Residential care: Dutch and Italian residents of residential care facilities compared

2008 ◽  
Vol 17 (2) ◽  
pp. 162-165 ◽  
Author(s):  
Charlotte De Heer-Wunderink ◽  
Annemarie D. Caro-Nienhuis ◽  
Sjoerd Sytema ◽  
Durk Wiersma
Keyword(s):  
The Netherlands ◽  
Residential Care ◽  
Mental Hospital ◽  
Hospital Admissions ◽  
Care Providers ◽  
Related Disorder ◽  
Residential Care Facilities ◽  
Level Of Functioning ◽  
Care Facilities ◽  
Good Access

SummaryAims – Characteristics of patients living in residential care facilities and the availability of mental hospital- and residential beds in Italy and The Netherlands were compared to assess whether differences in the process of deinstitutionalisation have influenced the composition of their residential patient populations. Methods – Data from the Dutch UTOPIA-study (UTilization & Outcome of Patients In the Association of Dutch residential care providers) and the Italian PROGRES-study were used. Results – Dutch residents were more likely to suffer from substance or alcohol abuse than Italian residents. The latter were more likely to suffer from schizophrenia or a related disorder, less likely to have experienced mental hospital admissions and showed an overall shorter duration of stay in residential care facilities. Contrary to our expectations Dutch residents, who still have good access to long stay beds in mental hospitals, are not less disabled than Italian residents. Finally, the number of beds in residential care facilities per 10,000 inhabitants in the Netherlands is twice (6) as high as in Italy (3). Conclusions – The Italian and Dutch deinstitutionalisation processes have resulted in a different availability in the number of residential beds. However, it did not influence the overall level of functioning of both residential populations.Declaration of interest: An unconditional grant was received from the Alliance of the 22 Dutch independent residential care providers.

scholarly journals Nursing staff´s evaluation of facilitators and barriers during implementation of wireless nurse call systems in residential care facilities. A cross-sectional study.

2019 ◽  
Author(s):  
Janne Dugstad ◽  
Vibeke Sundling ◽  
Etty R. Nilsen ◽  
Hilde Eide
Keyword(s):  
Residential Care ◽  
Nursing Staff ◽  
Response Times ◽  
Measurement Instrument ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Facilitators And Barriers

Abstract Background Nurse call systems (NCS) encompass all patients and nursing staff in healthcare facilities. Wireless NCSs offer increased mobility for all users and new affordances to patients unable to actively interact with such systems. Integrated technology potentially decrease response times and prevent alarm-fatigue, and thus increase patient safety and enhance nursing workflow. This study aimed to explore facilitators and barriers for implementation of wireless NCSs in residential care facilities. Methods The study had a cross-sectional descriptive design. Using a questionnaire, we collected data from care providers (n=98) based on the Measurement Instrument for Determinants of Innovations (MIDI) in five Norwegian residential care facilities during the first year of implementation of wireless NCSs. Descriptive statistics were used to explore participant characteristics and MIDI scores. MIDI items to which ≥20% of participants disagreed/totally disagreed were regarded as barriers and items to which ≥80% of participants agreed/totally agreed were regarded as facilitators for implementation. Results More facilitators (n=23) than barriers (n=6) were identified. No features of the technology itself were found to impede the implementation. The most salient barriers, reported by 37% of the care providers, were their lack of prior knowledge and that they found the wireless NCS difficult to learn. However, 87% became familiar with the systems during implementation. Respectively, 86% and 90% regarded themselves and their colleagues as competent users after the implementation. The greatest facilitators, reported by 98%, were firstly the normative belief of unit managers and secondly the expected outcomes of the NCSs: the importance and probability of achieving prompt call responses and increased safety. Conclusions The wireless NCSs were well received and the implementations were satisfactory executed. The barriers to implementation were addressed by training and practicing technological skills, facilitated by the influence and support by the manager and the colleagues within the residential care unit. Wireless NCSs offer a range of advanced applications and services, and further research is needed as more wireless NCS functionalities are implemented into residential care services.

scholarly journals Nursing staff’s evaluation of facilitators and barriers during implementation of wireless nurse call systems in residential care facilities. A cross-sectional study.

