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The transition of older people from their own residence to a care home: RCN principles
- Author:
- ROYAL COLLEGE OF NURSING
- Publisher:
- Royal College of Nursing
- Publication year:
- 2018
- Pagination:
- 12
- Place of publication:
- London
The transition from a person‘s own home to a care home is often emotional for both the individual as well as their family and friends. This practice guidance developed to help nurses working with people living in the community and nursing staff in care homes to support people who are moving from their own home into a care home. The guide outlines principles for both nurses and organisations and employers to support a person-centred transition. It includes links to supplementary resources to support each principle. The principles have developed by nursing experts, with contributions from representatives of resident groups, and are based on current evidence-based literature and best practice. (Edited publisher abstract)
Additional outputs from the pilot: tweet chats, vision statement and education and development framework
- Author:
- INTERNATIONAL LONGEVITY CENTRE UK
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2017
- Pagination:
- 8
- Place of publication:
- London
This report contains three outputs from the Teaching Care Home pilot, which developed a Teaching Care Home model with five care homes across England to support them to become centres of excellence in providing person centred care through staff empowerment, education and training. The report presents a summary of two tweet chats with leaders in the care home sector on what a vision of a Teaching Care Home should be; the projects final Teaching Care Home Vision Statement, which was informed by the tweet chats and roundtable discussions; and a framework to deliver education and development in care homes, produced by Manchester Metropolitan University. (Edited publisher abstract)
Maximising independence: the role of the nurse in supporting the rehabilitation of older people
- Author:
- ROYAL COLLEGE OF NURSING
- Publisher:
- Royal College of Nursing
- Publication year:
- 2012
- Pagination:
- 10p.
- Place of publication:
- London
This publication reflects current trends and research in relation to the rehabilitation of older people. It aims to clarify the role of the nurse in rehabilitation and to offer some thoughts on issues which nurses should consider when working in practice. Promoting independence for older people is a key theme in current health and social care policy and has led to an increased focus on rehabilitation services. The aim of rehabilitation is to maximise the older person’s role fulfilment and independence in their chosen environment. The role of the nurse is to be there, offer personal support and practice expertise, but always to enable the person to follow their own path. Nurses may sometimes be viewed as the coordinator of the interdisciplinary team involved in rehabilitation. The nurse is usually the person who comes most frequently into contact with the person, and is able to offer continuity of care. Their role covers 4 different types of functions: supportive (providing psychosocial and emotional support); restorative (maximising independence and functional ability); educative (teaching self-care); and life enhancing (such as relieving pain and ensuring adequate nutrition).
Assessing older people with complex care needs using EASY-Care, a pre-defined assessment tool
- Authors:
- LAMBERT Susan, et al
- Journal article citation:
- Research Policy and Planning, 25(1), 2007, pp.43-56.
- Publisher:
- Social Services Research Group
Nurse assessors undertook assessments of 119 older people living in a care home setting or awaiting discharge from hospital. Older people who had been assessed also completed questionnaires to evaluate use of the tool. Assessors took part in semi-structured focus groups or interviews. The results suggest that EASY-Care was considered in general to be useful in exploring needs and acceptable to both assessors and older people. Assessors thought it was person-centred in that open-ended questions allowed people to describe their circumstances in their own words. Some assessors were less comfortable with the open-ended questioning approach and felt it made collection information difficult and was likely to cause confusion. One the whole, use of the tool was considered to facilitate rapport. However, some questions provoked anxiety and assessors needed to use their professional judgement to identify non-verbal cues of anxiety in order to achieve a person-centred assessment. Professional training and skills were essential to identify non-verbal cues of distress and to moderate potentially difficult situations where older people became upset during assessment.
An introduction to the 'Teaching Care Home' pilot
- Author:
- INTERNATIONAL LONGEVITY CENTRE UK
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2017
- Pagination:
- 14
- Place of publication:
- London
An overview of the Department of Health funded Teaching Care Home pilot, a nurse-led pilot to improve the learning environment for staff working in care homes. The pilot supported five care homes to become centres of excellence in person-centred care with learning at the centre of practice. This overview includes details of the draft Teaching Care Home Vision Statement developed by the five care homes; aims and objectives of the pilot; the key principles and the partners involved. It also summarises the individual focus of the work at each of the five care homes involved, which are: improved hospital admissions and discharge for older people; improved nutrition of residents; addressing the shortage of registered nurses by improving language ability of non-UK nurses; reflective practice across the whole workforce; and raining, development and communication of workforce. Details of outcomes, key learning and challenges identified are included for each. (Edited publisher abstract)
Dementia communication using empathetic curiosity
- Author:
- McEVOY Phil
- Journal article citation:
- Nursing Times, 110(24), 2014, pp.12-15.
- Publisher:
- Nursing Times
Communication skills training materials in dementia care usually focus on reminiscence. This is important because talking about past events can help people with dementia retain their sense of self. This article examines the use of an alternative set of communication skills known as empathetic curiosity, which may help to promote meaningful communication in the here and now with people who are living with dementia.
The senses framework: improving care for older people through a relationship-centred approach
- Authors:
- NOALN Mike, et al
- Publisher:
- University of Sheffield. School of Nursing and Midwifery
- Publication year:
- 2006
- Pagination:
- 152p., bibliog.
- Place of publication:
- Sheffield
This report, focussing on improving the care of older people, is the second in an occasional series Getting Research into Practice. It draws mainly on the results of a longitudinal study commissioned by the English National Board for Nursing, Midwifery and Health Visiting referred to as AGEIN (Advancing Gerontological Education in Nursing) with particular emphasis on factors influencing students’ perceptions of work with older people. The authors describe the evolution of a framework for practice developed in close collaboration with older people themselves, family carers, practitioners and students. The use of this framework within a relationship-centred approach to care is outlined. The authors suggests that this can provide a better way of “enriching” the care older people receive, while also paying attention to the needs of their families and paid carers. Although most of the work focussed on the nursing role, is hoped that the result will also be relevant to a practitioners across the whole field of health and social care. The report is partly about how individual practitioners can provide the best possible care but it is also based on a whole-systems approach in which all agencies work closely together. It is argued that rather than the present focus on person-centred care, relationship-centred care provides a more appropriate value base for work with older people and their families.
Measurement and analysis of individualized care inventory responses comparing long-term care nurses and care aides
- Authors:
- O'ROURKE Norm, CHAPPELL Neena L.
- Journal article citation:
- Gerontologist, 49(6), December 2010, pp.839-846.
- Publisher:
- Oxford University Press
This study examines the structure of responses to the individualized care inventory (ICI), a 34-item scale with responses provided along a 4-point Likert scale. Samples of 242 nurses and 326 care assistants were recruited from 54 LTC facilities in 3 of 5 British Columbia health authorities. Baseline confirmatory factor analytic (CFA) models were computed separately for nurses and care assistants; invariance analyses were next undertaken to compare these CFA models. For both nurses and care assistants, support was found for a 4-factor model of ICI responses mapping onto a higher order individualized care (IC) construct. This model was largely equivalent between formal caregiver groups, although the relative contribution of certain first-order factors differed between the two. Of further note, both groups appear to interpret and respond to 31 of 35 ICI items in a similar manner. The results of this study provide further support for the psychometric properties of ICI responses. Although further research is required, the ICI appears to be an appropriate self-report measure.