scholarly journals Experiences of supporting older persons in completion of an exercise and nutrition intervention: an interview study with nursing home staff

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
S. Vikström ◽  
H. K. Grönstedt ◽  
T. Cederholm ◽  
E. Franzén ◽  
G. Faxén-Irving ◽  
...  
Keyword(s):  
Nursing Home ◽  
Comparative Method ◽  
Nutrition Intervention ◽  
Trial Registration ◽  
Reliable Technique ◽  
Randomized Intervention ◽  
Form Theory ◽  
Health Promoting ◽  
Group Interviews ◽  
Daily Physical Activities

Abstract Background The interactions between nursing home (NH) staff and their residents are crucial not only for the atmosphere at the NH but also for achieving care goals. In order to test the potential effects of daily physical activities (sit-to-stand (STS) exercises) combined with oral nutritional supplementation (ONS), a randomized intervention trial (the Older Person’s Exercise and Nutrition (OPEN) Study) was performed in NH residents. One aspect of the study was to interview and report the NH staff’s experiences of supporting the residents in fulfilling the intervention. Methods In this qualitative study, individual and focus group interviews were performed in eight NH facilities with NH staff who had assisted residents in performing the 12-week ONS/STS intervention. An interview guide developed for this study was used to assess staff experiences of the intervention and its feasibility. The transcribed interviews were analyzed inductively following a constant comparative method and with input from experts in the area, described in Grounded Theory as a reliable technique for researchers to form theory and hypothesis in unexplored areas. Results Three main themes relating to the health-promoting intervention emerged. These included: 1) insights into attitudes towards health in general and NH care specifically; 2) intervention-related challenges, frustrations and needs, and 3) aspects of collaboration and opportunities. The overarching hypothesis derived from the analysis reads: A health-promoting intervention such as the OPEN-concept has great potential for integration into NH life if a combined empathic and encouraging attitude, and a structure to keep it sustainable, are in place. Conclusions NH staff experienced the health-promoting intervention as a potentially positive concept, although it was suggested that it works best if introduced as a general routine in the unit and is integrated into the daily planning of care. Trial registration ClinicalTrials.govIdentifier: NCT02702037. Date of trial registration February 26, 2016. The trial was registered prospectively

scholarly journals React and act: a qualitative study of how nursing home leaders follow up on staff-to-resident abuse

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Janne Myhre ◽  
Susan Saga ◽  
Wenche Malmedal ◽  
Joan Ostaszkiewicz ◽  
Sigrid Nakrem
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Elder Abuse ◽  
Comparative Method ◽  
Individual Level ◽  
Staff Members ◽  
Individual Interviews ◽  
Group Interviews ◽  
Different Levels

Abstract Background Elder abuse in nursing homes is a complex multifactorial problem and entails various associations across personal, social, and organisational factors. One way leaders can prevent abuse and promote quality and safety for residents is to follow up on any problems that may arise in clinical practice in a way that facilitates learning. How nursing home leaders follow up and what they follow up on might reflect their perceptions of abuse, its causal factors, and the prevention strategies used in the nursing home. The aim of this study was to explore how nursing home leaders follow up on reports and information regarding staff-to-resident abuse. Methods A qualitative explorative design was used. The sample comprised 43 participants from two levels of nursing home leadership representing six municipalities and 21 nursing homes in Norway. Focus group interviews were conducted with 28 care managers, and individual interviews took place with 15 nursing home directors. The constant comparative method was used for the analyses. Results Nursing home leaders followed up incidents of staff-to-resident abuse on three different levels as follows: 1) on an individual level, leaders performed investigations and meetings, guidance, supervision, and occasionally relocated staff members; 2) on a group level, feedback, openness, and reflection for shared understanding were strategies leaders used; and 3) on an organisational level, the main solutions were to adjust to available resources, training, and education. We found that leaders had difficulties defining harm and a perceived lack of power to follow up on all levels. In addition, they did not have adequate tools for evaluating the effect of the measures that were taken. Conclusions Nursing home leaders need to be clear about how they should follow up incidents of elder abuse on different levels in the organisation and about their role in preventing elder abuse. Evaluation tools that facilitate systematic organisational learning are needed. Nursing homes must operate as open, blame-free cultures that acknowledge that incidents of elder abuse in patient care arise not only from the actions of individuals but also from the complex everyday life of which they are a part and in which they operate.

scholarly journals A Qualitative Study on Employees’ Experiences of a Support model for Systematic Work Environment Management

