Social Innovation Toward a Meaningful Everyday Life for Nursing Home Residents: An Ethnographic Study

Slettebø, Åshild; Skaar, Ragnhild; Brodtkorb, Kari

doi:10.3389/fpsyg.2021.666079

Cited by 6 publications

(4 citation statements)

References 50 publications

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“…Regarding the first aspect, a recent qualitative study indicated that an open NH contributed to meaningful everyday life for the residents. The NHs were open institutions, meaning that they extended into the community and invited the community into the NHs to participate in activities (Slettebø et al, 2021). When not being attended to or treated with indifference, NH residents reported feelings of frustration and suffering (Bakas et al, 2012; Haugan et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Quality of life and nurse–patient interaction among NH residents: Loneliness is detrimental, while nurse–patient interaction is fundamental

Kuven

Drageset

Haugan

2023

Journal of Clinical Nursing

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Aims and ObjectivesTo investigate the association between perceived nurse–patient interaction and quality‐of‐life among nursing home residents, adjusted for loneliness, anxiety and depression.BackgroundSymptoms of anxiety and depression are known to residents of nursing homes along with cognitive impairment, physical inactivity and low quality‐of‐life. Anxiety, depression and loneliness are found detrimental to NH residents' quality‐of‐life. The nurse–patient relationship is important for patient's well‐being, both in terms of illness and symptom management.DesignCross‐sectional design.MethodsData were collected in 2017 and 2018 from 188 residents in 27 nursing homes resided in two large urban municipalities in Middle and Western Norway. The inclusion criteria were: (1) local authority's decision of long‐term NH care; (2) residential stay 3 months or longer; (3) informed consent competency recognised by responsible doctor and nurse; (4) capable of being interviewed, and (5) aged 65 years or older. This article is executed in accordance with STROBE statement.ResultsAdjusting for age, sex, anxiety, depression and loneliness, perceived nurse–patient interaction was statistically significant to quality‐of‐life. While anxiety and depression showed insignificant estimates, loneliness demonstrated a significant relation with quality‐of‐life. Nurse–patient interaction and loneliness explained together 25% of the variation in quality‐of‐life.ConclusionThis study suggests that loneliness is frequent as well as more detrimental to quality‐of‐life among nursing home residents compared to anxiety and depression. Furthermore, the present results show that the nurse–patient interaction represents an essential health‐promoting resource for Quality‐of‐life in this population.Relevance to clinical practiceStaff nurses need to exercise their awareness of loneliness to meet residents' needs. Nursing educations should provide knowledge about nurse–patient interaction, and students as well as staff nurses in NHs should be trained, for instance by simulation, to use the nurse–patient interaction as a health‐promoting resource. Finally, loneliness represents a bigger challenge than depression and anxiety; accordingly, building nurses that are capable of meeting patients' needs and facilitate care that counteracts loneliness is highly warranted

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Section: Discussionmentioning

confidence: 99%

Quality of life and nurse–patient interaction among NH residents: Loneliness is detrimental, while nurse–patient interaction is fundamental

Kuven

Drageset

Haugan

2023

Journal of Clinical Nursing

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“…Spiritual well-being is a crucial factor in maintaining positive mental health for older adults. Social innovation has been shown to contribute to enhancing the meaning and purpose of daily life for nursing home residents [ 102 ]. In a recent study, the process of spiritual care was found to involve identifying the spiritual needs and resources of older adults in healthcare, understanding their specific requirements, developing a personalized spiritual care treatment plan, and engaging relevant healthcare and spiritual care professionals to facilitate personal connections with meaning-making agents [ 103 ].…”

Section: Maintainable Positive Mental Health In Late Lifementioning

confidence: 99%

Psychological resilience and competence: key promoters of successful aging and flourishing in late life

et al. 2023

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Many individuals, both in the public and within the field of psychology, often perceive aging as a burden that negatively impacts intellectual and mental health. Our present study aims to challenge this notion by identifying the crucial components of positive mental health in later life. These components not only promote positive mental health but also actively contribute to it, even under difficult circumstances. To accomplish this, we first offer a concise review of well-being and mental health models that highlight the psychological aspects of flourishing in late life. We then introduce a psychological competence-based model for positive mental health, which aligns with the concept of positive aging. Subsequently, we present a measurement tool suitable for practical applications. Finally, we provide a comprehensive overview of positive aging, drawing on methodological guidelines and existing research findings concerning sustainable positive mental health in later life. We examine the evidence indicating that psychological resilience (the capacity to adapt and recover from adversity or stress) and competence (skills and abilities to effectively cope with challenges across various life domains) significantly contribute to slowing down biological aging processes. Furthermore, we discuss insights into the relationship between psychological factors and aging derived from research on Blue Zones (regions characterized by a higher proportion of individuals experiencing longer, healthier lives).

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“…Although physical care used to be the most prominent focus, recently, there has been a shift toward a holistic view of the person and person-centered care, which requires seeing the whole person and their physical, psychological, spiritual, and social dimensions. There has been a change from more passive care to active care, with meaningful activities highlighted as important in long-term care (3). There have been multiple high-quality trials and systematic reviews that provide evidence for good practice in long-term residential institutions for older adults, referred to in many countries as nursing homes, also known as long-term CH, homes for the aged, rest homes, and residential aged care facilities (4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

The ecosystem of human capital in care homes

Kejžar,

Turunen

2024

Front. Public Health

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IntroductionThis qualitative study addresses the essential yet often overlooked experiences of knowledge transfer within care homes (CH). Conducted in a Slovenian CH in 2020 and 2023, participants, including CH management, staff, and residents with their relatives, shared perceptions of knowledge transfer at various levels. The study aims to explore barriers and facilitators for knowledge transfer crucial for creating new knowledge, services, and enhancing care quality for older individuals.MethodsStructured focus group interviews were conducted, and data were collected within the CH. The participants’ insights into knowledge transfer were probed, covering various dimensions such as between individuals, groups, organizations, and the community. Transcriptions of recorded interviews were analyzed using content analysis.ResultsKnowledge transfer within the CH was facilitated through continuous training, diverse communication channels, and mentoring. Collaboration with relatives improved understanding of resident preferences, habits, and overall enhanced the quality of care. This collaborative effort allowed mutual learning and knowledge transfer from the CH to the broader community. Despite potential benefits, there is an underutilization of information and communication technology, e-care, and untapped potential for partnerships, partly due to the scarcity of care. Barriers were identified in the form of stereotypical attitudes towards aging and care, further reinforced by negative news coverage on older people’s care.ConclusionThe multidimensional nature of knowledge in CH centers on resident well-being, emphasizing three key aspects of knowledge transfer: between staff and residents, staff and residents’ families, and between the CH and the community. In the context of age management, creating opportunities for knowledge transfer is crucial, emphasizing a transition from traditional institutional care to an approach prioritizing knowledge about quality care. and involving experts from experiences in care process.

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Social Innovation Toward a Meaningful Everyday Life for Nursing Home Residents: An Ethnographic Study

Cited by 6 publications

References 50 publications

Quality of life and nurse–patient interaction among NH residents: Loneliness is detrimental, while nurse–patient interaction is fundamental

Quality of life and nurse–patient interaction among NH residents: Loneliness is detrimental, while nurse–patient interaction is fundamental

Psychological resilience and competence: key promoters of successful aging and flourishing in late life

The ecosystem of human capital in care homes

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