scholarly journals A guide to research with care homes

2015 ◽  
Vol 16 (4) ◽  
pp. 186-194 ◽  
Author(s):  
Rebekah Luff ◽  
Anne Laybourne ◽  
Zara Ferreira ◽  
Julienne Meyer
Keyword(s):  
Design Methodology ◽  
Best Practice ◽  
Care Home ◽  
Care Homes ◽  
Research Practice ◽  
Methodological Issues ◽  
Care Needs ◽  
Content Type ◽  
Key Issues ◽  
Complex Care Needs

Purpose – A growing older population with complex care needs, including dementia, are living in care homes. It is important to support researchers in conducting ethical and appropriate work in this complex research environment. The purpose of this paper is to discuss key issues in care homes research including examples of best practice. The intention is to inform researchers across disciplines, leading to more sensitive and meaningful care home research practice. Design/methodology/approach – Experienced care homes researchers were invited to provide methodological insights and details not already reported in their publications. These have been analysed, creating key themes and linked to project publications. Findings – The need for reflexivity was a key finding. In particular, researchers need to: appreciate that the work is complex; see participants as potential research partners; and consider how cognitive and physical frailty of residents, staffing pressures and the unique environments of care homes might impact upon their research. Other challenges include recruitment and consenting people who lack mental capacity. Research limitations/implications – As the care homes research landscape continues to develop and grow, there still remains limited reflection and discussion of methodological issues with a need for a “safe space” for researchers to discuss challenges. Originality/value – This review is an updated methodological guide for care homes researchers, also highlighting current gaps in the mechanisms for continuing to share best research practice.

If you always do what you have always done, you will always get what you have always got: commissioning and regulating care homes to prevent abuse

2017 ◽  
Vol 19 (6) ◽  
pp. 418-430 ◽  
Author(s):  
Steve Moore
Keyword(s):  
Older People ◽  
Design Methodology ◽  
Care Home ◽  
Care Homes ◽  
Content Type ◽  
Limited Impact ◽  
Regulatory Processes ◽  
Limited Efficacy ◽  
Regulatory Functions ◽  
Practical Implications

Purpose The purpose of this paper is to present a review of some of the fundamental theoretical and contextual components of commissioning and regulatory processes as applied to care home services, revisiting and examining how they impact on the potential prevention of abuse. Design/methodology/approach By revisiting a number of the theoretical bases of commissioning activity, some of which may also be applied to regulatory functions, the reasons for the apparent limited impact on the prevention of the abuse that occurs in care homes by these agencies are analysed. Findings The paper demonstrates how the application of commissioning and regulatory theory may be applied to the oversight of care homes to inform proposed preventative strategies. Practical implications The paper offers strategies to improve the prevention of abuse in care homes for older people. Originality/value A factual and “back to basics” approach is taken to demonstrate why current strategies that should contribute to tackling abuse in care homes are of limited efficacy.

scholarly journals The “Cameos of Care Homes” project – care home staff’s Vanguard involvement and reflections

2019 ◽  
Vol 23 (2) ◽  
pp. 107-115
Author(s):  
Jess Harris ◽  
Jill Manthorpe
Keyword(s):  
Design Methodology ◽  
Research Output ◽  
Care Home ◽  
Care Homes ◽  
Content Type ◽  
Care Home Staff ◽  
Learning Cultures ◽  
Care Workers ◽  
The Impact ◽  
Practical Implications

Purpose The Cameos of Care Homes project is an opportunity to use the medium of film to showcase the experiences and reflections of frontline care home staff whose employers participated in the National Health Service (NHS) England Vanguard programme. Reflecting on their involvement in one of the Enhanced Health in Care Homes Vanguards, 12 staff describe, in front of the camera, the impact on themselves and their colleagues, on their care for their older residents, and on the wider culture of the care home. The paper aims to discuss this initiative. Design/methodology/approach The paper reports the experiences of care home staff that were purposefully recorded on film about their participation in a care home Vanguard. The recruitment of the care homes and staff is described, as are the development of interview questions and approaches needed when filming is considered as a research method. Findings Participating care home staff reported that their involvement in the Vanguard programme had improved knowledge, confidence, morale, communication skills and the homes’ learning cultures. They were enthusiastic about reporting their experiences on film. Examples were given of proactive early support from local NHS staff leading to improvements in care, thereby reducing demand on the NHS. However, participation was resource intensive for care homes. Care home staff hoped the support that accompanied the Vanguard programme would continue but were uncertain to what degree this would happen once the Vanguard programme ceased. Research limitations/implications The interviews were undertaken with a self-selecting group of care home staff from two care homes operating in one of the six Vanguard sites in England. By their very nature, interviews for a public film cannot provide anonymity. Practical implications Researchers seeking the views of care home staff may wish to consider filming interviews and presenting the film as a research output that is engaging and informative for care home and wider audiences. Originality/value The paper presents an analysis of filmed interviews with care home managers and care workers working with older people. Their views on the Vanguard initiative have not been widely considered, in contrast to the sizeable literature relating to NHS activity and expenditure.