2019 ◽  
Vol 16 (19) ◽  
pp. 3551 ◽  
Author(s):  
Therese Hellman ◽  
Fredrik Molin ◽  
Magnus Svartengren
Keyword(s):  
Focus Group ◽  
Qualitative Study ◽  
Work Environment ◽  
Work Groups ◽  
Comparative Method ◽  
Focus Group Interviews ◽  
Environment Management ◽  
Group Interviews ◽  
Over Time ◽  
Support Model

Background: The aim is to explore how an organisational work environment support model, the Stamina model, influences employees’ work situations and the development of sustainable work systems. Methods: It was a qualitative study with semi-structured, focus-group interviews, including 45 employees from six work groups. Eighteen focus group interviews were conducted over a period of two years. Data were analysed with constant comparative method. Results: The core category, shifting focus from an individual to an organisational perspective of work, illustrated how communication and increased understanding of one’s work tasks changed over time and contributed to deeper focus on the actual operation. These insights were implemented at different time points among the work groups during the two-year process. Conclusions: Our results indicate that working with the model engages employees in the work environment management, puts emphasis on reflections and discussions about the meaning and purpose of the operations and enables a shared platform for communication. These are important features that need to continue over time in order to create a sustainable work system. The Stamina model, thus seems to have the potential to promote productive and healthy work places.

scholarly journals Improving Nursing Home Residents' Oral Hygiene: Results of a Cluster Randomized Intervention Trial

2018 ◽  
Vol 19 (12) ◽  
pp. 1086-1091 ◽  
Author(s):  
Jane A. Weintraub ◽  
Sheryl Zimmerman ◽  
Kimberly Ward ◽  
Christopher J. Wretman ◽  
Philip D. Sloane ◽  
...  
Keyword(s):  
Nursing Home ◽  
Oral Hygiene ◽  
Nursing Home Residents ◽  
Intervention Trial ◽  
Randomized Intervention ◽  
Cluster Randomized

scholarly journals How implementation of a national strategy for nursing homes is experienced by the healthcare personnel: A qualitative study with content analysis of interviews.

2020 ◽  
Author(s):  
Beate Andre ◽  
RN. Kjersti Grønning ◽  
Frode F. Jacobsen ◽  
Gørill Haugan
Keyword(s):  
Content Analysis ◽  
Nursing Home ◽  
Nursing Homes ◽  
Qualitative Content Analysis ◽  
Implementation Process ◽  
Care Quality ◽  
Healthcare Personnel ◽  
Health Promoting ◽  
Positive Experiences

Abstract Background: Nursing homes are under strong pressure to provide good care to the residents. In Norway, municipalities have applied the ‘Joy-of-Life-Nursing-Home’ strategy to increase a health-promoting perception that focuses on the older persons` resources. Implementations represent introducing changes to the healthcare personnel; however, changing one’s working approaches, routines and working culture may be demanding. On this background, we explored how the ‘Joy-of-Life-Nursing-Home’ strategy is perceived by the employees in retrospective, over a period after the implementation and which challenges the employees experience with this implementation.Method: We used a qualitative approach and interviewed 14 healthcare personnel working in nursing homes in one Norwegian municipality, which had implemented the ‘Joy-of-Life-Nursing-Home’ strategy. The analysis was conducted following Kvale’s approach to qualitative content analysis.Results: The main categories were: (a) the characteristics of care activities before implementations of ‘Joy-of-Life-Nursing-Home’, (b) how ‘Joy-of-Life-Nursing-Home’ influenced the care activities, and (c) challenges with the implementation of ‘Joy-of-Life-Nursing-Home’. Some of the informants spoke well about the implementation concerning the care quality stating “to see the joy in the eyes of the resident then I feel we have succeeded”. For informants who experienced resistance toward the implementation, they felt it was too much to document, it was too complicated, and the requirements were too many. Conclusions: Quality of care seems to have increased after the implementation, as perceived by the informants. Nevertheless, the fact that the informants seemed to be divided into two different groups related to their main perspective of the implementation is concerning. One group has positive experiences with the implementations process and the benefits of it, while the other group focuses on lack of benefits and problems with the implementation process. In order to understand what facilitates and hinders the implementation, research on contextual factors like work environment and leadership is recommended.

scholarly journals Grindagutar på sjukeheim: Tilsette sin erfaring med kulturprosjekt

2014 ◽  
Vol 9 (2) ◽  
pp. 42
Author(s):  
Aud Berit Fossøy ◽  
Solveig Hauge ◽  
Ellen Karine Grov
Keyword(s):  
Nursing Home ◽  
Focus Group ◽  
Nursing Home Residents ◽  
Holistic Care ◽  
Focus Group Interviews ◽  
Cultural Project ◽  
Group Interviews ◽  
Culture Activity

