scholarly journals COVID-19 and residential care facilities: issues and concerns identified by the international network prevention of elder abuse (INPEA)

2020 ◽  
Vol 22 (6) ◽  
pp. 385-389
Author(s):  
Marie Beaulieu ◽  
Julien Cadieux Genesse ◽  
Kevin St-Martin
Keyword(s):  
Residential Care ◽  
Older Persons ◽  
Elder Abuse ◽  
Global Perspective ◽  
Protective Measures ◽  
International Network ◽  
Content Type ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
The Impact

Purpose The COVID-19 pandemic has affected the physical, psychological, social and financial health of older persons. On this subject, the United Nations published a policy brief on the impact of COVID-19 on older persons in May 2020. In line with this, the purpose of this general review is to address three issues affecting older persons living in residential care facilities: protective measures implemented to block the virus’ entry, the types of mistreatment most frequently experienced and the necessity to promote and defend the rights of these persons. Design/methodology/approach The design of this study is based on input gathered since the end of April during meetings of the International Network for the Prevention of Elder Abuse (INPEA) and the results of a July survey of its members. Findings The survey results indicate variability in the implementation of protective measures in different countries and the significant presence of mistreatment and violation of the rights of older persons. Three major issues demand attention: ageism, systemic and managerial problems and the effects of implemented measures. All these prompt the INPEA to once again plea for the adoption of an international convention of human rights of older persons. Originality/value To our knowledge, this is the first article sharing the views of the INPEA from a global perspective in the context of COVID-19.

Effectiveness of an innovative and comprehensive eye care model for individuals in residential care facilities: results of the residential ocular care (ROC) multicentred randomised controlled trial

2020 ◽  
pp. bjophthalmol-2019-315620
Author(s):  
Ryan Eyn Kidd Man ◽  
Alfred Tau Liang Gan ◽  
Marios Constantinou ◽  
Eva K Fenwick ◽  
Edith Holloway ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Usual Care ◽  
Residential Care ◽  
Controlled Trial ◽  
Well Being ◽  
Vision Impairment ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Randomised Controlled ◽  
The Impact

BackgroundTo assess the clinical and patient-centred effectiveness of a novel residential ocular care (ROC) model in Australian individuals residing in residential care.MethodsIn this prospective, multicentred, randomised controlled trial conducted in 38 Australian aged-care facilities (2015–2017), 178 visually impaired individuals living in residential care facilities (mean age ±SD: 83.9±8.6 years; 65.7% women) were cluster randomised to ROC (n=95) or usual care (n=83) pathways. The ROC arm comprised a tailored and comprehensive within-site eye examination and care rehabilitation pathway, while usual care participants were given a referral to an external eyecare provider. Outcomes included presenting distance and near visual acuity (PNVA); Rasch-transformed Reading, Emotional and Mobility scores from the Impact of Vision Impairment questionnaire; quality of vision (QoV comprising Rasch-transformed Frequency, Severity and Bother domains) scores; Euroqol-5-Dimensions (raw scores); Cornell Scale for Depression (raw scores) and 6-month falls frequency, assessed at baseline and 6 months post intervention. Within-group and between-group comparisons were conducted using linear mixed models, adjusted for baseline differences in characteristics between the two arms.ResultsAt 6 months, intention-to-treat analyses showed significant between-group improvements in ROC residents compared with usual care for PNVA, Emotional and QoV scores (all p<0.05) These significant findings were retained in per-protocol analyses. No other between-group changes were observed.ConclusionOur ROC model was effective in improving near vision, emotional well-being and perceived burden of vision-related symptoms in residential care dwellers in Australia with vision impairment. Future studies to evaluate the cost effectiveness and implementation of ROC in Australia are warranted.

scholarly journals “Well it is for their sake we are here”: meaningful work tasks from care workers’ view

2018 ◽  
Vol 22 (2) ◽  
pp. 111-120 ◽  
Author(s):  
Åsa Vidman ◽  
Annika Strömberg
Keyword(s):  
Sick Leave ◽  
Residential Care ◽  
Meaningful Work ◽  
Qualitative Interview ◽  
Interview Study ◽  
Content Type ◽  
Residential Care Facilities ◽  
Qualitative Interview Study ◽  
Work Tasks ◽  
Care Facilities

