Loneliness experience among cognitively-intact nursing home residents in Singapore – an exploratory mixed methods study

IntroductionNursing home residents typically have greater needs for medical care than community-dwelling elderly. However, restricted cognitive abilities and limited mobility may impede their access to general practitioners and medical specialists. The provision of medical care in nursing homes may therefore be inappropriate in some areas of medical care. The purpose of this mixed-methods study is to systematically assess, evaluate and explain met and unmet medical care needs in German nursing homes and to develop solutions where medical care is found to be inappropriate.Methods and analysisFirst, statutory health insurance claims data are analysed to identify differences in the utilisation of medical care between nursing home residents and community-dwelling elderly with and without need for long-term care. Second, the health status and medical care of 500 nursing home residents are assessed and evaluated to quantify met and unmet medical care needs. Third, qualitative expert interviews and case conferences and, fourth, quantitative analyses of linked data are used to provide structural, case-specific and generalisable explanations of inappropriate medical care among nursing home residents. Fifth, a modified Delphi study is employed to develop pilot projects aiming to improve medical care in nursing homes.Ethics and disseminationThis study was approved by the Ethics Committee of the University of Bremen on 23 November 2017. Research findings are disseminated through presentations at national and international conferences and publications in peer-reviewed scientific journals.Trial registration numberDRKS00012383.

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Bowel problem management among nursing home residents: a mixed methods study

BMC Nursing ◽

10.1186/s12912-014-0035-9 ◽

2014 ◽

Vol 13 (1) ◽

Cited By ~ 11

Author(s):

Susan Saga ◽

Arnfinn Seim ◽

Siv Mørkved ◽

Christine Norton ◽

Anne Guttormsen Vinsnes

Keyword(s):

Nursing Home ◽

Mixed Methods ◽

Nursing Home Residents ◽

Mixed Methods Study ◽

Problem Management

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A MIXED METHODS STUDY OF HOW NURSING HOME RESIDENTS VIEW THEIR SOCIAL RELATIONSHIPS AND INTERACTIONS

Innovation in Aging ◽

10.1093/geroni/igx004.869 ◽

2017 ◽

Vol 1 (suppl_1) ◽

pp. 234-234

Author(s):

A.M. Washburn ◽

S. Williams

Keyword(s):

Nursing Home ◽

Mixed Methods ◽

Social Relationships ◽

Nursing Home Residents ◽

Mixed Methods Study

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Inter-organisational collaboration in palliative care trajectories for nursing home residents: A nation-wide mixed methods study among key persons

International Journal of Care Coordination ◽

10.1177/2053434519857352 ◽

2019 ◽

Vol 22 (2) ◽

pp. 69-80 ◽

Cited By ~ 1

Author(s):

Sofie Hermans ◽

Aline Sevenants ◽

Anja Declercq ◽

Nady V Broeck ◽

Luc Deliens ◽

...

Keyword(s):

Palliative Care ◽

Nursing Home ◽

Mixed Methods ◽

Focus Group ◽

Home Care ◽

Residential Care ◽

Nursing Home Residents ◽

Mixed Methods Study ◽

Focus Group Interviews ◽

Group Interviews

Introduction Multiple care organisations, such as home care services, nursing homes and hospitals, are responsible for providing an appropriate response to the palliative care needs of older people admitted into long-term care facilities. Integrated palliative care aims to provide seamless and continuous care. A possible organisational strategy to help realise integrated palliative care for this population is to create a network in which these organisations collaborate. The aim is to analyse the collaboration processes of the various organisations involved in providing palliative care to nursing home residents. Method A sequential mixed-methods study, including a survey sent to 502 participants to evaluate the collaboration between home and residential care, and between hospital and residential care, and additionally three focus group interviews involving a purposive selection among the survey participants. Participants are key persons from the nursing homes, hospitals and home care organisations that are part of the 15 Flemish palliative care networks dispersed throughout the region of Flanders, Belgium. Results Survey data were gathered from 308 key persons (response rate: 61%), and 16 people participated in three focus group interviews. Interpersonal dimensions of collaboration are rated higher than structural dimensions. This effect is statistically significant. Qualitative analyses identified guidelines, education, and information-transfer as structural challenges. Additionally, for further development, members should become acquainted and the network should prioritise the establishment of a communication infrastructure, shared leadership support and formalisation. Discussion The insights of key persons suggest the need for further structuration and can serve as a guideline for interventions directed at improving inter-organisational collaboration in palliative care trajectories for nursing home residents.

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Associations between nurse–patient interaction and loneliness among cognitively intact nursing home residents – a questionnaire survey

Geriatric Nursing ◽

10.1016/j.gerinurse.2021.04.001 ◽

2021 ◽

Vol 42 (4) ◽

pp. 828-832

Author(s):

Jorunn Drageset ◽

Gørill Haugan

Keyword(s):

Nursing Home ◽

Questionnaire Survey ◽

Nursing Home Residents ◽

Patient Interaction ◽

Cognitively Intact

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0721 Daytime Sleepiness and Napping in Nursing-Home Eligible Community Dwelling Older Adults: A Mixed Methods Study

SLEEP ◽

10.1093/sleep/zsy061.720 ◽

2018 ◽

Vol 41 (suppl_1) ◽

pp. A268-A268

Author(s):

M V McPhillips ◽

J Li ◽

P Z Cacchione ◽

V V Dickson ◽

N S Gooneratne ◽

...

Keyword(s):

Older Adults ◽

Nursing Home ◽

Mixed Methods ◽

Daytime Sleepiness ◽

Community Dwelling ◽

Mixed Methods Study ◽

Community Dwelling Older Adults

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Suffering and mental health among older people living in nursing homes - a mixed-methods study

10.7287/peerj.preprints.943 ◽

2015 ◽

Author(s):

Jorunn Drageset ◽

Elin Dysvik ◽

Birgitte Espehaug ◽

Gerd Karin Natvig ◽

Bodil Furnes

Keyword(s):

Mental Health ◽

Mixed Methods ◽

Bodily Pain ◽

Depression Scale ◽

Nursing Home Residents ◽

Anxiety And Depression ◽

Emotional Role ◽

The Individual ◽

Anxiety Depression ◽

Cognitively Intact

Background. Knowledge about mixed-methods perspectives that examine anxiety, depression, social support, mental health and the phenomenon of suffering among cognitively intact NH residents is scarce. We aimed to explore suffering and mental health among cognitively intact NH residents. Methods. This study used a mixed-methods design to explore different aspects of the same phenomena of interest to gain a more comprehensive understanding. The qualitative core component comprised a qualitative interview from 18 nursing home residents (≥65 years) about experiences related to pain, grief and loss. The supplementary component comprised interview from the same respondents using the SF-36 Health Survey subscales , the Hospital Anxiety and Depression Scale and the Social Provisions Scale. Results. The individual descriptions reveal suffering caused by painful experiences during life. The quantitative results indicated that symptoms of anxiety and depression were related to mental health and symptoms of anxiety were related to bodily pain and emotional role limitations. Attachment and social integration were associated with vitality and social functioning. Discussion. To improve the situation, more attention should be paid to the residents’ suffering related to anxiety, depression and psychosocial relations.

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