scholarly journals A qualitative study of older people with minimal care needs experiences of their admission to a nursing home with Registered Nurse care

2015 ◽  
Vol 16 (2) ◽  
pp. 94-105 ◽  
Author(s):  
Alice K. Stevens ◽  
Helen Raphael ◽  
Sue M. Green
Keyword(s):  
Decision Making ◽  
Grounded Theory ◽  
Qualitative Study ◽  
Older People ◽  
Registered Nurse ◽  
Care Home ◽  
Care Homes ◽  
Care Needs ◽  
Content Type ◽  
Health And Social Care

Purpose – Residential care for older people in the UK includes care homes with and without 24-hour Registered Nurse (RN) care. Reduced autonomy and personal wealth can result when people assessed as having minimal care needs, enter and reside in care homes with RN care. The purpose of this paper is to explore the experiences of older people with minimal care needs admission to care homes with RN care. Design/methodology/approach – A qualitative study using a grounded theory method was undertaken. In total, 12 care home with RN care residents assessed as not requiring nursing care were interviewed. Initial sampling was purposive and progressed to theoretical. Interviews were analysed using the grounded theory analysis method of constant comparison and theory development. Findings – Two main categories emerged: “choosing the path”, which concerned the decision to enter the home, and “settling in”, which related to adaptation to the environment. Findings suggested participants who perceived they had greater control over the decision-making process found it easier to settle in the care home. The two categories linked to form an emerging framework of “crossing the bridge” from independent living to care home resident. Research limitations/implications – The findings contribute to the understanding of factors influencing admission of older people with minimal care needs to care homes with RN care and highlight the importance of informed decision making. Practical implications – Health and social care professionals must give informed support and advice to older people seeking care options to ensure their needs are best met. Originality/value – This study enabled older people with minimal care needs admission to care homes with RN care to voice their experiences.

scholarly journals Encouraging managers of care homes for older adults to participate in research

2019 ◽  
Vol 20 (3) ◽  
pp. 120-129
Author(s):  
Nick Smith ◽  
Ann-Marie Towers ◽  
Grace Collins ◽  
Sinead Palmer ◽  
Stephen Allan ◽  
...  
Keyword(s):  
Design Methodology ◽  
Care Home ◽  
Care Homes ◽  
Research Projects ◽  
Research Partnership ◽  
Content Type ◽  
Advantages And Disadvantages ◽  
Proactive Measures ◽  
Personalised Feedback ◽  
Participation In Research

Purpose Research in care homes requires the co-operation of care home managers. Noting the challenges faced by the care home sector, the purpose of this paper is to consider ways in which research studies can encourage care home managers and their homes to participate in research. Design/methodology/approach The discussion is informed by two research projects which are used to explore methods of encouraging managers of care homes to participate in research. One of the studies included interviews with care home managers to understand their reasons for taking part in research. Findings This paper outlines and assesses three strategies for encouraging care home managers to participate in research: working in partnership, providing payment and providing personalised feedback on findings. Whereas all the strategies have the potential to encourage care home managers’ participation in research, partnership working in particular was found to be fraught with difficulties. Research limitations/implications This paper suggests that the research projects could employ any of these strategies to encourage managers of care homes to participate in research. It also suggests that proactive measures could help ameliorate the pitfalls of partnership working. Originality/value This paper shows the advantages and disadvantages of using a combination of strategies for encouraging the participation of care home managers in research.

See no evil, hear no evil, speak no evil? Underreporting of abuse in care homes

2016 ◽  
Vol 18 (6) ◽  
pp. 303-317 ◽  
Author(s):  
Steve Moore
Keyword(s):  
Mixed Methods ◽  
Private Sector ◽  
Mixed Methods Research ◽  
Design Methodology ◽  
Qualitative Data ◽  
Care Home ◽  
Significant Proportion ◽  
Care Homes ◽  
Structured Interviews ◽  
Content Type

Purpose The purpose of this paper is to present some of the findings from an empirical, mixed methods research project that reveal underreporting and active concealment of abuse in private sector care homes. Design/methodology/approach Semi-structured interviews were undertaken with 36 care home personnel. An anonymously completed questionnaire was also used concurrently among newly appointed staff in newly opened care homes, to elicit additional quantitative and qualitative data. Findings A significant number of respondents reported awareness of acts of abuse that had not been reported within the care home or externally to the authorities. Some respondents were aware that where occurrences of abuse had been reported, no subsequent action was taken, and external authorities were not always involved in responses to abuse. A significant number of respondents were aware of deliberate strategies used to deter reports of abuse to external agencies. Research limitations/implications Though the research draws upon the experiences of only 36 care home personnel through interviews, and 94 questionnaire respondents who had witnessed occurrences of abuse, data suggest that a significant proportion of abuse in care homes remains unreported. Originality/value The research has revealed staffs’ experiences of underreporting of abuse in private sector care homes. Findings indicate that changes are required to current methods of scrutiny of occurrences of abuse in care homes and the strengthening of incentives to report it.

