scholarly journals Enabling At-Homeness for Older People With Life-Limiting Conditions: A Participant Observation Study From Nursing Homes

2019 ◽  
Vol 6 ◽  
pp. 233339361988163
Author(s):  
Lotta Saarnio ◽  
Anne-Marie Boström ◽  
Ragnhild Hedman ◽  
Petter Gustavsson ◽  
Joakim Öhlén
Keyword(s):  
Decision Making ◽  
Nursing Homes ◽  
Nursing Care ◽  
Nursing Staff ◽  
Participant Observation ◽  
Well Being ◽  
Interpretive Description ◽  
Observation Study ◽  
Palliative Approach ◽  
Using Data

At-homeness, as an aspect of well-being, can be experienced despite living with life-limiting conditions and needs for a palliative approach to care. In nursing homes, older residents with life-limiting conditions face losses and changes which could influence their experience of at-homeness. The aim of this study was to explore how nursing staff enable at-homeness for residents with life-limiting conditions. Interpretive description was employed as the design using data from participant observations and formal and informal interviews related to nursing care situations. The strategies found to be used to enable at-homeness comprising nursing staff presenting themselves as reliable, respecting the resident’s integrity, being responsive to the resident’s needs, collaborating with the resident in decision-making, and through nurturing comforting relationships. The result on how to enable at-homeness could be used as strategies for a person-centered palliative approach in the care for residents in nursing homes.

scholarly journals Street Clinic Nursing for coping with vulnerabilities

Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e67967
Author(s):  
Giulia Romano Bombonatti ◽  
Débora de Souza Santos ◽  
Dalvani Marques ◽  
Fernanda Mota Rocha
Keyword(s):  
Qualitative Study ◽  
Nursing Care ◽  
Nursing Staff ◽  
Participant Observation ◽  
Collaborative Work ◽  
Health Inequities ◽  
Homeless Population ◽  
Structured Interviews ◽  
Nursing Team

Objective: to unveil the perceptions of the Street Clinic nursing staff about coping with vulnerabilities. Methods: qualitative study, carried out by means of participant observation of the team’s activities, recording in a field diary and semi-structured interviews with the nursing team, totaling 17 participants. Results: situations experienced by people living on the streets that deepen health inequities by violating rights were revealed. Among the nursing work tools, the potential of collaborative work, listening, and welcoming technologies stand out as mediators of a more humanized care. There is a need for specific strategies to guide nursing care on the streets. Conclusion: nursing has great potential for addressing the vulnerabilities of the homeless population using soft and soft-hard technologies.

scholarly journals Appropriate Nurse Staffing Levels for U.S. Nursing Homes

2020 ◽  
Vol 13 ◽  
pp. 117863292093478 ◽  
Author(s):  
Charlene Harrington ◽  
Mary Ellen Dellefield ◽  
Elizabeth Halifax ◽  
Mary Louise Fleming ◽  
Debra Bakerjian
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Nursing Staff ◽  
Nurse Staffing ◽  
Well Being ◽  
Data Sources ◽  
Care Needs ◽  
Staffing Levels ◽  
Nursing Staffing ◽  
Adequate Staffing

US nursing homes are required to have sufficient nursing staff with the appropriate competencies to assure resident safety and attain or maintain the highest practicable level of physical, mental, and psychosocial well-being of each resident. Minimum nurse staffing levels have been identified in research studies and recommended by experts. Beyond the minimum levels, nursing homes must take into account the resident acuity to assure they have adequate staffing levels to meet the needs of residents. This paper presents a guide for determining whether a nursing home has adequate and appropriate nurse staffing. We propose five basic steps to: (1) determine the collective resident acuity and care needs, (2) determine the actual nurse staffing levels, (3) identify appropriate nurse staffing levels to meet residents care needs, (4) examine evidence regarding the adequacy of staffing, and (5) identify gaps between the actual staffing and the appropriate nursing staffing levels based on resident acuity. Data sources and specific methodologies are analyzed, compared, and recommended. The goal is to assist nursing home nurses and administrators to ensure adequate nursing home staffing levels that protect resident health, safety, and well-being.

scholarly journals Socioeconomic Status, Time Scarcity and Well-Being in Retirement

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 913-913
Author(s):  
Boroka Bo
Keyword(s):  
Socioeconomic Status ◽  
Life Experience ◽  
Participant Observation ◽  
Later Life ◽  
Well Being ◽  
Network Characteristics ◽  
Experience Of Time ◽  
Peer Network ◽  
Using Data ◽  
Cumulative Inequality

