Care for the Caregiver: Effective Pastoral Support for Nursing Home Staff

2001 ◽  
Vol 55 (1) ◽  
pp. 35-45
Author(s):  
Daryl Pullman ◽  
Bill James-Abra
Keyword(s):  
Nursing Home ◽  
Acute Care ◽  
Family Members ◽  
Relational Dynamics ◽  
Nursing Home Staff ◽  
Contextual Features ◽  
Acute Care Settings ◽  
Pastoral Support

Notes that the contexts in which caregivers work shape the kinds of relationships they develop with those under their care. Suggests that it is possible to map these contextual features on a continuum with detached professionalism and involved familialism representing the extremes. Claims that nursing home staff are more akin to family members in their relationships with residents than are other professional caregivers who work in acute care settings. Sketches possible implications as to how recognizing and responding to these relational dynamics may influence specific modes of care.

Nursing Home Staff Members’ Experiences With and Beliefs About Unusual End-of-Life Phenomena

2020 ◽  
pp. 003022282098123
Author(s):  
Stephen Claxton-Oldfield ◽  
Natalie Richard
Keyword(s):  
Nursing Home ◽  
End Of Life ◽  
Family Members ◽  
Nursing Home Staff ◽  
Staff Members ◽  
Specific Event ◽  
Transpersonal Experiences ◽  
Deathbed Visions ◽  
Life Phenomena

Twenty-two members of a nursing home took part in a study examining their experiences with and beliefs about unusual end-of-life phenomena (EOLP). Nearly all the staff members had witnessed and/or been told about residents holding on for someone to arrive or for a specific event to occur before dying (95% and 91%, respectively). Other commonly witnessed/reported EOLP included residents having sudden, unexpected moments of lucidity, sensing or feeling the presence of deceased residents, residents’ dreaming about deceased relatives, friends or pets, and deathbed visions. More than three-quarters of the staff members regarded EOLP as transpersonal experiences, as comforting to dying residents and their family members, and as part of the dying process. Fourteen staff members described experiences they had had with EOLP in the nursing home. The most frequently described experiences involved the appearance of apparitions. Seventy-seven percent of the staff members expressed an interest in learning more about EOLP.

scholarly journals Does Race Influence Conflict Between Nursing Home Staff and Family Members of Residents?

2011 ◽  
Vol 66B (6) ◽  
pp. 750-755 ◽  
Author(s):  
K. Abrahamson ◽  
K. Pillemer ◽  
J. Sechrist ◽  
J. Suitor
Keyword(s):  
Nursing Home ◽  
Family Members ◽  
Nursing Home Staff

scholarly journals A Cooperative Communication Intervention for Nursing Home Staff and Family Members of Residents

2003 ◽  
Vol 43 (suppl_2) ◽  
pp. 96-106 ◽  
Author(s):  
Karl Pillemer ◽  
J. Jill Suitor ◽  
Charles R. Henderson, ◽  
Rhoda Meador ◽  
Leslie Schultz ◽  
...  
Keyword(s):  
Nursing Home ◽  
Cooperative Communication ◽  
Family Members ◽  
Communication Intervention ◽  
Nursing Home Staff

scholarly journals Dementia-Related Care in Acute Care Settings: A Qualitative Meta-Synthesis of Patient and Family Perspectives

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1007-1008
Author(s):  
Richard Chunga
Keyword(s):  
Acute Care ◽  
Physical Environment ◽  
Inductive Reasoning ◽  
Family Members ◽  
Functional Condition ◽  
Hospital Environment ◽  
Care Providers ◽  
Efficient Treatment ◽  
Acute Care Settings ◽  
Social Environmental

Abstract Researchers have long emphasized the importance of a person-centered approach to health care, especially regarding the treatment of individuals living with dementia. However, the fast pace of acute care settings can be a difficult place to provide such care to patients, where there are tensions between the emphasis on efficient treatment of acute medical co-morbidities and person-centered dementia care. This paper is a meta-synthesis of qualitative studies examining perspectives of patients and their family members regarding their acute care experiences. It takes an interpretive approach, using primarily inductive reasoning to generate themes across available studies’ findings. Emergent themes are organized under two major dimensions of the hospital environment: the physical environment, including sensory and tangible elements, and the social environment, including the hospital atmosphere and communication practices. Persons with dementia feel overly stimulated by the busy physical environment of the hospital, yet they are often left to languish alone, sometimes even physically restrained. Patients reported feeling lonely, fearful, and confused, identifying diverse physical and social environmental attributes like physical clutter, noise, and lack of empathy from care providers as contributors. Based on acute care experiences and reports from patients and family members, although the acute condition is treated, persons with dementia often leave the acute care environment in worse functional condition than when they entered. Given the increasing prevalence of persons with dementia in acute care settings, it is clear that we must prioritize innovations and programs aimed at improving hospital practices, educating staff, and creating more dementia-friendly environmental designs.

Improving Patient Safety and Patient–Provider Communication

2019 ◽  
Vol 4 (5) ◽  
pp. 1017-1027 ◽  
Author(s):  
Richard R. Hurtig ◽  
Rebecca M. Alper ◽  
Karen N. T. Bryant ◽  
Krista R. Davidson ◽  
Chelsea Bilskemper
Keyword(s):  
Acute Care ◽  
Augmentative And Alternative Communication ◽  
Health Care Team ◽  
Provider Communication ◽  
Alternative Communication ◽  
Patient Provider Communication ◽  
Acute Care Settings ◽  
Nurses Perceptions ◽  
Communication Needs ◽  
The Impact

Purpose Many hospitalized patients experience barriers to effective patient–provider communication that can negatively impact their care. These barriers include difficulty physically accessing the nurse call system, communicating about pain and other needs, or both. For many patients, these barriers are a result of their admitting condition and not of an underlying chronic disability. Speech-language pathologists have begun to address patients' short-term communication needs with an array of augmentative and alternative communication (AAC) strategies. Method This study used a between-groups experimental design to evaluate the impact of providing patients with AAC systems so that they could summon help and communicate with their nurses. The study examined patients' and nurses' perceptions of the patients' ability to summon help and effectively communicate with caregivers. Results Patients who could summon their nurses and effectively communicate—with or without AAC—had significantly more favorable perceptions than those who could not. Conclusions This study suggests that AAC can be successfully used in acute care settings to help patients overcome access and communication barriers. Working with other members of the health care team is essential to building a “culture of communication” in acute care settings. Supplemental Material https://doi.org/10.23641/asha.9990962

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