A critical review of moderation analysis in tourism and hospitality research toward robust guidelines

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
S. Mostafa Rasoolimanesh ◽  
Mingzhuo Wang ◽  
Josip Mikulić ◽  
Puvaneswaran Kunasekaran
Keyword(s):  
Systematic Review ◽  
Design Methodology ◽  
Academic Research ◽  
Future Research ◽  
Methodological Issues ◽  
Content Type ◽  
Multigroup Analysis ◽  
Moderation Analysis ◽  
Key Issues ◽  
Tourism And Hospitality

Purpose This article aims to propose guidelines to develop moderation hypotheses, assess moderators using the multigroup analysis and interaction effect approaches and interpret the results of moderation analysis in tourism and hospitality research. Design/methodology/approach Through a review of 600 articles published in top tourism and hospitality journals from the year 2016 to 2020, and reviewing the literature related to moderation analysis, this study identifies key issues in different steps of moderation analysis and proposes robust guidelines to aid future research. Findings The results of the systematic review uncovered some key issues in different steps of moderation analysis, such as hypothesis development, moderation assessment and results interpretation. The findings emphasized the typical methodological misconceptions and improper practices for moderation analysis. Research limitations/implications Moderation analysis is of great significance to the advancement of theory, and its application has increased significantly in recent years. However, many studies appear to have a limited understanding of moderation analysis and follow questionable practices regarding hypothesis development, moderation assessment and results interpretation, thus leading to suspicious conclusions for theory advancement. By highlighting these methodological issues, this article provides robust guidelines for moderation analysis, which is of great theoretical and methodological significance to the academic research in tourism and hospitality. Originality/value As one of the first studies to provide robust guidelines for moderation analysis, based on a critical and systematic review of papers published in top-tier journals in tourism and hospitality and the latest developments on moderation analysis in the wider literature, this article has important theoretical and methodological significance for the academic research in tourism and hospitality as well as general social science disciplines.

scholarly journals Sporting memories, dementia care and training staff in care homes

2017 ◽  
Vol 12 (1) ◽  
pp. 55-66 ◽  
Author(s):  
Michael Clark ◽  
Charlie Murphy ◽  
Tony Jameson-Allen ◽  
Chris Wilkins
Keyword(s):  
Older People ◽  
Care Home ◽  
Training Session ◽  
Health And Safety ◽  
Care Homes ◽  
Ageing Population ◽  
Content Type ◽  
Care Home Staff ◽  
Key Issues ◽  
Direct Feedback

Purpose The purpose of this paper is to describe the findings from a pilot and a follow-on study in which care assistants in care homes were trained to use sporting memories work to better help and engage with residents with dementia and low mood. Care homes have to support increasingly more fragile people and often the range of activities in the homes do not offer the best engagement between residents and staff to benefit the residents. This is for reasons of time to run activities in a busy home, and because of the need to find financially viable means of running a range of activities. Care assistants in care homes are a group of non-professionally educated workers and are often overlooked for training beyond basic health and safety training to help them improve their work and the care they provide. This work sought to explore whether sporting memories work was viable as an activity to offer in care homes via the training of care assistants. Design/methodology/approach The paper discusses the evidence from a pilot and then follow-on project in care homes in one city area. In the pilot observation was made of a training session and follow up interviews were undertaken with care home managers to see how the implementation of sporting memories was going. In the follow-on project the support to those undertaking the training was modified to include three learning network sessions. Data were collected on the experience of participants and their use of sporting memories work. Findings The findings were that care assistants could be trained in using sporting memories work and they often found it easy to use and fulfilling for them and people they cared for. This was despite the care assistants who participated often not having much interest in sports and little experience in this kind of work. However, practical barriers to maintaining the use of sporting memories work did remain. Research limitations/implications The evidence to date is of case studies of training staff in care homes in the use of sporting memories work, which provides good grounding for proof of the concept and key issues, but further research is needed on the costs and impacts of sporting memories work in care homes. The lack of direct feedback about experiences of care home residents of sporting memories work and its impact on them is a further limitation. Practical implications Sporting memories work is a flexible and readily adoptable intervention to engage older people in care homes and the evidence to date is that care assistants in care homes can be trained to use this approach to engaging older people. Practical challenges still remain to using sporting memories work in care homes, notably the issue of time for staff to do the work, but it is an approach for care homes to have available to them to match up to the interests of residents. Social implications Sporting memories work can be an important part of meeting some of the challenges society faces with an ageing population profile and to enhancing the care home environment and care assistants can be trained to use the approach. Originality/value This is the first paper to discuss training care home staff in the use of sporting memories work.