Abstract We tend to think of retirement as a great equalizer when it comes to relief from the pernicious time scarcity characterizing the lives of many individuals in the labor force. Puzzlingly, this is not entirely the case. Using data from the MTUS (N=15,390) in combination with long-term participant observation (980 hours) and in-depth interviews (N=53), I show that socioeconomic characteristics are important determinants of retiree time scarcity. Neighborhood disadvantage gets under the skin via time exchanges that are forged by both neighborhood and peer network characteristics. The SES-based ‘time projects of surviving and thriving’ undergirding the experience of time scarcity lead to divergent strategies of action and differing consequences for well-being. For the advantaged, the experience of time scarcity is protective for well-being in later life, as it emerges from the ‘work of thriving’ and managing a relative abundance of choices. For the disadvantaged, the later life experience of time scarcity is shaped by cumulative inequality, further exacerbating inequalities in well-being. The final section of the article offers an analysis and interpretation of these results, putting retiree time scarcity in conversation with the broader literature on socioeconomic status and well-being.

scholarly journals Socioeconomic Factors Related to Job Satisfaction among Formal Care Workers in Nursing Homes for Older Dependent Adults

2021 ◽  
Vol 18 (4) ◽  
pp. 2152
Author(s):  
Isabel Pardo-Garcia ◽  
Roberto Martinez-Lacoba ◽  
Francisco Escribano-Sotos
Keyword(s):  
Job Satisfaction ◽  
Decision Making ◽  
Nursing Homes ◽  
Working Conditions ◽  
Well Being ◽  
Aged Care ◽  
Formal Care ◽  
Cross Sectional Survey ◽  
Length Of Service ◽  
Cross Sectional

Population ageing is increasing the demand for dependent care. Aged care nursing homes are facilities that provide formal care for dependent older persons. Determining the level of job satisfaction among workers in nursing homes and the associated factors is key to enhancing their well-being and the quality of care. A cross-sectional survey was administered online to nursing home workers (n = 256) in an inland region of Spain over the period from February to May 2017. The questionnaire collected data on sociodemographic variables and others related to training and job satisfaction. The results show that most of the care is delivered by women with a medium level of education. A total of 68% of workers had received formal training, although a significant percentage (65%) thought this was not useful. The highest level of satisfaction was found to be related to users and co-workers. Our factor analysis revealed that the satisfaction components are decision-making, working conditions—e.g., schedule—and the work environment—e.g., relationship with coworkers—. Length of service and working with highly dependent persons are negatively associated with these components. Working in social health care is negatively related to decision-making and working conditions. Training, in contrast, is positively associated with these components. Care is a job that requires appropriate training and preparation to provide quality assistance and to guarantee workers’ well-being.

scholarly journals EL ROL DEL PERSONAL DE ENFERMERÍA EN LA PROMOCIÓN DEL BIENESTAR BIOPSICOSOCIAL DURANTE LA EXPERIENCIA DE HOSPITALIZACIÓN PEDIÁTRICA.

2022 ◽  
Vol 7 (1) ◽  
pp. 48
Author(s):  
Érika Estefanía Yánez Ortiz
Keyword(s):  
Hospital Stay ◽  
Nursing Care ◽  
Nursing Staff ◽  
Health Personnel ◽  
Well Being ◽  
Care Process ◽  
Biological Perspective ◽  
Palabras Clave ◽  
Excessive Crying

La estancia en el hospital de niños y niñas es desafortunadamente común y está asociada a regresión en los comportamientos, agresión, falta de cooperación, retraimiento, dificultad para recuperarse, llanto excesivo, y disminución de la comunicación y/o actividad, por lo que el proceso atención enfermero necesita no solo una perspectiva biológica, sino también incluir a las esferas psicológicas y sociales. El rol del personal de enfermería, al ser los principales referentes de cuidado dentro del contexto sanitario, resulta esencial pues son percibidos como la mayor fuente de apoyo e información de los padres, madres y pacientes. En el documento se proporcionan algunas pautas, dirigidas al personal de salud, para aumentar el bienestar integral a través de acciones concretas y de fácil ejecución. Palabras clave: hospitalización, personal de enfermería, humanización de la atención. ABSTRACT The hospital stay of children is unfortunately common and is associated with regression in behaviors, aggression, lack of cooperation, withdrawal, difficulty in recovering, excessive crying, and decreased communication and / or activity, so The nursing care process needs not only a biological perspective, but also includes the psychological and social spheres. The role of the nursing staff, being the main care references within the healthcare context, is essential since they are perceived as the greatest source of support and information from parents and patients. The document provides some guidelines, aimed at health personnel, to increase comprehensive well-being through concrete and easy-to-implement actions. Keywords: hospitalization, nursing staff, humanization of care.

