scholarly journals Correction to: What matters to you when the nursing home is your home: a qualitative study on the views of residents with dementia living in nursing homes

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Agnete Nygaard ◽  
Liv Halvorsrud ◽  
Ellen Karine Grov ◽  
Astrid Bergland

An amendment to this paper has been published and can be accessed via the original article.

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Agnete Nygaard ◽  
Liv Halvorsrud ◽  
Ellen Karine Grov ◽  
Astrid Bergland

Author(s):  
Anne Sophie Mikkelsen ◽  
Maria Kristiansen

(1) Background: The effect of social relations on health and wellbeing is well documented. However, knowledge about social interventions specifically in nursing homes and their potential for health and wellbeing is inadequate. In this qualitative study, we explore the implementation of a social intervention entitled Tell Stories for Life implemented in Danish nursing homes. (2) Methods: Through a qualitative multi-perspective longitudinal approach, nursing home residents and employees were interviewed from May–December 2016 (N = 14). The authors made participatory observations and took field notes. (3) Results: The intervention did not appear to establish or strengthen social relations between nursing home residents. However, nursing home residents enjoyed participating, narrating and having someone listen to their stories. The identity of nursing home residents and their relationships to nursing home employees facilitating the intervention appeared to be strengthened. Barriers were related to lack of support from management, nursing home employees’ educational backgrounds and experiences, and nursing home residents’ cognitive ability. (4) Conclusions: This study found that the Tell Stories for Life intervention did not appear to strengthen and establish social relations among nursing home residents. However, we found that there might be potential for strengthening residents’ sense of identity and the relation between residents and nursing home employees.


PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255865
Author(s):  
Yuanyuan Zhao ◽  
Shariff-Ghazali Sazlina ◽  
Fakhrul Zaman Rokhani ◽  
Jing Su ◽  
Boon-How Chew

Nursing homes integrated with smart information such as the Internet of Things, cloud computing, artificial intelligence, and digital health could improve not only the quality of care but also benefit the residents and health professionals by providing effective care and efficient medical services. However, a clear concept of a smart nursing home, the expectations and acceptability from the perspectives of the elderly people and their family members are still unclear. In addition, instruments to measure the expectations and acceptability of a smart nursing home are also lacking. The study aims to explore and determine the levels of these expectations, acceptability and the associated sociodemographic factors. This exploratory sequential mixed methods study comprises a qualitative study which will be conducted through a semi-structured interview to explore the expectations and acceptability of a smart nursing home among Chinese elderly people and their family members (Phase I). Next, a questionnaire will be developed and validated based on the results of a qualitative study in Phase I and a preceding scoping review on smart nursing homes by the same authors (Phase II). Lastly, a nationwide survey will be carried out to examine the levels of expectations and acceptability, and the associated sociodemographic factors with the different categories of expectations and acceptability (Phase III). With a better understanding of the Chinese elderly people’s expectations and acceptability of smart technologies in nursing homes, a feasible smart nursing home model that incorporates appropriate technologies, integrates needed medical services and business concepts could be formulated and tested as a solution for the rapidly ageing societies in many developed and developing countries.


Author(s):  
Bente Lilljan Lind Kassah ◽  
Hilde Nordahl-Pedersen ◽  
Wivi-Ann Tingvoll1

Leaders of municipal nursing homes face challenges when they seek to secure a balance between the quality demands of authorities and the services they provide. In this chapter, we present a qualitative study on the leadership challenges in the municipal nursing homes. The aim is to develop knowledge on leadership challenges and the managerial discretions leaders employ to address the challenges. We interviewed seven middle-level leaders in five nursing homes in three medium-sized Norwegian municipalities using semi-structured interviews. The study revealed challenges connected to temporal nursing home placements made permanent, the time-consuming nature of the search for substitute workers, and the need to improve worker attitudes towards substitute workers’ experience-based knowledge. Attitude change is necessary because different forms of knowledge have different statuses in the nursing homes. The study shows that the leaders seek to meet the challenges connected to nursing home placements by establishing teams of professionals, while they try to persuade the Specialist Health Services to take over the responsibilities for the patients in transition. To meet the substitute worker challenge, the leaders use subjective managerial discretions to develop different strategies, including establishing substitute worker bases, substitute worker lists and delegation of substitute worker search. The leaders promote attitude change by stressing the importance of the substitute workers’ experience-based knowledge in both formal and informal contexts and implementing concrete competence measures. The study indicates that leaders who use subjective managerial discretions save time that they employ to create a balance between different leadership functions. The use of managerial discretions by leaders may affect the learning and organizational changes in nursing homes.