2020 ◽  
Author(s):  
Janne Dugstad ◽  
Vibeke Sundling ◽  
Etty R. Nilsen ◽  
Hilde Eide
Keyword(s):  
Residential Care ◽  
Measurement Instrument ◽  
Implementation Process ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Facilitators And Barriers ◽  
Expected Outcomes

Abstract Background: Traditional nurse call systems used in residential care facilities rely on patients to summon assistance for routine or emergency needs. Wireless nurse call systems (WNCS) offer new affordances for persons unable to actively or consciously engage with the system, allowing detection of hazardous situations, prevention and timely treatment, as well as enhanced nurse workflows. This study aimed to explore facilitators and barriers of implementation of WNCSs in residential care facilities. Methods: The study had a cross-sectional descriptive design. We collected data from care providers (n=98) based on the Measurement Instrument for Determinants of Innovation (MIDI) framework in five Norwegian residential care facilities during the first year of WNCS implementation. The self-reporting MIDI questionnaire was adapted to the contexts. Descriptive statistics were used to explore participant characteristics and MIDI item and determinant scores (D1-29). MIDI items to which ≥20% of participants disagreed/totally disagreed were regarded as barriers and items to which ≥80% of participants agreed/totally agreed were regarded as facilitators for implementation. Results: More facilitators (n=22) than barriers (n=6) were identified. The greatest facilitators, reported by 98% of the care providers, were the expected outcomes: the importance and probability of achieving prompt call responses and increased safety (D9 expected outcomes), and the normative belief of unit managers (D15 subjective norm). During the implementation process, 87% became familiar with the systems (D18 awareness of content), and 86% and 90%, respectively regarded themselves (D17 knowledge) and their colleagues (D14 descriptive norm) as competent users of the WNCS. The most salient barriers, reported by 37%, were their lack of prior knowledge (D17 knowledge) and that they found the WNCS difficult to learn (D8 personal drawback). No features of the technology were identified as barriers. Conclusions: Overall, the care providers gave a positive evaluation of the WNCS implementation. The barriers to implementation were addressed by training and practicing technological skills, facilitated by the influence and support by the manager and the colleagues within the residential care unit. WNCSs offer a range of advanced applications and services, and further research is needed as more WNCS functionalities are implemented into residential care services.

Abstract 296: Views on Cardiopulmonary Resuscitation Among Older Australians in Care

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Lahn Straney ◽  
Janet Bray ◽  
Rachel Mountjoy ◽  
Judith Finn
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Home Care ◽  
Residential Care ◽  
Accurate Information ◽  
Health State ◽  
Care Providers ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Almost All ◽  
To Receive

Background: Our objective was to measure the views of older Australians on Cardiopulmonary Resuscitation (CPR). Methods and Results: A brief explanation of CPR and a three question survey were sent to 187 Australian residential care facilities and 34 home care providers in April 2014. A total of 2213 respondents completed the survey, including 1943 residents from 163 residential care facilities, and 275 receiving care in the home from 24 providers (71% and 49% response rate, respectively). Respondents were mostly female (67.4%), and those in residential care were more likely to be aged over 75 years than those receiving care in the home (82.6% versus 70.4%). The majority of respondents indicated they understood what CPR is and what it means for them (Table). Over half indicated they would want CPR if required (55.1% for residents and 65.3% for those receiving home care), this was higher among younger residents (64.2% in ≤ 75 years and 53.2% in>75 years) but similar by sex. A large proportion believed they would fully recover after receiving CPR (44.1% of residential care and 58.1% of home care residents). Of those who agreed there was a good chance they would fully recover, almost all stated they would like to receive CPR if they had an arrest (94.8% of residential care and 91.4% of home care residents). Conversely, of those that disagreed, 98.6% of residential and 96.2% of home care respondents were unsure about or disagreed to receiving CPR. Conclusions: The desire for CPR in this population appears to be related to their perception as to whether or not they will fully recover. Outcomes for older people who have an arrest are typically poor. Despite this, a large proportion of respondents believed they would recover to their previous health state if they were to receive CPR. These findings highlight the need for more accurate information to inform discussions about end-of-life decisions.

scholarly journals Nursing staff’s evaluation of facilitators and barriers during implementation of wireless nurse call systems in residential care facilities. A cross-sectional study.

2019 ◽  
Author(s):  
Janne Dugstad ◽  
Vibeke Sundling ◽  
Etty R. Nilsen ◽  
Hilde Eide
Keyword(s):  
Residential Care ◽  
Measurement Instrument ◽  
Implementation Process ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Facilitators And Barriers ◽  
Expected Outcomes

