Search results for ‘Subject term:"meal services"’ Sort:
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Experiences and needs of home caregivers for enteral nutrition: a systematic review of qualitative research
- Authors:
- MOU Jingjing, et al
- Journal article citation:
- Nursing Open, early cite 17 July 2021,
- Publisher:
- Wiley
Aims: To systematically identify, evaluate and synthesize the qualitative evidence on enteral nutrition of home caregivers. Design: A qualitative evidence synthesis using the Sandelowski and Barroso methodology. Data Sources: This study reviewed articles from eight databases: CINAHL, Embase, PubMed, Web of Science, Cochrane, CNKI, Wanfang Data and CSTJ. Qualitative, peer-reviewed, original studies published in English or Chinese before April 2020 on home caregivers’ experience and needs for enteral nutrition were included. The studies were selected by screening titles, abstracts and full texts, and the quality of each study was assessed by two researchers independently. Review methods: Two researchers independently used qualitative assessment and review tools for quality assessment and thematic synthesis for data analysis. Results: This review included 10 articles. The themes identified included balance the enteral nutrition, the experiences and feelings in practice and the recommendations to meet challenge. Conclusion: Home caregivers reported that they played an important role and faced greater pressure. Future studies should establish a systematic and standardized follow-up schedule to improve home caregivers’ physical and mental health. Impact: The findings established that home caregivers experienced not only changes in their roles and concerns but also spiritual changes. Home caregivers develop different coping strategies to adapt to enteral nutrition without standardized training and support. Although home caregivers make much account of enteral nutrition and feeding issues, they lack of information and support services. Understanding existing problems from a caregiver's perspective can allow interventions to be more clearly developed and well-established training standards established in the future. (Edited publisher abstract)
Association between unmet needs for community services and caregiving strain
- Authors:
- LI Hong, CHADIHA Letha A., MORROW-HOWELL Nancy
- Journal article citation:
- Families in Society, 86(1), January 2005, pp.55-62.
- Publisher:
- The Alliance for Children and Families
This study describes informal caregivers’ unmet needs for community services and investigates the association between unmet needs and caregiving strain. The data used in this study were extracted from the Family Caregiving in the U.S. Survey and included 463 caregivers caring for an older adult who received community services. Among these caregivers, over one-third reported that the community services used by the care receivers did not meet their needs. Findings indicated informal caregivers who reported unmet needs were more likely to experience higher levels of emotional strain than those who did not report unmet needs after potential confounding factors were controlled for. However, the relationship between unmet needs and physical strain was marginally significant.
Development and psychometric testing of the mealtime engagement scale in direct care providers of nursing home residents with dementia
- Authors:
- LIU Wen, et al
- Journal article citation:
- Gerontologist, 61(8), 2021, pp.e410-e420.
- Publisher:
- Oxford University Press
Background and Objectives: Mealtime engagement is defined as verbal and nonverbal assistance provided by caregivers to guide and motivate care recipients in eating. Quality mealtime engagement is critical to improve mealtime difficulties and intake among older adults with dementia requiring eating assistance. Few tools are feasible and valid to measure mealtime engagement. This study developed and tested the Mealtime Engagement Scale (MES). Research Design and Methods: Items were developed based on literature review and expert review and finalized based on content validity and corrected item-total correlation. A secondary analysis of 87 videotaped observations capturing 18 nursing home staff providing mealtime care to residents with dementia was conducted. Internal consistency, interrater reliability, and intrarater reliability were assessed. Concurrent and convergent validity were examined through correlation (rs) with the Relational Behavior Scale (RBS) and the Mealtime Relational Care Checklist (M-RCC), respectively. Results: The 18-item MES was developed with adequate content validity (Scale-content validity index [CVI] = 1.00; Scale-CVI/Average = 0.962–0.987). Each item is scored from 0 (never) to 3 (always). The total scale score ranges from 0 to 54. Higher scores indicate greater mealtime engagement. The MES had very good internal consistency (Cronbach’s α = 0.837), outstanding interrater reliability (interclass correlation = 0.920), outstanding intrarater reliability (interclass correlation = 0.956), adequate concurrent validity based on strong correlation with the RBS (rs = 0.821, p < .001), and fair convergent validity based on weak correlation with the M-RCC (rs = 0.219, p = .042). Discussion and Implications: Findings provide preliminary psychometric evidence of MES to measure mealtime engagement. Future testing is needed among more and diverse samples in different care settings to accumulate psychometric evidence. (Edited publisher abstract)
A new appetite for life: a report of policy and practice around food and mealtimes in care homes for older people
- Authors:
- GEORGE Mike, LENNARD Linda
- Publisher:
- Counsel and Care
- Publication year:
- 2007
- Pagination:
- 38p., bibliog.
