“Such Trivial Matters:” How staff account for restrictions of residents' influence in nursing homes

Persson, Tove; Wästerfors, David

doi:10.1016/j.jaging.2007.09.005

Cited by 77 publications

(57 citation statements)

References 32 publications

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“…This can be explained, at least in part, by the fact that they have been developed within a medical model, resembling hospitals rather than a home (Hauge & Heggen, 2007). Care is provided as efficiently as possible to accommodate large numbers of people, and so nursing homes typically lack certain core qualities of home such as control, autonomy, choice, privacy and self-determination (Cooney, 2012;Custers, Westerhof, Kuin, Gerritsen, & Riksen-Walraven, 2012;Granbom et al, 2014;Kasser & Ryan, 1999;Persson & Wasterfors, 2009;Stabell, Eide, Solheim, Solberg, & Rustoen, 2004). As a result, it is difficult for many older adults to make themselves 'at home' in a nursing home (Granbom et al, 2014;Shin, 2014).…”

Section: Introductionmentioning

confidence: 99%

Experiences of home and institution in a secured nursing home ward in the Netherlands: A participatory intervention study

Klaassens

Meijering

2015

Journal of Aging Studies

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Nursing homes have been criticised for not providing a home for their residents. This article aims to provide insight into (1) the features of home and institution as experienced by residents and caregivers of a secured ward in a nursing home, and (2) how interventions implemented on the ward can contribute to a more home-like environment. For this purpose, a participatory intervention study, involving both caregivers and residents, was carried out. We collected data through qualitative research methods: observations, in-depth interviews and diaries to evaluate the interventions over time. We adopted an informed grounded theory approach, and used conceptualisations of total institutions and home as a theoretical lens. We found that the studied ward had strong characteristics of a total institution, such as batch living, block treatment and limited privacy. To increase the sense of home, interventions were formulated and implemented by the caregivers to increase the residents' autonomy, control and privacy. In this process, caregivers' perceptions and attitudes towards the provision of care shifted from task-oriented to person-centred care. We conclude that it is possible to increase the home-like character of a secured ward by introducing core values of home by means of interventions involving both caregivers and residents.

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Section: Introductionmentioning

confidence: 99%

Experiences of home and institution in a secured nursing home ward in the Netherlands: A participatory intervention study

Klaassens

Meijering

2015

Journal of Aging Studies

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“…De äldre ansågs inte orka mer än vardagsaktiviteter i begränsad omfattning, något som dock observationerna inte alltid tydde på. Denna motsägelsefullhet kan kännas igen från tidigare forskning där Persson & Wästerfors (2009) beskrivit hur personal poängterar de äldres självbestämmande, samtidigt som samma personal pekar på att det finns rutiner som måste följas, vilket får till följd att de äldre inte tillåts bestäm-ma helt själva. Genom att inte möjliggöra för de äldre att delta i dessa aktiviteter innebär det att omvårdnadspersonalen begränsar delaktigheten i vardagsaktiviteter.…”

Section: Diskussionunclassified

“…Persson & Wästerfors (2009) har visat att de individuella planerna inte alltid efterföljs då förekomsten av rutiner, schemaläggning och frågor om bemanning prioriteras. Rutinerna inom äldreomsorgen kan visserligen behövas för att systematisera arbetet (Gubrium & Wallace, 1990), men det kan finnas en tendens till att praktiska sysslor som styrs av fasta rutiner ges företräde framför de äldres behov och önskemål (jämför Goffman, 1973).…”

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Fysisk aktivitet för äldre på särskilda boenden

Träff¹,

Cedersund²,

Abramsson³

2018

TFO

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“…Although nursing home residents are often highly dependent on assistance with basic activities in daily living, they still have little or no influence on the actual delivery of health care (Simmons et al, 2011;Persson and Wasterfors, 2009). Because very little research has been undertaken on task scheduling in nursing homes, scheduling in practice is still done manually without explicitly taking into account the time preferences of the residents.…”

Section: Research In Nursing Homesmentioning

confidence: 99%

Task scheduling in long-term care facilities: A client-centered approach

Lieder

Moeke

Koole

et al. 2015

Operations Research for Health Care

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In this study, we analyze a task scheduling problem with small time windows and care workers with different levels of qualification in a nursing home. A set of care tasks has to be assigned to a given number of care workers, so that the total earliness and tardiness from the nursing home residents' preferred time is minimized.To optimally solve this scheduling problem, we formulate a mixed integer program (MIP) and develop a dynamic programming (DP) approach. The numerical analysis shows the reliability of this optimization approach as well as of a heuristic DP approach. A sensitivity analysis with real-world demand data shows the impact of hierarchical qualification levels and large-scale scheduling.

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“Such Trivial Matters:” How staff account for restrictions of residents' influence in nursing homes

Cited by 77 publications

References 32 publications

Experiences of home and institution in a secured nursing home ward in the Netherlands: A participatory intervention study

Experiences of home and institution in a secured nursing home ward in the Netherlands: A participatory intervention study

Fysisk aktivitet för äldre på särskilda boenden

Task scheduling in long-term care facilities: A client-centered approach

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