<p><strong>Grindagutar at nursing home: Employees experience with cultural project.</strong><em><br />Background: Culture activity contributes to holistic care for nursing home residents, and the employees are key personnel for success.<br />Aim: Explore the employees’ experience putting culture projects into life in a nursing home.<br />Methods: The material, based on four focus group interviews with employees in the nursing home, is categorized and analyzed through text condensation.<br />Results: The culture projects created activity and were sources for thriving. However, not participating directly in the activity, the employees let the artists in, were available for them, and watched the patients during the performances. Their function as “door-openers/-keepers” resulted in hosting responsibility, leading to a position of confusion regarding the role as protectors for the patients. Main challenges were how to give feedback regarding whether the patients liked/disliked the performance, and the feeling of being trapped in a position as bystander rather than making the culture activity a common happening for the patients and the employees. </em><strong></strong></p>

scholarly journals Grit as Perseverance in Physical Activity Participation

2020 ◽  
Vol 17 (3) ◽  
pp. 807 ◽  
Author(s):  
Stina Rutberg ◽  
Lars Nyberg ◽  
Darla Castelli ◽  
Anna-Karin Lindqvist
Keyword(s):  
Physical Activity ◽  
Critical Period ◽  
School Context ◽  
Study Data ◽  
Focus Group Interviews ◽  
Healthy Behaviors ◽  
Physical Activity Interventions ◽  
Health Promoting ◽  
Group Interviews ◽  
The Relationship

Childhood is a critical period for the acquisition of healthy behaviors, and the promotion of sustainable healthy behavior among children is greatly important. Therefore, an increased understanding of the relationship between grit and physical activity in a school context is needed. The purpose of this study is to describe and develop an understanding of students’ and teachers’ awareness and experiences concerning grit as a health-promoting factor. Fifty-five students and three teachers participated in the study. Data were collected through the Short Grit Scale and focus group interviews. There were weak to non-significant correlations between the three teachers’ ratings of their students’ grit and the children’s own ratings. The qualitative results show that children and teachers understood the construct of grit but had slightly different perceptions of it and that grit is not considered to be set in stone. The participants made an association between grit, motivation, meaningfulness, and setting goals. The findings indicate that grit might be an ideal target for making physical activity interventions sustainable.

Is an ecological school-based nutrition intervention effective to improve adolescents’ nutrition-related knowledge, attitudes and behaviour in rural areas of China?

2016 ◽  
Vol 24 (4) ◽  
pp. 81-89 ◽  
Author(s):  
Dongxu Wang ◽  
Donald Stewart ◽  
Chun Chang
Keyword(s):  
Rural Areas ◽  
Dietary Habits ◽  
Rural China ◽  
Nutrition Intervention ◽  
Ecological Approach ◽  
Control School ◽  
Post Intervention ◽  
School Based ◽  
Health Promoting School ◽  
Health Promoting

Purpose: The purpose of this article is to examine the effect of a school-based nutrition intervention using an ecological approach to improve adolescents’ nutrition-related knowledge, attitudes and behaviour in rural China. Methods: A cluster-randomised intervention trial design was employed. Two middle schools were randomly selected and assigned to the school that was conducting a holistic school-based intervention using health-promoting school (HPS) framework, ‘HPS School’, or to the ‘Control School’ in Mi Yun County, Beijing. From each school we randomly selected 65 seventh-grade students to participate in the study. Their nutrition-related knowledge, attitudes and behaviour were measured by pre- and post-intervention surveys with the same instrument. The nutrition intervention lasted for six months. Results: Adolescents in the intervention school were more likely to know the nutrition knowledge items, with an odds ratio (OR) ranging from 1.86 (95% confidence interval (CI): 1.11–3.09) to 6.34 (95% CI: 3.83–10.47); more likely to think nutrition is very important to health, developing healthy dietary habits is very important, and that expired foods should be thrown away, with ORs of 3.03 (95% CI: 1.60–5.76), 2.76 (95% CI: 1.66–4.59) and 2.35 (95% CI: 1.33–4.17) respectively, and more likely to consume no soft drinks, desserts or fried food, and to eat vegetables every day of the last week, with ORs of 1.99 (95% CI: 1.31–3.04), 3.96 (95% CI: 2.43–6.46), 3.63 (95% CI: 2.26–5.85), and 2.51 (95% CI: 1.41–4.48) respectively, as compared with those in the control school after interventions. Conclusions: Our intervention using the HPS framework, an ecological approach, was an appropriate model to promote nutrition among adolescents in rural China and its use should be advocated in future school-based nutrition promotion programmes for adolescents.