The sound of silence: evidence of the continuing under reporting of abuse in care homes

2019 ◽  
Vol 22 (1) ◽  
pp. 35-48
Author(s):  
Steve Moore
Keyword(s):  
Private Sector ◽  
Older People ◽  
Design Methodology ◽  
Qualitative Data ◽  
Care Home ◽  
Significant Proportion ◽  
Care Homes ◽  
Research Projects ◽  
Content Type ◽  
External Scrutiny

Purpose The purpose of this paper is to present findings from two research projects undertaken between 2015 and 2019 that reveal continued underreporting and sometimes active concealment of abuse in private sector care homes for older people in England. Design/methodology/approach An anonymously completed questionnaire was used among newly appointed staff in 11 newly opened care homes to elicit both quantitative and qualitative data relating to the reporting of occurrences of abuse within the care homes in which they had previously worked. In total, 391 questionnaires in total were returned, 285 of which indicated that respondents had witnessed the perpetration of abuse on at least one occasion. Findings A significant number of respondents indicated their awareness of acts of abuse that had not been reported within the care home(s) in which they had worked, or externally to the appropriate authorities. Some respondents were aware that where occurrences of abuse had been reported within care homes no subsequent action was taken, or that external authorities were not always involved in responses to abuse. A significant number of respondents described strategies that had been used to deter reports of abuse to external agencies and to conceal its occurrence from the statutory regulator and service commissioners. Research limitations/implications Though the research draws upon the experiences of only 285 questionnaire respondents who had witnessed episodes of abuse, data suggest that a significant proportion of abuse in care homes remains unreported. Originality/value The research has revealed experiences of continued underreporting and concealment of abuse among staff in private sector care homes. Findings indicate that a strengthening of incentives and protections extended to the staff who should report abuse are essential, and that changes to current methods of external scrutiny to which care homes are subject are required.

OCIE issues risk alert on the most frequently identified advisory fee and expense compliance issues

2018 ◽  
Vol 19 (4) ◽  
pp. 1-3
Author(s):  
Robert Van Grover
Keyword(s):  
Design Methodology ◽  
Best Practice ◽  
Investment Management ◽  
Content Type ◽  
Informed Decisions ◽  
Policies And Procedures ◽  
The Us ◽  
Investment Advisers ◽  
Practical Implications

Purpose To summarize and interpret a Risk Alert issued on April 12, 2018 by the US SEC’s Office of Compliance Inspections and Examinations (OCIE) on the most frequent advisory fee and expense compliance issues identified in recent examinations of investment advisers. Design/methodology/approach Summarizes deficiencies identified by the OCIE staff pertaining to advisory fees and expenses in the following categories: fee billing based on incorrect account valuations, billing fees in advance or with improper frequency, applying incorrect fee rates, omitting rebates and applying discounts incorrectly, disclosure issues involving advisory fees, and adviser expense misallocations. Findings In the Risk Alert, OCIE staff emphasized the importance of disclosures regarding advisory fees and expenses to the ability of clients to make informed decisions, including whether or not to engage or retain an adviser. Practical implications In light of the issues identified in the Risk Alert, advisers should assess the accuracy of disclosures and adequacy of policies and procedures regarding advisory fee billing and expenses. As a matter of best practice, advisers should implement periodic forensic reviews of billing practices to identify and correct issues relating to fee billing and expenses. Originality/value Expert guidance from experienced investment management lawyer.

Implementing PAR in a Thai community development context

2020 ◽  
Vol 20 (2) ◽  
pp. 205-215
Author(s):  
Nuntiya Doungphummes ◽  
Mark Vicars
Keyword(s):  
Community Development ◽  
Culturally Responsive ◽  
Design Methodology ◽  
Critical Reflection ◽  
Development Project ◽  
Research Practice ◽  
Content Type ◽  
Development Context ◽  
Participatory Inquiry

PurposeThe purpose of this paper is to present an account of a PAR project in a Thai community and to discuss the methodological implications of implementing a culturally responsive approach.Design/methodology/approachThe paper draws on the frameworks for PAR conducted as a community development project with rural Thai communities.FindingsThe paper reviews the use of a PAR approach as a culturally responsive approach and presents an experience of culturally situated research practice.Originality/valueThis paper encourages researchers conducting participatory inquiry to engage in deeper critical reflection on the implications of these methods in keeping with PAR's critical ontological, epistemological and axiological orientation.

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