need for social support is also revealed by other studies, showing that residents find it difficult to keep contact with former friends (Boelsma et al 2014) and to establish new contacts with residents (Drageset et al 2011). They also frequently feel neglected and ignored when trying to bond with staff (Nakrem et al 2011).…”

Section: Discussionmentioning

confidence: 73%

Active ageing within the nursing home: a study in Flanders, Belgium

et al. 2016

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Nursing homes should support residents’ quality of life (QoL). It remains vague, however, how these facilities can create a QoL enhancing environment. Active ageing (AA) is a useful framework in this context, since it provides a multidimensional set of determinants that enhance QoL. This study examined the current status of AA in nursing homes in Flanders, Belgium. A sample of 383 randomly recruited residents was surveyed on the subjective importance and experienced reality of the AA determinants as well as on QoL. Based on descriptive analyses, residents appeared to have a positive QoL and a moderately positive appraisal of the extent to which nursing homes provide a multidimensional environment to enhance their QoL. Multivariate analyses showed that residents’ nursing home active ageing (NHAA) experience was positively related to their QoL and explained 20 % of its variance. Specifically, psychological factors and participation related positively to QoL. Demographic variables showed no relationships with QoL, while educational level related negatively to the NHAA experience. Currently, in Flanders, nursing homes are on their way to working according to the AA vision, but further efforts are still needed.

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Section: Discussionmentioning

confidence: 73%

Active ageing within the nursing home: a study in Flanders, Belgium

et al. 2016

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“…While understanding that routines are necessary to provide care services in a secure way, other types of situations and practices as sources of meaning are less addressed. This reasoning is in line with findings of other studies in NH settings (Boelsma et al., 2014; Gubrium, 1975; Harnett, 2010, 2014; Öhlander, 1996; Persson & Wästerfors, 2009), where the coexistence of diverse life worlds might be concealed due to institutional routines. Furthermore, the exemplar Seeking for a place for other life worlds could be understood as threatening the resident's identity, due to limited influence and ownership over her everyday life.…”

Section: Discussionmentioning

confidence: 99%

“…This knowledge about activities meaning for older adults is important, but limited because these tasks constitute just a small part of everyday activities in a NH. Moreover, they emerge mostly from institutional needs and are not necessarily grounded on the residents' interests (Benjamin, Rankin, Edwards, Ploeg, & Legault, 2016;Boelsma, Baur, Woelders, & Abma, 2014), which puts person-centered practices at stake. Spontaneous, unplanned, and unprompted activities that emerge through a relational and person-centered understanding of care are less often addressed in this research field (Harnett, 2010(Harnett, , 2014.…”

Section: Everyday Activitiesmentioning

confidence: 99%

“…We specifically focus our attention in this paper toward the limited influence older adults living in NHs have over everyday activities (Baur, Abma, Boelsma, & Woelders, 2013;Boelsma et al, 2014;Harnett, 2010;Holthe, Thorsen, & Josephsson, 2007;Persson & Wästerfors, 2009). The term influence, simply put as 'having a say in everyday matters of concern for the person' (Harnett, 2010), recognizes interdependence with others (Nolan et al, 2004;Wray, 2004) as a central aspect in the context of frail older adults' care.…”

Section: Everyday Activitiesmentioning

confidence: 99%

“…Boelsma et al. (2014) highlight the importance of paying attention to ‘small things’, in order to achieve alignment between institutional’ needs and residents’ values and preferences. Their study showed that care staff frequently considers ‘small things’, such as mealtime situations and group activities, as insignificant or trivial when compared to institutional routines.…”

Section: Introductionmentioning

confidence: 99%

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Influencing everyday activities in a nursing home setting: A call for ethical and responsive engagement

et al. 2017

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This study focuses on influence that older adults, living in nursing homes, have over everyday activities. Everyday activities are key to sustain a sense of stability, predictability, and enjoyment in the local world of people's everyday and therefore a critical dimension of the person‐centeredness framework applied within gerontology. This narrative ethnographic study aimed to shed light on how influence can be situated contextually, and how it can emerge through activities as well as how it is negotiated in everyday by frail older adults living in a nursing home. Residents, staff members, and significant others from one nursing home in an urban area of Sweden participated in this study. Data were gathered through fieldwork, including participant observation and formal and informal conversations during a period of 6 months. Data were analyzed through a narrative interpretative approach. The findings are presented in narrative form as exemplars. The exemplars—Craquelures as justification, Seeking a place for other life worlds and An almost perfect trip—reveal a gap between the client‐centeredness framework and lived experiences regarding older adults’ influence in everyday activities. The role of everyday activities in the context of frailty is discussed in terms of ethical and responsive engagement, and implications for health‐care practices are considered.

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