scholarly journals A qualitative study of the first batch of medical assistance team’s first-hand experience in supporting the nursing homes in Wuhan against COVID-19

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249656
Author(s):  
Xiu-Fen Yang ◽  
Meng-qi Li ◽  
Lu-lu Liao ◽  
Hui Feng ◽  
Si Zhao ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Qualitative Study ◽  
Older People ◽  
Medical Staff ◽  
Management Strategies ◽  
Care Needs ◽  
Risk Area ◽  
High Risk Area ◽  
Public Health Emergencies ◽  
Difficult Time

Background The pandemic of coronavirus disease 2019 (COVID-19) has global impact, Wuhan in Hubei province is a high-risk area. And the older people in nursing homes are the most susceptible group to COVID-19. The aim of this study was to describe the practice and experience of the first-line medical team, to provide insights of coping with COVID-19 in China. Method This qualitative study used a descriptive phenomenological design to describe the experience of medical staff supported the nursing homes in Wuhan fighting against COVID-19. Unstructured interviews via online video were conducted with seven medical staffs who supported the nursing homes in Wuhan. Data were analyzed using content analysis in five main themes: for nursing homes, we interviewed the difficulties faced at the most difficult time, services for the older people, and prevention and management strategies, for the medical staff, the psychological experience were interviewed, and the implications for public health emergencies were also reported. Conclusions It is imperative that effective preventive and response measures be implemented to face the outbreak of COVID-19 and meet the care needs of older people in the context of COVID-19. Implications Findings will inform managers of some reasonable instructional strategies for implementing effective infection management. Nursing homes need to provide targeted services to help alleviating their bad psychology for residents.

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.

Palliative care in the nursing home

2015 ◽  
Author(s):  
Jane L. Phillips ◽  
Annmarie Hosie ◽  
Patricia M. Davidson
Keyword(s):  
Palliative Care ◽  
Nursing Homes ◽  
Older People ◽  
Care Needs ◽  
Allied Health Professionals ◽  
Family Structures ◽  
Technological Advances ◽  
Challenges And Opportunities ◽  
Care Outcomes ◽  
Palliative Care Needs

Internationally, ageing, technological advances, evolving patterns of disease and disability, and changes in family structures have resulted in nursing homes becoming the final residence for many frailer older people. Much of the on-site assistance with activities of daily living in nursing homes is predominately provided by an unregulated or minimally trained carer workforce with registered nurse supervision, while professional nursing and medical care is provided either by on-site or visiting doctors, nurses, and allied health professionals from external services. This chapter details the palliative care needs of older people living in nursing homes and the challenges and opportunities to deliver better end-of-life care to this population, and proposes utilizing the Chronic Care Model as a framework for delivering the elements of a palliative approach to improve care outcomes for residents and their families.

As they see it: A qualitative study of how older residents in nursing homes perceive their care needs

2015 ◽  
Vol 22 (1) ◽  
pp. 43-51 ◽  
Author(s):  
Yeu-Hui Chuang ◽  
Jennifer A. Abbey ◽  
Yueh-Chen Yeh ◽  
Ing-Jy Tseng ◽  
Megan F. Liu
Keyword(s):  
Nursing Homes ◽  
Qualitative Study ◽  
Care Needs

scholarly journals Time in Care for Older People Living in Nursing Homes

2010 ◽  
Vol 2010 ◽  
pp. 1-10 ◽  
Author(s):  
K. B. E. Thorsell ◽  
B. M. Nordström ◽  
L. Fagerström ◽  
B. V. Sivberg
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Older People ◽  
Direct Care ◽  
Need For Care ◽  
Care Needs ◽  
Work Time ◽  
Actual Care ◽  
Care For Older People

In order to measure actual care needs in relation to resources required to fulfill these needs, an instrument (Time in Care) with which to evaluate care needs and determine the time needed for various care activities has been developed with the aim of assessing nursing intensity in municipal care for older people. Interreliability (ICC=0.854) of time measurements (n=10'546) of 32 nursing activities in relation to evaluated care levels in two nursing homes (staffn=81) has been determined. Nursing intensity for both periods at the two nursing homes comprised on average a direct care time of 75 (45%) and 101 (42%) minutes, respectively. Work time was measured according to actual schedule (462 hours per nursing home during two weeks). Given that the need for care was high, one must further investigate if the quality of care the recipients received was sufficiently addressed.

Being self in later life: maintaining continuity in the face of change

2016 ◽  
Vol 17 (2) ◽  
pp. 141-150
Author(s):  
Gareth O'Rourke
Keyword(s):  
Qualitative Study ◽  
Older People ◽  
Consumer Choice ◽  
Social Care ◽  
Later Life ◽  
Small Scale ◽  
Care Needs ◽  
Helping Relationships ◽  
Content Type ◽  
Care Services

Purpose – The purpose of this paper is to build upon existing knowledge of personalisation through an improved understanding of how the use of personalised social care services can support older people’s sense of self. It contains perspectives that are helpful to the development of personalisation policy and practice and to the future commissioning of social care services. Design/methodology/approach – The research involved a qualitative study with eight participants in two local authority areas in England. A series of three in-depth interviews conducted with each participant over a four to six week period explored their experience of using (in one case refusing) a direct payment to meet their social care needs. Ethical approval was obtained prior to the start of fieldwork via the research ethics committee of the author’s home university. Findings – Two inter-related themes emerge as findings of the research. First, that the locus of personalisation resides within the interpersonal dynamics of helping relationships; participants experienced personalisation when carers helped to meet needs in ways that validated their narrative of self. Second, whilst the experience of personalisation is not strongly related to consumer choice, it is important that older people are able to exercise control over and within helping relationships. Research limitations/implications – This is a small scale qualitative study conducted with only eight participants. Whilst it offers valid insights into what constitutes personalisation and the processes by which it was achieved for the participants, caution is required in applying the findings more generally. With the exception of one case, the study is focused exclusively on first person accounts of older people. Future studies might usefully be designed to incorporate the accounts of other involved parties such as family members and paid carers. Originality/value – The paper provides an alternative way of approaching personalisation of social care services for older people by exploring it in terms of its impact on self. It identifies the development of accommodations of “special requirements of Self” in helping relationships as a key mechanism of personalisation. This offers a balance to the current focus on consumer choice and control through the development of market like mechanisms.

scholarly journals Maternal Cardiac Arrest: A Practical and Comprehensive Review

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Farida M. Jeejeebhoy ◽  
Laurie J. Morrison
Keyword(s):  
Cardiac Arrest ◽  
Emergency Response ◽  
Emergency Preparedness ◽  
Management Strategies ◽  
Implementation Strategies ◽  
Heart Association ◽  
Risk Area ◽  
High Risk Area ◽  
Translation Strategy ◽  
Emergency Response Plan

Cardiac arrest during pregnancy is a dedicated chapter in the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care; however, a robust maternal cardiac arrest knowledge translation strategy and emergency response plan is not usually the focus of institutional emergency preparedness programs. Although maternal cardiac arrest is rare, the emergency department is a high-risk area for receiving pregnant women in either prearrest or full cardiac arrest. It is imperative that institutions review and update emergency response plans for a maternal arrest. This review highlights the most recent science, guidelines, and recommended implementation strategies related to a maternal arrest. The aim of this paper is to increase the understanding of the important physiological differences of, and management strategies for, a maternal cardiac arrest, as well as provide institutions with the most up-to-date literature on which they can build emergency preparedness programs for a maternal arrest.

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