Abstract Background: Traditional nurse call systems used in residential care facilities rely on patients to summon assistance for routine or emergency needs. Wireless nurse call systems (WNCS) offer new affordances for persons unable to actively or consciously engage with the system, allowing detection of hazardous situations, prevention and timely treatment, as well as enhanced nurse workflows. This study aimed to explore facilitators and barriers of implementation of WNCSs in residential care facilities. Methods: The study had a cross-sectional descriptive design. We collected data from care providers (n=98) based on the Measurement Instrument for Determinants of Innovation (MIDI) framework in five Norwegian residential care facilities during the first year of WNCS implementation. The self-reporting MIDI questionnaire was adapted to the contexts. Descriptive statistics were used to explore participant characteristics and MIDI item and determinant scores (D1-29). MIDI items to which ≥20% of participants disagreed/totally disagreed were regarded as barriers and items to which ≥80% of participants agreed/totally agreed were regarded as facilitators for implementation. Results: More facilitators (n=22) than barriers (n=6) were identified. The greatest facilitators, reported by 98% of the care providers, were the expected outcomes: the importance and probability of achieving prompt call responses and increased safety (D9 expected outcomes), and the normative belief of unit managers (D15 subjective norm). During the implementation process, 87% became familiar with the systems (D18 awareness of content), and 86% and 90%, respectively regarded themselves (D17 knowledge) and their colleagues (D14 descriptive norm) as competent users of the WNCS. The most salient barriers, reported by 37%, were their lack of prior knowledge (D17 knowledge) and that they found the WNCS difficult to learn (D8 personal drawback). No features of the technology were identified as barriers. Conclusions: Overall, the care providers gave a positive evaluation of the WNCS implementation. The barriers to implementation were addressed by training and practicing technological skills, facilitated by the influence and support by the manager and the colleagues within the residential care unit. WNCSs offer a range of advanced applications and services, and further research is needed as more WNCS functionalities are implemented into residential care services.

scholarly journals Nursing staff’s evaluation of facilitators and barriers during implementation of wireless nurse call systems in residential care facilities. A cross-sectional study.

2020 ◽  
Author(s):  
Janne Dugstad ◽  
Vibeke Sundling ◽  
Etty R. Nilsen ◽  
Hilde Eide
Keyword(s):  
Residential Care ◽  
Measurement Instrument ◽  
Implementation Process ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Residential Care Facilities ◽  
Care Services ◽  
Care Facilities ◽  
Facilitators And Barriers

Abstract Background: Traditional nurse call systems used in residential care facilities rely on patients to summon assistance for routine or emergency needs. Wireless nurse call systems (WNCS) offer new affordances for persons unable to actively or consciously engage with the system, allowing detection of hazardous situations, prevention and timely treatment, as well as enhanced nurse workflows. This study aimed to explore facilitators and barriers of implementation of WNCSs in residential care facilities. Methods: The study had a cross-sectional descriptive design. We collected data from care providers (n=98) based on the Measurement Instrument for Determinants of Innovation (MIDI) framework in five Norwegian residential care facilities during the first year of WNCS implementation. The self-reporting MIDI questionnaire was adapted to the contexts. Descriptive statistics were used to explore participant characteristics and MIDI item and determinant scores. MIDI items to which ≥20% of participants disagreed/totally disagreed were regarded as barriers and items to which ≥80% of participants agreed/totally agreed were regarded as facilitators for implementation. Results: More facilitators (n=22) than barriers (n=6) were identified. The greatest facilitators, reported by 98% of the care providers, were the expected outcomes: the importance and probability of achieving prompt call responses and increased safety, and the normative belief of unit managers. During the implementation process, 87% became familiar with the systems, and 86% and 90%, respectively regarded themselves and their colleagues as competent users of the WNCS. The most salient barriers, reported by 37%, were their lack of prior knowledge and that they found the WNCS difficult to learn. No features of the technology were identified as barriers. Conclusions: Overall, the care providers gave a positive evaluation of the WNCS implementation. The barriers to implementation were addressed by training and practicing technological skills, facilitated by the influence and support by the manager and the colleagues within the residential care unit. WNCSs offer a range of advanced applications and services, and further research is needed as more WNCS functionalities are implemented into residential care services.

Providing care for older adults with extreme obesity in aged residential care facilities: An environmental scan

2020 ◽  
Vol 36 (3) ◽  
pp. 24-36
Author(s):  
Caz Hales ◽  
◽  
Isaac Amankwaa ◽  
Lesley Gray ◽  
Helen Rook ◽  
...  
Keyword(s):  
Older Adults ◽  
Residential Care ◽  
Service Provision ◽  
Aged Care ◽  
Extreme Obesity ◽  
Financial Barriers ◽  
Residential Care Facilities ◽  
Environmental Scan ◽  
Staffing Ratios ◽  
Care Facilities

Little is known about the level of service demand and preparedness of Aotearoa New Zealand’s aged residential care facilities to care for older adults with extreme obesity. The aim of this study was to assess the current state of bariatric (extreme obesity) services within aged residential care. An environmental scan was conducted to identify bariatric resident needs and gaps in service provision to inform the development of policy and service provision. Observational and interview data from three facilities in Aotearoa New Zealand was collected along with a retrospective review of national resident admissions over a three-year period. Poor environmental design that included infrastructure deficiencies and financial barriers impacted on the ability to deliver safe and equitable care for this population. Specifically, equipment procurement and safe staffing ratios were of concern to the sector. There is an increasing need for bariatric level support within aged care, necessitating more equipment and staff, adaptation of physical care environments, and enhanced funding. Significant investment is required to address care concerns of older adults with extreme obesity at government and organisational levels.

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