Informal Caregivers Provide Considerable Front-Line Support In Residential Care Facilities And Nursing Homes

2022 ◽  
Vol 41 (1) ◽  
pp. 105-111
Author(s):  
Norma B. Coe ◽  
Rachel M. Werner
Keyword(s):  
Nursing Homes ◽  
Residential Care ◽  
Informal Caregivers ◽  
Front Line ◽  
Residential Care Facilities ◽  
Care Facilities

Family Satisfaction: Differences Between Nursing Homes and Residential Care Facilities

2020 ◽  
pp. 073346482097152
Author(s):  
Katherine Wood ◽  
Nader Mehri ◽  
Nytasia Hicks ◽  
Jonathon M. Vivoda
Keyword(s):  
Nursing Homes ◽  
Residential Care ◽  
Family Satisfaction ◽  
Term Care ◽  
Residential Care Facilities ◽  
Visitation Frequency ◽  
Care Facilities ◽  
Environment Domain ◽  
Care Family ◽  
Using Data

This study compared differences in overall family satisfaction, specific satisfaction domains, and correlates of satisfaction between nursing homes (NHs) and residential care facilities (RCFs), using data from the 2016 Ohio Long-Term Care Family Satisfaction Survey. Satisfaction was higher for RCFs overall and within nearly every domain, with the largest difference observed in the environment domain. In both facility types, higher satisfaction was associated with male respondents, older respondent age, White race, less-frequent visitation, longer anticipated length of stay, less help provided during visits, smaller facilities, lower Medicaid-reliant resident percentage, and nonprofit status. Resident age, visitation frequency, perceived assistance required, and kinship tie were differentially related to satisfaction between facility types. NH administrators should focus on the environment and the moving in process. All administrators should address how residents spend time and should be aware that residents’ and their family members’ characteristics may affect satisfaction levels.

Circumstances of Falls With Fractured Femur in Residents of Australian Nursing Homes: An Analysis of Falls Reports

2017 ◽  
Vol 30 (5) ◽  
pp. 738-757 ◽  
Author(s):  
Lynette A. Mackenzie ◽  
Julie E. Byles
Keyword(s):  
Nursing Homes ◽  
Residential Care ◽  
Environmental Issues ◽  
Related Factors ◽  
Fractured Neck Of Femur ◽  
Neck Of Femur ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Report Data ◽  
Hunter Region

Objective: This study aimed to explore the circumstances and characteristics of falls with fractured femur reported in nursing homes. Method: Mixed methods were used. There were reports on 401 eligible falls from 88 residential care facilities in the Hunter region of Australia. A falls report form was developed for the study and was completed by nursing staff. Information was collected about the circumstances of falls with fractured femur and resident data. Descriptive and qualitative analyses were used. Results: Falls with fractured neck of femur were associated with being ambulant, having dementia, increasing age, and a high falls risk assessment. Themes from the falls report data were resident-related factors, organizational or environmental issues, and activities at the time of the fall. Discussion: Falls in residential care settings are very complex and difficult to prevent. Attention should be given to the needs of recently admitted residents and management of the facility environment.

scholarly journals Exploring how residential care facilities can enhance the autonomy of people with dementia and improve informal care

Dementia ◽  
2021 ◽  
pp. 147130122110305
Author(s):  
Jogé Boumans ◽  
Leonieke C van Boekel ◽  
Marjolein EA Verbiest ◽  
Caroline A Baan ◽  
Katrien G Luijkx
Keyword(s):  
Residential Care ◽  
Informal Care ◽  
Physical Environment ◽  
Informal Caregivers ◽  
Realist Evaluation ◽  
Care Provision ◽  
Residential Care Facilities ◽  
Staff Members ◽  
People With Dementia ◽  
Care Facilities

