Studying feasibility and effects of a two-stage nursing staff training in residential geriatric care using a 30 month mixed-methods design [ISRCTN24344776]

Abstract

BackgroundTransfer techniques and lifting weights often cause back pain and disorders for nurses in geriatric care. The Kinaesthetics care conception claims to be an alternative, yielding benefits for nurses as well as for clients.Starting a multi-step research program on the effects of Kinaesthetics, we assess the feasibility of a two-stage nursing staff training and a pre-post research design. Using quantitative and qualitative success criteria, we address mobilisation from the bed to a chair and backwards, walking with aid and positioning in bed on the staff level as well as on the resident level. In addition, effect estimates should help to decide on and to prepare a controlled trial.Methods/DesignStandard basic and advanced Kinaesthetics courses (each comprising four subsequent days and an additional counselling day during the following four months) are offered to n = 36 out of 60 nurses in a residential geriatric care home, who are in charge of 76 residents. N = 22 residents needing movement support are participating to this study.On the staff level, measurements include focus group discussions, questionnaires, physical strain self-assessment (Borg scale), video recordings and external observation of patient assistance skills using a specialised instrument (SOPMAS). Questionnaires used on the resident level include safety, comfort, pain, and level of own participation during mobilisation. A functional mobility profile is assessed using a specialised test procedure (MOTPA).Measurements will take place at baseline (T0), after basic training (T1), and after the advanced course (T2). Follow-up focus groups will be offered at T1 and 10 months later (T3).DiscussionTen criteria for feasibility success are established before the trial, assigned to resources (missing data), processes (drop-out of nurses and residents) and science (minimum effects) criteria. This will help to make rational decision on entering the next stage of the research program.Trial RegistrationCurrent Controlled Trials ISRCTN24344776.

Nurses' experiences with the implementation of the Kinaesthetics movement competence training into elderly nursing care: a qualitative focus group study

“…This qualitative study is part of a larger 30‐month mixed methods intervention study with pretest and post‐test design aimed at investigating the benefits of Kinaesthetics training for nursing staff and residents of a mainstream Swiss nursing home . This qualitative part of the mixed methods study aims to examine nurses' experiences with regard to the implementation of Kinaesthetics movement competence training in a nursing home.…”

Deliberately Light Interpersonal Touch as an Aid to Balance Control in Neurologic Conditions

“…This finding has clinical implications as a HCP might support a patient through light touch at arm, shoulder or on the back. Indeed, specific nursing concepts have incorporated light tactile support to facilitate patients' sensorimotor performance (e.g., Hatch, & Maietta, 2003; see also Betschon, Brach, & Hantikainen, 2011). Nevertheless, empirical evidence in favor of specific manual handling techniques and quantitative assessments of changes in patients' balance control during the provision of interpersonal contact is not provided.…”