Purpose Employees in elderly care have a high rate of sick leave. One explanation is that employees that experience a low level of meaning of work are at a higher risk for long-term sick leave. The paper aims to discuss these issues. Design/methodology/approach This qualitative interview study aims to examine what employees in residential care facilities experience as the meaningful aspects of their work tasks. Interviews with 14 persons employed in residential care facilities were conducted. Findings The findings show that meaningful work tasks are about organizing the work to make use of the creativity and knowledge of the staff in order to support relations with older people. Originality/value The knowledge about what constitutes a healthy work environment is not as comprehensive as it is about what constitutes health risks. Furthermore, these issues have been considered by only a few qualitative studies about social care in the field of sick leave. Therefore, this qualitative interview study examines what employees in residential care facilities experience as meaningful aspects of their work tasks.

Sustainable implementation of person-centred care in residential care facilities: hindering and supporting factors when improving incontinence care

2021 ◽  
Vol 23 (1) ◽  
pp. 1-14
Author(s):  
Eirini Alexiou ◽  
Irma Lindström Kjellberg ◽  
Helle Wijk
Keyword(s):  
Residential Care ◽  
Intervention Group ◽  
Control Group ◽  
Residential Care Facilities ◽  
Implementation Phase ◽  
Staff Members ◽  
Ward Atmosphere ◽  
Care Assessment ◽  
Care Facilities ◽  
The Impact

Purpose: The aim of the present study was to focus on the impact of the implementation of a person-centred approach on staff perception of the likelihood of being able to provide person-centred care and strain in the workplace. Design: The study was a controlled prospective cohort study performed at three residential care facilities in western Sweden involving all nursing staff members active from 2013 through 2015 at baseline and at three follow-ups during and after the implementation period. Two of the residential care facilities were assigned to the intervention group and one was assigned to the control group. Method: The study was designed to test the sustainability of a person-centred approach based on three aspects: partnership, narrative and documentation. A cross-section of 20 coworkers were purposively sampled from a total of 100 persons working at the two Intervention nursing homes to participate in the intervention group. The process outcome was measured as: perceived ward atmosphere, using the staff version of the validated Person-Centred Climate Questionnaire; person-centred care, measured using the validated Person-centred Care Assessment Tool; and experience of strain in work, using the Strain in Nursing Care Assessment Scale. Descriptive statistics were calculated for all variables using the SPSS Statistics software package. Findings: The results show that, at the control site, there were lower staff perceptions of the care atmosphere, higher level of strain experienced in their work and a lower likelihood of providing a person-centred care approach, whereas these factors remained rather stable over time at the intervention residential care facilities. Two contrasting results were observed—namely, that the higher the staff's perception of the likelihood of being able to provide individualised care and of a more person-centred ward atmosphere, the higher their stress levels experienced at work. In addition, older ages and long durations of work experience significantly negatively affected the staff's assessment of their ability to create an atmosphere of everydayness and to adopt a person-centred approach in care. Conclusions: The findings show that sustainability of a person-centred ward atmosphere is possible in the care of older people, despite staffing problems and other organisational challenges, according to the staff's assessment, after implementation of a person-centred programme. The more experienced staff members assessed their likelihood of being able to provide a person-centred care as lower after the implementation phase, indicating that despite the ambition of supporting person-centredness and quality of care, staffing and management difficulties that are present at the outset of the programme's implementation can later lead to stress and frustration relating to roles and routines.

scholarly journals The impact of psychological abuse on somatic symptoms: a study of older persons aged 60-84 years

2014 ◽  
Vol 16 (4) ◽  
pp. 213-231 ◽  
Author(s):  
Joaquim Jorge Fernandes Soares ◽  
Eija Viitasara ◽  
Gloria Macassa ◽  
Maria Gabriella Melchiorre ◽  
Mindaugas Stankunas ◽  
...  
Keyword(s):  
Social Support ◽  
Older Persons ◽  
Somatic Symptom ◽  
Elder Abuse ◽  
Psychological Abuse ◽  
Somatic Symptoms ◽  
Cross Sectional ◽  
Content Type ◽  
Symptom Domains ◽  
The Impact

