Exploring evolving caring relationship experiences among nursing home residents and nurse aides in Shanghai: a dyadic perspective

2021 ◽  
pp. 1-23
Author(s):  
Lin Chen ◽  
Qiang Zhu ◽  
Ling Xu ◽  
Yura Lee ◽  
Bum Jung Kim

Abstract Although research has shown that older nursing home residents can benefit from caring relationships with nurse aides, few studies have explored their dyadic, evolving relationship dynamics. Using a dyadic perspective, this study simultaneously explores caring relationships among older residents and nurse aides in Shanghai. In a government-sponsored nursing home in Shanghai, 20 matched resident–nurse aide dyads participated in semi-structured, in-depth interviews (N = 40). We performed thematic analysis to interpret and conceptualise the evolving caring relationships within dyads. Four types emerged during the evolution of caring relationships across the 20 dyads: (a) sharing strong rapport, (b) respecting each other, (c) hesitant responding, and (d) keeping emotional distance. Upon placement, all the residents kept emotional distance from nurse aides, and their assigned nurse aides provided care-giving by following nursing home regulations. As time passed, nurse aides began to create a family environment and tried to interact with residents on an emotional level; however, residents’ attitudes varied. The caring relationships in some dyads evolved as rapport and respect emerged, while others remained hesitant and distant. This suggests that residents and nurse aides prioritised caring relationships differently in terms of autonomy preservation and safety protection, respectively. This study sheds light on nursing home practice to facilitate building caring relationships between residents and nurse aides.

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S703-S704
Author(s):  
Lin Chen ◽  
Minzhi Ye ◽  
Qiang Zhu

Abstract Caring relationships between older residents and nurse aides are fundamental in terms of service delivery in nursing homes. However, little is known for the nuanced dynamics of this relationship in China. The purpose of this study is to explore how caring relationships develop between older residents and nurse aides in the nursing home setting in urban China. Informed by the dyadic perspective, this study illustrates the development process and relational nuances by simultaneously eliciting residents’ and nurse aides’ perceptions. This qualitative study purposively sampled 20 matched resident-nurse aide dyads (N= 40) in a government-sponsored nursing home in Shanghai. Participants participated in semi-structured, in-depth interviews from January to June 2017. Thematic analysis was performed. The findings reveal that the caring relationship began with nursing home assignment and primarily focused on instrumental assistance. Gradually, emotional involvement grew within dyads and reciprocity emerged. Based on different dyadic perceptions, this study conceptualized four types of caring relationships: (a) parent-child alike, (b) mutually respectful, (c) solo performance, and (d) reasonably detached. The findings suggest that residents and nurse aides could have different views on caring relationships, which further influenced the relationship development. The four types of caring relationships shared some similar traits while differentiating from some of the common types of interactions found in the existing nursing evidence across the world. Chinese filial tradition also influenced the relationship dynamics.


2018 ◽  
Vol 7 (1) ◽  
pp. 62-70
Author(s):  
Ng Xi Jiao ◽  
Nur Atikah Mohamed Hussin

Religion and culture play important roles in influencing end-of-life communication among the elderly. However, little is known about end-of-life communication among elderly nursing home residents. A qualitative study involving a sample of 13 elderly residents of a non- government nursing home in the north of Peninsular Malaysia was conducted to investigate residents’ attitudes and ideas about their end-of-life preferences. Thematic analysis was performed to identify major themes emerging from the interviews. This study found that elderly residents actively avoided end-of-life communication, but that their cultural and religious beliefs remained of paramount importance. It is hoped that these findings will provide a platform upon which to improve current nursing home care in Malaysia.


2011 ◽  
Vol 32 (1) ◽  
pp. 1-18 ◽  
Author(s):  
ASSUMPTA RYAN ◽  
HUGH MCKENNA ◽  
OLIVER SLEVIN

ABSTRACTThe aim of this qualitative study was to explore rural family carers' experiences of the nursing home placement of an older relative. The study was undertaken in a large Health and Social Care Trust in Northern Ireland using a grounded theory approach. Purposive sampling was used to initiate data collection and thereafter theoretical sampling was employed. Semi-structured interviews were conducted with 29 relatives of nursing home residents and the resultant data were recorded, transcribed and analysed using constant comparisons. The software package, QSR NVivo, was used to facilitate data management and retrieval. Older people had deep attachments to their homes and entry to care was a last resort. Rural family carers had close relationships with health- and social-care practitioners and felt supported in the decision-making process. The choice of home was a foregone conclusion for carers who had a strong sense of familiarity with the nursing homes in their area. This familiarity was influenced by the relatively rural communities in which respondents resided and by an efficient ‘grapevine’, which seemed to thrive in these small communities. This familiarity, in turn, influenced the choice of nursing home, timing of the placement and responses of family carers. The findings indicate that issues such as rurality and familiarity warrant a more detailed exploration in future research on entry to care.


2008 ◽  
Vol 12 (4) ◽  
pp. 15-20 ◽  
Author(s):  
Elizabeth Andersen

Nurse aides are the unregulated caregivers who perform the bulk of the physical and emotional care-giving work for residents in long-term care facilities. Hierarchies of nursing work in some long-term care institutions and the marginalization of some nurse aides in these institutions are revealed through quotes retrieved from existing literature. These quotes illustrate the ways in which these nurse aides are on earth – their ways of “dwelling.” The author calls for support and empathy from registered nurses for struggling nurse aides by integrating Martin Heidegger’s philosophies of space and dwelling with the ways in which nurse aides “dwell” in their places of work.


1987 ◽  
Vol 81 (7) ◽  
pp. 328-329 ◽  
Author(s):  
S. Rapp; C. Carlson

Increasing behaviors to promote health, such as exercise, among nursing homes for elderly residents is a widely acknowledged goal (Craig, 1982). Research suggests that behavioral technologies can be useful for increasing exercise in this population (Perkins, Rapp, Carlson, & Wallace, 1986). However, before implementing sometimes elaborate behavioral change programs, it is helpful to assess the staff's and residents’ attitudes toward the proposed change. The present study followed a small-scale pilot project that increased stationary bike riding by 74 percent for 8 nursing home residents. Before attempting a large-scale intervention, however, the authors decided to evaluate the staff's and residents’ attitudes toward the exercise.


2012 ◽  
Vol 26 (3) ◽  
pp. 319-326 ◽  
Author(s):  
Annette F.J. Custers ◽  
Gerben J. Westerhof ◽  
Yolande Kuin ◽  
Debby L. Gerritsen ◽  
J. Marianne Riksen-Walraven

1991 ◽  
Vol 11 (2) ◽  
pp. 149-165 ◽  
Author(s):  
Jon F. Nussbaum

ABSTRACTResearch describing the social world of elderly residents of nursing homes is organised in this paper into three levels of analysis: the institutional level, the relational level and the interactional level. The significance of each level is highlighted, with special attention being given to the interactional level of analysis and the study of language within the nursing home. Data gathered from semi-structured interviews with both elderly residents and nurse aides are presented and interpreted as evidence of interactional problems which may emerge in the resident–staff relationship. Implications and future prospects of incorporating the three levels of analysis into the study of the psychosocial well-being of nursing home residents are considered.


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