Search results for ‘Subject term:"older people"’ Sort:
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Ineffective staff, ineffective supervision, or ineffective administration? Why some nursing homes fail to provide adequate care
- Authors:
- SHERIDAN John E., WHITE John, FAIRCHILD Thomas J.
- Journal article citation:
- Gerontologist, 32(3), 1992, pp.334-341.
- Publisher:
- Oxford University Press
Study of 530 nursing staff in 25 nursing homes looking at variations in attitudes to work and clients and organisational culture.
Improving nursing home care through training and job redesign
- Authors:
- SMYER M., BRANNON Diane, COHN Margaret
- Journal article citation:
- Gerontologist, 32(3), 1992, pp.327-333.
- Publisher:
- Oxford University Press
Results of a study under taken in nursing homes for elderly people designed to affect nursing assistants' performance. Found that their knowledge was increased but their performance was not improved. Discusses implications for policy practice and research.
Critics talking 'arrant nonsense'
- Author:
- CAMPBELL Diana
- Journal article citation:
- Caring Times, March 1997, p.6.
- Publisher:
- Hawker
Reports on how plans by health and social services in Cambridgeshire to delegate more nursing tasks to unqualified staff has prompted deep disquiet among some nursing home providers.
Gender and interactions between care staff and elderly nursing home residents and dementia
- Authors:
- LINDESAY James, SKEA Derek
- Journal article citation:
- International Journal of Geriatric Psychiatry, 12(3), March 1997, pp.344-348.
- Publisher:
- Wiley
Explores the relationship between gender and the interactions of care staff and elderly people with dementia in residential care. Findings suggest that gender may be a significant factor determining the rate of interactions between staff and residents in residential care, but further studies are required to confirm their generalizability across settings.
Dementia care mapping to support staff in the care of people with intellectual disability and dementia: a feasibility study
- Authors:
- SCHAAP Feija D., et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 31(6), 2018, pp.1071-1082.
- Publisher:
- Wiley
Background: The number of people with intellectual disability and dementia increases; this combination causes behavioural changes. Dementia Care Mapping (DCM) supports staff in dementia care in nursing homes and may be useful in intellectual disability‐care. This qualitative study examines the feasibility of DCM for older people with intellectual disability and dementia. Methods: The present authors obtained data in focus groups and interviews with professional users and analysed using a framework for feasibility studies. With experts in dementia and intellectual disability researches, the present authors determined the overall feasibility. Results: DCM was found to be feasible in intellectual disability‐care, regarding five domains of feasibility. Staff reported DCM to be useful and valuable and addresses to their demand for skills and knowledge. All professional users found DCM feasible in intellectual disability‐care, which was confirmed by experts. Conclusions: DCM is feasible in intellectual disability‐care. When fully tailored to intellectual disability‐care, DCM is useful and provides opportunities to assess its effectiveness. (Publisher abstract)
Barriers and facilitators in providing oral care to nursing home residents, from the perspective of care aides: a systematic review and meta-analysis
- Authors:
- HOBEN Matthias, et al
- Journal article citation:
- International Journal of Nursing Studies, 73, 2017, pp.34-51.
- Publisher:
- Elsevier
Background: Oral health of nursing home residents is generally poor, with severe consequences for residents’ general health and quality of life and for the health care system. Care aides in nursing homes provide up to 80% of direct care (including oral care) to residents, but providing oral care is often challenging. Interventions to improve oral care must tailor to identified barriers and facilitators to be effective. This review identifies and synthesizes the evidence on barriers and facilitators care aides perceive in providing oral care to nursing home residents. Methods: The authors systematically searched the databases MEDLINE, Embase, Evidence Based Reviews—Cochrane Central Register of Controlled Trials, CINAHL, and Web of Science. The contents of key journals, publications of key authors, and reference lists of all studies included were also hand searched. Qualitative and quantitative research studies that assessed barriers and facilitators, as perceived by care aides, to providing oral care to nursing home residents were included. Results: The review included 45 references that represent 41 unique studies: 15 cross-sectional studies, 13 qualitative studies, 7 mixed methods studies, 3 one-group pre-post studies, and 3 randomised controlled trials. Methodological quality was generally weak. Barriers and facilitators related to residents, their family members, care providers, organisation of care services, and social interactions were identified. Pooled estimates (95% confidence intervals) of barriers were: residents resisting care; care providers’ lack of knowledge, education or training in providing oral care; general difficulties in providing oral care; lack of time; general dislike of oral care; and lack of staff. Conclusions: The authors found a lack of robust evidence on barriers and facilitators that care aides perceive in providing oral care to nursing home residents, suggesting a need for robust research studies in this area. Effective strategies to overcome barriers and to increase facilitators in providing oral care are one of the most critical research gaps in the area of improving oral care for nursing home residents. Strategies to prevent or manage residents’ responsive behaviours and to improve care aides’ oral care knowledge are especially needed. (Edited publisher abstract)
Shaping nursing home mealtimes
- Authors:
- HARNETT Tove, JONSON Hakan
- Journal article citation:
- Ageing and Society, 37(4), 2017, pp.823-844.
