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Need support and wellbeing during morning care activities: an observational study on resident–staff interaction in nursing homes
- Authors:
- CUSTERS Annette F. J., et al
- Journal article citation:
- Ageing and Society, 31(8), November 2011, pp.1425-1442.
- Publisher:
- Cambridge University Press
One of the main influences on residents' wellbeing and quality of life in nursing homes is the interaction with professional carers. This study investigated to what extent care-givers support the residents' needs of relatedness, autonomy and competence, and how this need support is related to wellbeing. Participants included residents and professional carers of four nursing homes in the Netherlands. Three video-observations of each resident with different cares were made during morning care. Additional data were collected by means of questionnaires. Findings revealed that the needs of residents were mostly fulfilled during care interactions. More support by carers was related to better resident wellbeing. Carers provided more support to residents with stronger functional impairments, and more support was provided by higher-educated carers and carers in higher job functions. The results highlighted the importance of need support for wellbeing, but the contribution to the general subjective wellbeing of residents remained unclear.
Need fulfillment in caring relationships: its relation with well-being of residents in somatic nursing homes
- Authors:
- CUSTERS Annette F. J., et al
- Journal article citation:
- Aging and Mental Health, 14(6), August 2010, pp.731-739.
- Publisher:
- Taylor and Francis
Based on self-determination theory, this he study investigated the contribution of need fulfilment in the caring relationship to residents' subjective well-being. A total of 88 residents aged 50 years and over in Dutch nursing homes for physical illness participated in the study. Data was collected using questionnaires completed in interviews with research assistants. The results indicated that need fulfilment in the caring relationship was related to lower levels of depressive feelings and more life satisfaction. The results suggest that high quality caring relationships contribute to the need fulfilment of residents and their well-being, and that the quality of caring relationships is therefore an important topic for further research.
Group living homes for older people with dementia: the effects on psychological distress of informal caregivers
- Authors:
- te BOEKHORST Selma, et al
- Journal article citation:
- Aging and Mental Health, 12(6), November 2008, pp.761-768.
- Publisher:
- Taylor and Francis
The aim of this study was to investigate the effects of group living care for people with dementia on the psychological distress of informal caregivers, compared with regular nursing home care. This study had a quasi-experimental design with two measurements. 67 primary informal caregivers in 19 group living homes and 99 primary informal caregivers in seven regular nursing homes in the Netherlands filled in a questionnaire upon admission (baseline measurement) of their relative and six months later (effect measurement). Linear and logistic regression analyses were performed on three outcomes of psychological distress - psychopathology, caregiving competence and caregiver burden. There were no significant differences in caregiver competence and caregiver burden between informal caregivers of residents in group living homes and those in regular nursing homes, although there was a trend towards less psychopathology in group living homes after adjustment for confounding. Informal caregivers of residents in group living homes do not have less psychological distress than informal caregivers of residents in regular nursing homes. Although there was a trend towards less psychopathology in informal caregivers of group living homes, the amount of symptoms remained very high in both caregiver groups. This means that the psychological well-being of caregivers deserves the continuing attention of health care providers, also after admittance of their relative in a nursing home facility.
Just chatting?
- Author:
- HINDS Anna
- Journal article citation:
- Community Care, 27.2.03, 2003, p.40.
- Publisher:
- Reed Business Information
Reports on the Growing Older Programme, funded by the ESRC, which investigated the benefits of conversation and reminiscence can have for older people.
The impact of cognitive impairment, functional impairment, and behavior disorders on affective disorder among older black nursing home residents
- Authors:
- LYONS Beverly P., et al
- Journal article citation:
- Journal of Social Work in Long-Term Care, 1(4), 2002, pp.55-71.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This American study uses path analysis to examine the impact of cognitive impairment, functional impairment, and behavior disorder on affective disorder among a probability sample of 181 black and ethnic minority nursing home residents from New York State. The Institutional Comprehensive Assessment and Referral Evaluation screening measure was used. Results suggest that functional and cognitive impairments are highly related to affective disorder, however, there is a complex indirect relationship between disease state, impairment and affective disorder. Implications are discussed in terms of social work practice.
An overview of behaviour difficulties found in long-term elderly care settings
- Authors:
- JACKSON Graham Alan, TEMPLETON Gavin James, WHYTE Jennifer
- Journal article citation:
- International Journal of Geriatric Psychiatry, 14(6), June 1999, pp.426-430.
- Publisher:
- Wiley
Presents research which aims to provide an understanding of the nature and prevalence of behaviour difficulties in long-term care facilities, to compare care settings and comment on the appropriateness of the need for specialist care. Results found NHS and nursing home long-term care facilities show similar behaviour difficulties, with nursing home experiencing more behavioural manifestations. Concludes that more prospective research is required into the antecedents, effects and treatments of patients and behaviour difficulties in nursing homes.