scholarly journals 2052. Characterizing Nursing and Provider Social Networks to Develop an Instrument to Improve Antibiotic Stewardship Efforts in Nursing Homes

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S691-S692
Author(s):  
Tola Ewers ◽  
Marlon P Mundt ◽  
Christopher Crnich
Keyword(s):  
Decision Making ◽  
Nursing Homes ◽  
Social Interactions ◽  
Nursing Staff ◽  
Antibiotic Use ◽  
Team Climate ◽  
Antibiotic Prescribing ◽  
Network Structures ◽  
Survey Responses ◽  
Tract Infections

Abstract Background Inappropriate antibiotic use is a common problem in nursing homes (NHs). Antibiotic decision-making in NHs is complex. Characterizing the patterns and nature of social interactions between providers and nursing staff may offer insights into the factors influencing antibiotic decisions and opportunities to improve their quality in NHs. Methods Chart reviews and interviews with key informants were used to identify social interactions between nursing staff and providers associated with antibiotic prescribing decisions in three NHs. Data collection was restricted to provider-nurse exchanges following a resident change in condition recognition up to receipt of an order for an antibiotic. A survey administered to nursing staff was used to collect information on employment tenure and their perceptions about facility team climate. UCINET software was used to describe network characteristics, including density and centrality. Results Urinary tract infections (UTIs) accounted for nearly 40% of antibiotic events across all sites. The number of contacts between nursing staff and providers was approximately two-times greater for treated UTI events when compared with treated soft-tissue infections and were four-times as great as for treated pneumonia events. Network structures were different at each study NH with varying numbers of core team members and network density (Figure 1). Team climate survey responses across SNFs demonstrate generally positive climates (4.1 on a scale of 1 to 5, 5 reflects positive). Conclusion NHs have unique network structures; however, more complex social interactions associated with UTI events were common across all sites. Future studies should examine influences of different social network structures on antibiotic decision-making in NHs and whether modification of network structures or their characteristics is amenable to change. Disclosures All authors: No reported disclosures.

scholarly journals Elder abuse in Norwegian nursing homes: a cross-sectional exploratory study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Anja Botngård ◽  
Arne Henning Eide ◽  
Laura Mosqueda ◽  
Wenche Malmedal
Keyword(s):  
Nursing Homes ◽  
Physical Abuse ◽  
Nursing Staff ◽  
Exploratory Study ◽  
Elder Abuse ◽  
Psychological Abuse ◽  
Well Being ◽  
Cross Sectional ◽  
The Past ◽  
Abuse And Neglect

Abstract Background Elder abuse is a global public health and human rights problem that is predicted to increase as many countries experience a rapid growth in their population of older adults. Elder abuse undermines an older person’s well-being and is associated with a range of serious health consequences. In institutional care settings, older residents are particularly vulnerable and hence at higher risk of being abused, but few countries have explored the extent and nature of this phenomenon in national studies. The aim of this study is to estimate the prevalence of observed and perpetrated staff-to-resident abuse in Norwegian nursing homes. Methods We conducted a cross-sectional exploratory study of nursing staff in 100 randomly drawn Norwegian nursing homes. Nursing staff completed a pen and paper survey measuring how often during the past year they had observed staff commit acts of neglect and psychological, physical, financial/material, and sexual abuse towards residents. They also reported how often they had perpetrated acts of abuse themselves, and these rates were disaggregated by nursing staff’s gender, age and education. Results Of 3693 nursing staff (response rate 60.1%), 76% had observed one or more incidents of elder abuse during the past year, and 60.3% reported they had perpetrated one or more incidents of abuse in the same period. Psychological abuse and neglect were most commonly reported. Male staff reported more acts of physical abuse, while female staff reported more acts of neglect. Higher education of staff was associated with higher rates of self-reported psychological abuse, physical abuse and neglect. Conclusions This first national survey of staff in Norwegian nursing homes is one of the largest studies globally estimating the prevalence of elder abuse in institutional settings. Overall, we found staff-to-resident abuse to be relatively common, and our findings propose a need for preventive strategies to improve the quality of life and safety of residents in Norwegian nursing homes.