- Publisher:
- Cambridge University Press
A number of studies stress the importance of positive mealtime experiences for nursing home residents. However, the components that comprise an ideal nursing home meal remain unclear, reflecting the ambiguity of whether nursing homes should be framed as institutions, domestic settings or a type of hotel. In this study, nursing home meals were viewed as situations that the involved parties could continuously modify and ‘work on’. The aim was to analyse how the staff and residents shaped mealtimes by initiating frames and acting according to established social scripts. The study was based on semi-structured interviews with staff and residents and on ethnographic data, consisting of 100 hours of observations at two nursing home settings in Sweden. The analysis revealed how staff and residents interactively shaped meals using institutional, private or restaurant frames. There were three important findings: (a) an institutional meal frame was dominant; (b) there were substantial difficulties in introducing private frames and established private scripts for meals, since such meal versions are personal and not easy to transport into collective settings; (c) successful creation of private or home-like meal situations illustrates an often overlooked skill in care work. Making meals as ‘care-free’ as possible can be viewed as a way to operationalise the goal of providing a non-institutional environment in nursing homes. (Publisher abstract)
Comparing nursing home assistive personnel in five countries
- Authors:
- LAXER Katherine, et al
- Journal article citation:
- Ageing International, 41(1), 2016, pp.62-78.
- Publisher:
- Springer
- Place of publication:
- New York
Assistive personnel are the primary caregivers in long-term residential care (LTRC) in industrialised countries. The authors' goal is to describe and compare the work-related characteristics of assistive personnel in LTRC in five countries (Canada, Germany, Norway, U.K., and U.S), which may reflect how various societies view their responsibility to ageing populations and the workers who care for them. OECD and national statistical databases are used to assess and compare the work context for assistive personnel. Analysis of the statistical data is informed by on-site observations in nursing homes with reputations for high quality, close readings of these organisations’ documents and records, and interviews with LTRC staff. Pay is generally low and the work required of assistive personnel is often demanding in all countries studied. While most assistive personnel have completed high school, formal certification requirements vary considerably. Professionalisation is increasing in Norway with its high school major in eldercare, and in Germany, which has a 2-year certificate programme. Financial compensation for assistive personnel in Norway and Canada is greater than in the other countries. Union membership for assistive personnel ranges from very high in Canada to negligible in the U.S. Some countries studied have training programs of only a few months duration to prepare assistive personnel for highly demanding jobs. However, in Germany and Norway, training aims to professionalise the work of assistive personnel for the benefit of workers, employers, and residents. There are high rates of part-time and/or casual work among assistive personnel, associated with reduced employment-related benefits, except in Germany and Norway, where these benefits are statutory for all. Data suggest that unionisation is protective for assistive personnel, however union coverage data were not available for all countries. The need to improve the qualifications and training of assistive personnel was observed to be a national priority everywhere except in the U.S. Compensation is relatively low in the U.K., the U.S. and Germany, despite the important jobs performed by assistive personnel. Finally, to improve future research, statistical mapping of this critical component of the labour force in LTRC should be a greater priority across high-income countries. (Edited publisher abstract)
The dark side of Norwegian nursing homes: factors influencing inadequate care
- Authors:
- MALMEDAL Wenche, HAMMERVOLD Randi, SAVERMAN Britt-Inger
- Journal article citation:
- Journal of Adult Protection, 16(3), 2014, pp.133-151.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to investigate factors that influence the probability that staff will commit acts of inadequate care, abuse, and neglect. Design/methodology/approach: A cross-sectional survey study was carried out in one county in the middle of Norway (Sør-Trøndelag). Random sampling, stratified by size of nursing homes, and location (rural or urban areas), was used to select a variety of nursing homes from a total population of 55 nursing homes. All staff working in 16 nursing homes working were asked to participate in the study. A response rate of 79 per cent was achieved (n=616). Findings: Findings reveal that location and size of the nursing home, age of the staff, education level, job satisfaction, resident aggression, and conflicts between residents and staff predict inadequate care, abuse, and neglect. The most consistent findings are that resident aggression increases the risk for all three types of inadequate care, and that conflicts predict different types of inadequate care depending on whether the conflicts are related to direct care-giving activities or not. Practical implications: Nursing home care is an important part of care for the elderly, and should be characterized by good-quality services. The relation between inadequate care and resident aggression, conflicts, and other factors shown in this study points to the relevance of further improvements in nursing home practices to minimize the occurrence of episodes of inadequate care, abuse, and neglect. Originality/value: This study investigated the relationships between 11 specific factors and different types of inadequate care in a nursing home context. (Publisher abstract)
A discourse of silence: professional carers reasoning about death and dying in nursing homes
- Authors:
- ÖSTERLIND Jane, et al
- Journal article citation:
- Ageing and Society, 31(4), May 2011, pp.529-544.
- Publisher:
- Cambridge University Press
In nursing homes, death and dying are a common reality for both the residents and the staff. How death and dying is articulated in such a context, and the actions that take place there, constitute a discourse in which staff interpret and understand their work. The aim of this study was to explore the discourse of death and dying in nursing homes from the perspective and understanding of the staff. The study draws on Foucault's discourse analysis. Five focus-group discussions were held with 28 staff from 4 different nursing homes in Sweden. The staff were asked to share their thoughts about and experiences of death, dying and end-of-life care of older people. The findings show that the discourse had 3 characteristics: dying was silent and silenced; emotions were pushed into the background; and attentiveness to death arose after the moment of the elderly person's death. The discourse was characterised by a movement between avoiding and confronting death, the main focus being on avoidance. The article concludes that an alternative way of thinking is possible, where life and death are intertwined and equally supported. One way to achieve this could be to instil the philosophy of palliative care in nursing homes, including training and support for the staff in their work.