- Place of publication:
- London
A New Appetite for Life, written by Mike George and Linda Lennard with a foreword from Baroness Sally Greengross, Chief Executive of the International Longevity Centre UK, is a new policy and practice report that looks at good practice around food and mealtimes in care homes. The report sets out the importance of food and nutrition for care home residents and makes recommendations to government, including a call for a consultation and amendment to the National Minimum Standards that ensures that benchmarks are set on food and hydration in care homes.
People aged 65 and over: results of a study carried out on behalf of the Department of Health as part of the 2001 general household survey
- Authors:
- TRAYNOR Joe, WALKER Alison, GREAT BRITAIN. Office for National Statistics
- Publisher:
- Stationery Office
- Publication year:
- 2003
- Pagination:
- 104p., tables.
- Place of publication:
- London
In 2001, 37 per cent of people aged 65 and over lived alone, according to detailed results from the 2001 General Household Survey (GHS) about people aged 65 and over . Five per cent of elderly people lived in sheltered accommodation with a resident warden and three per cent without a resident warden (elderly people in communal establishments were excluded from the survey). In all, 60 per cent of elderly people said they had a longstanding illness; 41per cent said this limited their activities in some way, while 19 per cent said it did not. Among people aged 65 and over, 14 per cent were unable to walk down the road on their own and 10 per cent were unable to manage stairs and steps. One in twenty elderly people said they were unable to cook a main meal by themselves. Among elderly people who received help with mobility, 58 per cent received help from a spouse or partner, 20 per cent from other household members, eight per cent from a relative who was not living in the household and four per cent from NHS or personal social services. Over half of elderly respondents (52 per cent) reported seeing a doctor or GP at their surgery in the last three months.
A faith-based intergenerational health and wellness program
- Authors:
- DUQUIN Mary, et al
- Journal article citation:
- Journal of Intergenerational Relationships, 2(3/4), 2004, pp.105-118.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia
The purpose of this programme was to create an intergenerational, faith-based health and wellness programme for kinship caregivers and their families (i.e., grandparents and other relatives who are raising children and their children's children). The programme took place over a 12-week period in a faith-based setting and focused on education in (a) Health, Exercise, Nutrition and Stress Management; (b) Parenting Education; and (c) Religious Practices (such as worship, scripture, and prayer). Each week's session included lunch, which modeled a healthy, easy to prepare, and cost-effective meal. Both quantitative and qualitative measurement techniques were employed. The number of participants completing both pre and post-tests was small and therefore not valid for statistical tests of significance. Nonetheless, the quantitative findings of the scales viewed in combination with the qualitative findings of the focus groups, participant observation and interviews provide some helpful indicators of the programme's outcomes and effectiveness. Participants in the health and wellness programme reported that they became more aware of resources in the community, used nutritional information provided, noticed positive changes in the home, felt a feeling of connectedness with others in the program, used new stress management techniques, gained a greater understanding of their grandchildren and appreciated the social support the programme provided. The experience of providing a faith-based intergenerational health and wellness programme was rewarding for caregivers, children and staff. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
The purchaser/provider partnership: developing the mixed economy in Wigan
- Author:
- WALKER Bernard
- Journal article citation:
- Community Care Management and Planning, 4(3), June 1996, pp.87-93.
- Publisher:
- Pavillion
Presents an historical perspective on the approach adopted by Wigan Social Services Department to the development of a mixed economy of care following the NHS and Community Care Act, 1990. It highlights in particular the opportunities provided by the Special Transitional Grant, and how these were taken in the borough. Details are given of service innovations in residential and nursing home care, meals on wheels, services for carers and learning disability services.