Purpose – The purpose of this paper is to examine differences in the experience of somatic symptoms by domain (exhaustion, musculoskeletal, gastrointestinal, heart distress) between psychologically abused and non-abused older persons, and to scrutinize associations between abuse and somatic symptoms while considering other factors (e.g. social support). Design/methodology/approach – The design was cross-sectional. The participants were 4,467 women/men aged 60-84 years living in seven European cities. The data were analysed using bivariate/multivariate methods. Findings – Psychologically abused participants scored higher on all somatic symptom domains than non-abused, and thus were more affected by the symptoms. The regressions confirmed a positive association between psychological abuse and most somatic symptom domains, but other factors (e.g. depression, anxiety) were more salient. Demographics/socio-economics were positively (e.g. marriage/cohabitation) or negatively (e.g. education) associated with somatic symptoms depending on the domain. Social support and family structure “protected” the experience of somatic symptoms. Research limitations/implications – The research focused on psychological abuse. It did not incorporate other abuse types calling for further research on the effects of other abuse types on somatic symptoms. Nevertheless, the findings indicate that psychological abuse is linked to somatic symptoms, but the role of other factors (e.g. depression, anxiety, social support) is also important. Practical implications – Improvements in the older person's situation regarding somatic symptoms need to consider psychological abuse, co-morbidities, social support and living conditions. Originality/value – The paper reports data from the ABUEL Survey, which collected population-based data on elder abuse.

scholarly journals Children’s participation and agency in Italian residential care for children: Adult-child interactions at dinnertime

2021 ◽  
Author(s):  
Marzia Saglietti ◽  
Cristina Zucchermaglio
Keyword(s):  
Residential Care ◽  
Adult Child ◽  
Routine Activity ◽  
Alternative Care ◽  
Residential Care Facilities ◽  
Vulnerable Families ◽  
Care Facilities ◽  
Children’S Participation ◽  
Children's Participation ◽  
The Impact

AbstractThis paper analyzes the impact of adults’ interactive moves and strategies on children’s participation and agency at dinnertime in two Italian residential care facilities, one of the most widely used alternative care life-context for children and youth coming from vulnerable families. Participants are 14 children and 11 educators living in two residential care facilities in Rome (Italy). Adopting an interactional and multimodal analytic approach, this paper focuses on two dinnertime activities: the routine activity of praying before eating and the very frequent one of talking about rules and transgressions. The comparative analysis of the two facilities shows how, in stable patterns of adult-child interactions recurring across different activities in the same facility, adults’ strategies and interactive maneuvers differently impact on children’s participation and agency and consequent socialization practices. In the conclusion, we emphasize the relevance and implications of this study for either research in educational sciences and for professionals operating in alternative care and related fields.

Design and colour preferences for older individuals in residential care

2016 ◽  
Vol 20 (2) ◽  
pp. 87-101
Author(s):  
Katy Stevens ◽  
Thomas Fröis ◽  
Sabrina Masal ◽  
Andrea Winder ◽  
Thomas Bechtold
Keyword(s):  
Residential Care ◽  
Care Home ◽  
Ageing Population ◽  
Older Individuals ◽  
Content Type ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Analysis Of Results ◽  
Positive Feelings ◽  
Colour Preferences

Purpose On a global level, the ageing population is increasing which will undoubtedly result in an increased demand for care facilities and more complex care requirements. Individuals living in permanent residential care facilities can often be subjected to a number of unnecessary stresses due to feelings of institutionalisation, with a change of surrounding and loss of possessions leading to confusion and exacerbation of pre-existing dementia problems. It is believed that creating environments that are as comfortable and homely as possible can help to relieve negative emotions and improve the quality of life of the individuals. This paper aims to investigate this issue. Design/methodology/approach This study brought together care home residents, interior designers and textile manufacturers to research pattern design and colour preferences for bedding for residents in a care home. Results were implemented in the design and building of a new care home in Dornbirn, Austria, with the intention that residents will feel happier in surroundings they prefer. Findings Following collection and analysis of results, it was seen that both residents and non-residents tended to prefer patterns that were representative of the era when they were young, perhaps because of the positive feelings they experienced during these times, and the positive memories the familiar patterns evoked of these times. Respondents preferred colour schemes that were bright and vibrant and linked these colours to feelings of happiness. Respondents did not like the muted colour schemes, which could have been related to reduced colour sensitivity with age, rendering the paler schemes dull and drab. Originality/value While the authors acknowledge that case study was carried out in Austria and reflected the thoughts and opinions of Austrian citizens, the research methodology is easily transferrable to other countries and areas of research.

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