Nurses’ knowledge and attitudes toward aged sexuality in Flemish nursing homes

2016 ◽  
Vol 23 (6) ◽  
pp. 605-623 ◽  
Author(s):  
Lieslot Mahieu ◽  
Bernadette Dierckx de Casterlé ◽  
Jolien Acke ◽  
Hanne Vandermarliere ◽  
Kim Van Elssen ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Nursing Staff ◽  
Positive Attitude ◽  
Nursing Home Residents ◽  
Later Life ◽  
Well Being ◽  
Educational Interventions ◽  
Survey Study ◽  
Knowledge And Attitudes

Background: Admission to a nursing home does not necessarily diminish an older person’s desire for sexual expression and fulfillment. Given that nursing staff directly and indirectly influence the range of acceptable sexual expressions of nursing home residents, their knowledge and attitudes toward aged sexuality can have far-reaching effects on both the quality of care they provide to residents and the self-image and well-being of these residents. Research objectives: To investigate nursing staff’s knowledge and attitudes toward aged sexuality, to determine whether certain sociodemographic factors of the nursing staff relate to their knowledge and attitudes toward later-life sexuality, and to examine the relationship between knowledge and attitudes. Research design: Descriptive cross-sectional survey study. Research participants and research context: The administered questionnaire collected sociodemographic data and data from an adapted, Dutch version of the Aging Sexual Knowledge and Attitudes Scale. Data were collected from November 2011 through April 2012. A total of 43 geographically dispersed nursing homes in Flanders, Belgium, participated. Out of a potential research sample of 2228 nursing staff respondents, 1166 participated. Ethical considerations: The study protocol was approved by the Ethics Committee of the Faculty of Medicine of the KU Leuven. Findings: Nursing staff appeared to be moderately knowledgeable about aged sexuality and displayed a rather positive attitude toward sexuality in older people. Significant relationships between various variables were found both at univariable and multivariable levels. Knowledge and attitudes proved to be positively related, indicating that a higher level of knowledge of aged sexuality is associated with a more positive attitude toward sexuality in later life. Discussion: Research findings are discussed within a broader international context. Conclusion: There is room for improvement for both nursing staff’s knowledge and attitudes toward aged sexuality. This might be aided by appropriate educational interventions. Our results identified different target groups of nursing home staff for these interventions.

The Relationship Between Hearing Loss Self-Management and Hearing Aid Benefit and Satisfaction

2019 ◽  
Vol 28 (2) ◽  
pp. 274-284 ◽  
Author(s):  
Elizabeth Convery ◽  
Gitte Keidser ◽  
Louise Hickson ◽  
Carly Meyer
Keyword(s):  
Decision Making ◽  
Hearing Loss ◽  
Hearing Aids ◽  
Clinical Decision Making ◽  
Hearing Aid ◽  
Well Being ◽  
Self Report ◽  
Self Management ◽  
Hearing Aid Benefit ◽  
The Relationship

Purpose Hearing loss self-management refers to the knowledge and skills people use to manage the effects of hearing loss on all aspects of their daily lives. The purpose of this study was to investigate the relationship between self-reported hearing loss self-management and hearing aid benefit and satisfaction. Method Thirty-seven adults with hearing loss, all of whom were current users of bilateral hearing aids, participated in this observational study. The participants completed self-report inventories probing their hearing loss self-management and hearing aid benefit and satisfaction. Correlation analysis was used to investigate the relationship between individual domains of hearing loss self-management and hearing aid benefit and satisfaction. Results Participants who reported better self-management of the effects of their hearing loss on their emotional well-being and social participation were more likely to report less aided listening difficulty in noisy and reverberant environments and greater satisfaction with the effect of their hearing aids on their self-image. Participants who reported better self-management in the areas of adhering to treatment, participating in shared decision making, accessing services and resources, attending appointments, and monitoring for changes in their hearing and functional status were more likely to report greater satisfaction with the sound quality and performance of their hearing aids. Conclusion Study findings highlight the potential for using information about a patient's hearing loss self-management in different domains as part of clinical decision making and management planning.

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