Hospital discharge into nursing home care: psychological reactions and contributing factors
- Authors:
- ESPEJO A., GOUDIE F., TURPIN G.
- Journal article citation:
- Aging and Mental Health, 3(1), February 1999, pp.69-78.
- Publisher:
- Taylor and Francis
Two groups of older people were investigated within a hospital setting, a 'care' group to be discharged into nursing home care and a 'home' group discharged into their own home to find out how they reacted to the differing discharge situations.
Depression and frailty: concurrent risks for adverse health outcomes
- Authors:
- LOHMAN Matthew C., MEZUK Briana, DUMENCI Levent
- Journal article citation:
- Aging and Mental Health, 21(4), 2017, pp.399-408.
- Publisher:
- Taylor and Francis
Objectives: This study used latent growth curve modeling (LGCM) to estimate the independent and joint associations between frailty and depression trajectories and likelihood of nursing home admission and falls resulting in injury. Methods: Data come from five waves (2004–2012) of the Health and Retirement Study. Community-dwelling individuals aged 51 and older (N = 13,495) were analyzed using LGCM. Frailty was measured using a frailty index consisting of 30 deficits. Depressive symptoms were measured using the eight-item Centers for Epidemiologic Studies – Depression scale. Adverse health outcomes included nursing home admissions and falls resulting in injury. Results: Prevalence of frailty increased over the study period (24.1%–32.1%), while the prevalence of depression was relatively constant over time (approximately 13%). Parallel process LGCM showed that more rapid increases of frailty and depressive symptoms were associated with higher odds of both nursing home admission and serious falls over time (Frailty: ORNursing home = 1.33, 95% CI: 1.09–1.66; ORFall = 1.52, 95% CI: 1.12–2.08; Depression: ORNursing home = 3.63, 95% CI: 1.29–9.97; ORFall = 1.16, 95% CI: 1.01–1.34). Associations between frailty and adverse outcomes were attenuated, and in some cases were no longer statistically significant, after accounting for concurrent depression. Conclusion: Frailty trajectories may be important indicators of risk for nursing home admissions and falls, independent of baseline frailty status; however, concurrent depression trajectories are associated with adverse outcomes to a similar degree as frailty. Focus should be given to distilling elements of the frailty index which confer most risk for poor health outcomes. (Publisher abstract)
Family support in nursing homes serving residents with a mental health history
- Authors:
- FRAHM Kathryn, et al
- Journal article citation:
- Journal of Family Social Work, 13(5), October 2010, pp.435-450.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Using 2003 nursing home data from the US Minimum Data Set (MDS) database, this study investigated the role of family involvement among nursing homes serving residents with a mental health history. Exploratory factor analysis was used to create and test a conceptual model of family support using indicators located within the MDS database. The study sample comprised 9,809 residents, aged 65 to 101 years, who had a history of mental illness with no history of mental retardation or developmental disability and who did not have a diagnosis of Alzheimer’s disease or other dementia. Family support was measured using seven indicators from the MDS database: daily contact with family/close friends; harmonious relationship with family/friends; ongoing relationship with family/friends; family participates in assessment; significant other participates in assessment; supportive person towards discharge; and family responsible for individual. Families were found to be in regular contact with their relatives and supportive of their care. In these nursing home residents, daily contact, an ongoing relationship, involvement in assessment, and being responsible for the resident constituted the model family support. Implications for practice are discussed.
The effects of a physical activity programme on the psychological wellbeing of older people in a residential care facility: an experimental study
- Authors:
- CIAIRANO Silva, LIUBICICH Monica Emma, RABAGLIETTI Emanuela
- Journal article citation:
- Ageing and Society, 30(4), May 2010, pp.609-626.
- Publisher:
- Cambridge University Press
This study analyses the physical and psychological benefits associated with physical exercise sessions given by 6 specially trained instructors on older people living in a northern Italian residential care home. Previous research, mostly focusing on older people living independently suggests that physical exercise (formal or e.g. gardening or housekeeping) may minimise or reverse physical frailty and spontaneously boost basic activities such as unassisted dressing and washing, while formal physical exercise programmes in nursing home residents decreased depression and anxiety levels and increased cognitive functioning. The effects of such aerobic activity interventions on the residents’ general health perceptions, perceptions that health limits moderate to heavy physical exercise, and positive and negative self-perceptions were assessed. Twenty two, mixed gender, self-sufficient, older people (10 control, 12 test - given two 45 minute sessions for 13 weeks over 5 months) of average age 80.6 years, completed the Italian version of the 36-item Short Form Health Survey Questionnaire, pre and post-test. The findings showed that the perception that one’s health can limit moderate to heavy physical activity decreased post intervention in the test group while it increased in the control group, positive self-perception remained stable in the test group but it was reduced in the control group and that there was no interaction between group and time with respect to general health perceptions and negative self-perception.