Preferred Music Listening Intervention in Nursing Home Residents with Cognitive Impairment: A Randomized Intervention Study

2019 ◽  
Vol 70 (2) ◽  
pp. 433-442 ◽  
Author(s):  
Pilar Pérez-Ros ◽  
Laura Cubero-Plazas ◽  
Trinidad Mejías-Serrano ◽  
Cristina Cunha ◽  
Francisco M. Martínez-Arnau
Keyword(s):  
Nursing Home ◽  
Cognitive Impairment ◽  
Intervention Study ◽  
Nursing Home Residents ◽  
Music Listening ◽  
Randomized Intervention ◽  
Randomized Intervention Study

scholarly journals Perceived Barriers to Rural Elderly Women’s Health-Promoting Behaviors: An Ecological Perspective

2020 ◽  
Vol 17 (17) ◽  
pp. 6107
Author(s):  
Hyunjung Moon ◽  
Sunkyung Cha ◽  
Eunyoung Park
Keyword(s):  
Ecological Model ◽  
Elderly Women ◽  
Functional Decline ◽  
Rural Elderly ◽  
Perceived Barriers ◽  
Policy Support ◽  
Health Promoting Behaviors ◽  
Health Promoting ◽  
Accessibility Issues ◽  
Group Interviews

This study multidimensionally examines rural elderly women’s subjective barriers to practicing health-promoting behaviors. Twenty-six rural elderly women participated in three focus group interviews. Content analysis and a qualitative research method were used. The results, based on an ecological model, show that the implementation of health-promoting behaviors in rural elderly women was comprehensively related to intrapersonal (functional decline, passive attitude, and lack of implementation), interpersonal (lack of social support), community (restrictive conditions, accessibility issues, and lack of infrastructure), and public policy (lack of policy support) factors. Interventions addressing each factor can help reduce or eliminate the perceived barriers to health-promoting behaviors through interactions. Our findings can contribute to the development of health-promoting programs focused specifically on the socialization of rural elderly women and community-centered health policies in the future.

Older Adults’ Perceptions of Using iPads for Improving Fruit and Vegetable Intake: An Exploratory Study

2015 ◽  
Vol 16 (1) ◽  
pp. 2-13 ◽  
Author(s):  
Ivan Watkins ◽  
Bo Xie
Keyword(s):  
Older Adults ◽  
Focus Group ◽  
Vegetable Intake ◽  
Comparative Method ◽  
Mobile App ◽  
Future Research ◽  
Theory Approach ◽  
Fruit And Vegetable ◽  
Group Interviews ◽  
Ipad App

Fruit and vegetable (FV) consumption can improve older adults’ health outcomes, but conventional interventions can be resource demanding and make it difficult to provide just-in-time intervention content. iPad-based interventions may help overcome these limitations, but little is known about how older adults might perceive and use iPads for FV consumption. To address this gap in the literature, we conducted a qualitative study to explore older adults’ perceptions and use of iPads for improving FV consumption between February and August of 2012. Five focus group sessions each lasting 120 min were conducted with 22 older adult participants. During each session, participants received guided exposure and instruction on iPad use and then explored three iPad applications targeting FV consumption (MyFood, FiveADay Lite, and Whole Foods Market Recipes). Detailed notes from focus group interviews were analyzed with a grounded theory approach that applied a constant comparative method to enable themes to emerge from the data. Three themes were identified from the data regarding participants’ baseline perceptions of iPads. These included (a) limited knowledge on iPad’s functions, (b) iPads were intended for younger users, and (c) iPads were too expensive. Themes identified regarding participants’ perceptions of iPads after guided exposure included (a) the touchscreen was easier to use than a computer mouse, (b) tapping the interface required practice, (c) portability was an asset in conjunction with functionality, (d) portability and functionality supported personal interests, (e) the difficulty of learning an iPad’s functions varied, and (f) practice and instruction helped overcome fear of the iPad. Finally, participants recommended iPad app features that could help them overcome barriers to their FV intake. These included (a) locating inexpensive FV from nearby sources, (b) providing tailored food and recipe suggestions, and (c) tracking and communicating FV intake with a doctor. These findings have important implications for future research on mobile app-based eHealth interventions to improve older adults’ FV intake.

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