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Cicilia Pali

Abstract: In the last decade more and more elderly people chose to stay at nursing homes. Study findings varied about the happiness of them. Some studies found that elderly peolpe were happier in the nursing homes because their needs were fulfilled. However, some studies stated that elderly people were happier when they stayed at home with their families. This was a qualitative study on the perception of past, present, and future happiness of the elderly, analyzed by using Seligman’s theory of authentic happiness. The results showed that one eldery did not show happiness; another one was relatively happier; and the other one was very happy for one’ entire life. Keywords: elderly, happiness, nursing home   Abstrak: Dalam dekade terakhir semakin banyak lansia memilih tinggal di panti werdha. Temuan penelitian mengenai kebahagiaan pada lansia bervariasi. Beberapa penelitian menemukan bahwa lansia merasa bahagia berada di panti werdha karena kebutuhannya terpenuhi namun penelitian lainnya menyatakan bahwa lansia merasa bahagia saat tinggal bersama dengan keluarganya. Penelitian ini merupakan penelitian kualitatif terhadap penghayatan kebahagiaan lansia di masa lalu, masa sekarang, dan masa depan. Hal ini dianalisis berdasarkan teori kebahagiaan otentik dari Seligman. Hasil penelitian menunjukkan satu lansia tidak menunjukkan kebahagiaan, satu lansia relatif bahagia, dan lainnya menunjukkan sangat bahagia dalam menilai keseluruhan hidupnya. Kata kunci: lansia, kebahagiaan, panti werdha


Long-term care for older adults is highly affect by the COVID-19 outbreak. The objective of this rapid review is to understand what we can learn from previous crises or disasters worldwide to optimize the care for older adults in long term care facilities during the outbreak of COVID-19. We searched five electronic databases to identify potentially relevant articles. In total, 23 articles were included in this study. Based on the articles, it appeared that nursing homes benefit from preparing for the situation as best as they can. For instance, by having proper protocols and clear division of tasks and collaboration within the organization. In addition, it is helpful for nursing homes to collaborate closely with other healthcare organizations, general practitioners, informal caregivers and local authorities. It is recommended that nursing homes pay attention to capacity and employability of staff and that they support or relieve staff where possible. With regard to care for the older adults, it is important that staff tries to find a new daily routine in the care for residents as soon as possible. Some practical tips were found on how to communicate with people who have dementia. Furthermore, behavior of people with dementia may change during a crisis. We found tips for staff how to respond and act upon behavior change. After the COVID-19 outbreak, aftercare for staff, residents, and informal caregivers is essential to timely detect psychosocial problems. The consideration between, on the one hand, acute safety and risk reduction (e.g. by closing residential care facilities and isolating residents), and on the other hand, the psychosocial consequences for residents and staff, were discussed in case of other disasters. Furthermore, the search of how to provide good (palliative) care and to maintain quality of life for older adults who suffer from COVID-19 is also of concern to nursing home organizations. In the included articles, the perspective of older adults, informal caregivers and staff is often lacking. Especially the experiences of older adults, informal caregivers, and nursing home staff with the care for older adults in the current situation, are important in formulating lessons about how to act before, during and after the coronacrisis. This may further enhance person-centered care, even in times of crisis. Therefore, we recommend to study these experiences in future research.


1997 ◽  
Vol 36 (1) ◽  
pp. 77-87 ◽  
Author(s):  
Nicholas G. Castle

Long-term care institutions have emerged as dominant sites of death for the elderly. However, studies of this trend have primarily examined nursing homes. The purpose of this research is to determine demographic, functional, disease, and facility predictors and/or correlates of death for the elderly residing in board and care facilities. Twelve factors are found to be significant: proportion of residents older than sixty-five years of age, proportion of residents who are chair- or bed-fast, proportion of residents with HIV, bed size, ownership, chain membership, affiliation with a nursing home, number of health services provided other than by the facility, the number of social services provided other than by the facility, the number of social services provided by the facility, and visits by Ombudsmen. These are discussed and comparisons with similar studies in nursing homes are made.


2021 ◽  
pp. 1-13
Author(s):  
Julie L. O’Sullivan ◽  
Sonia Lech ◽  
Paul Gellert ◽  
Ulrike Grittner ◽  
Jan-Niklas Voigt-Antons ◽  
...  

Abstract Objectives: To investigate global and momentary effects of a tablet-based non-pharmacological intervention for nursing home residents living with dementia. Design: Cluster-randomized controlled trial. Setting: Ten nursing homes in Germany were randomly allocated to the tablet-based intervention (TBI, 5 units) or conventional activity sessions (CAS, 5 units). Participants: N = 162 residents with dementia. Intervention: Participants received regular TBI (n = 80) with stimulating activities developed to engage people with dementia or CAS (n = 82) for 8 weeks. Measurements: Apathy Evaluation Scale (AES-I, primary outcome), Quality of Life in Alzheimer’s Disease scale, QUALIDEM scale, Neuropsychiatric Inventory, Geriatric Depression Scale, and psychotropic medication (secondary outcomes). Momentary quality of life was assessed before and after each activity session. Participants and staff were blinded until the collection of baseline data was completed. Data were analyzed with linear mixed-effects models. Results: Levels of apathy decreased slightly in both groups (mean decrease in AES-I of .61 points, 95% CI −3.54, 2.33 for TBI and .36 points, 95% CI −3.27, 2.55 for CAS). Group difference in change of apathy was not statistically significant (β = .25; 95% CI 3.89, 4.38, p = .91). This corresponds to a standardized effect size (Cohen’s d) of .02. A reduction of psychotropic medication was found for TBI compared to CAS. Further analyses revealed a post-intervention improvement in QUALIDEM scores across both groups and short-term improvements of momentary quality of life in the CAS group. Conclusions: Our findings suggest that interventions involving tailored activities have a beneficial impact on global and momentary quality of life in nursing home residents with dementia. Although we found no clear advantage of TBI compared to CAS, tablet computers can support delivery of non-pharmacological interventions in nursing homes and facilitate regular assessments of fluctuating momentary states.


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