Background and objectives Residential care facilities (RCFs) strive to enhance autonomy for people with dementia and to enhance informal care provision, although this is difficult. This study explored how RCF staff can enhance autonomy and improve informal care by looking at the influence of interactions (contact and approachability between residents, staff members and informal caregivers) and the physical environment, including the use of technologies. Research design and methods A realist evaluation multiple-case study was conducted using document analyses, eight semi-structured interviews with staff members and relatives and 56 hours of observations of residents across two RCFs aiming to provide person-centred care. Realist logic of analysis was performed, involving Context-Mechanism-Outcome configurations. Findings The behaviour, attitudes and interactions of staff members with residents and informal caregivers appeared to contribute to the autonomy of people with dementia and enhance informal care provision. The physical environment of the RCFs and the use of technologies were less relevant to enhancing autonomy and informal care provision, although they can support staff members in providing person-centred care in daily practice. Discussion and implications The findings add to those of other studies regarding the importance of interaction between residents, staff members and informal caregivers. The findings provide insight for other RCFs on how successfully to enhance autonomy for their residents and to improve informal care provision, as well as, more broadly, how to implement person-centred care.

scholarly journals “Human Flourishing with Dignity”: A Meta-Ethnography of the Meaning of Gardens for Elderly in Nursing Homes and Residential Care Settings

2021 ◽  
Vol 8 ◽  
pp. 233339362110357
Author(s):  
Inger-Lise Magnussen ◽  
Johanne Alteren ◽  
Terese Bondas
Keyword(s):  
Nursing Homes ◽  
Residential Care ◽  
Well Being ◽  
Inclusion Criteria ◽  
Human Flourishing ◽  
Residential Care Facilities ◽  
Education And Health ◽  
Care Facilities ◽  
Synthesis Approach ◽  
Health And Well Being

This study aims to identify and synthesize qualitative research regarding residents’ experiences of gardens while living in nursing homes and residential care facilities. To provide an optimal nursing environment inspired by nature, we need to derive knowledge from the residents’ perspective. An interpretive meta-synthesis approach, a meta-ethnography, was chosen for this study. Altogether, six articles representing three continents and comprising 124 participants were included. The six articles that fulfilled the inclusion criteria were analyzed and synthesized according to Noblit & Hare’s seven phases of meta-ethnography and the recent eMERGe guidelines. Four themes were identified: (1) The garden—a place to feel a connection with life, (2) the garden—a place to sense and find comfort, (3) the garden—a place to feel healthy and alive, and (4) the garden—a place to relate past and present. An overarching metaphor, “human flourishing with dignity,” offers a deeper understanding of the meaning of the garden for older people in nursing homes and residential care. This meta-ethnography provides a reflective, systematic, data-driven synthesis based on literature spanning ten years. Rather than simply relying on retelling, the narration of experiences according to the primary researcher’s descriptions and interpretations results in new knowledge. The significance of gardens for older people’s health and well-being needs to be given greater attention and space in nursing practice, education, and health policies.

Impacts of the Emergency Mass Evacuation of the Elderly From Residential Care Facilities After the 2011 Christchurch Earthquake

2013 ◽  
Vol 7 (4) ◽  
pp. 419-423 ◽  
Author(s):  
Claire P. Heppenstall ◽  
Tim J. Wilkinson ◽  
H. Carl Hanger ◽  
Michelle R. Dhanak ◽  
Sally Keeling
Keyword(s):  
New Zealand ◽  
Older People ◽  
Residential Care ◽  
Informal Caregivers ◽  
Community Support ◽  
Disaster Planning ◽  
Lessons Learned ◽  
Residential Care Facilities ◽  
Communication Difficulties ◽  
Care Facilities

AbstractObjectiveThe 2011 earthquake that devastated Christchurch, New Zealand, led to the closure and evacuation of 7 residential care facilities and the partial evacuation of 2 more. Altogether, 516 elderly persons were evacuated. The emergent nature of the disaster was unexpected and largely unplanned for. This study explored the evacuees’ experiences and identified lessons learned for future disaster planning.MethodsThis qualitative study used a general inductive method. Semistructured interviews with evacuees were held in 4 centers throughout New Zealand. Their informal caregivers were also identified and interviewed. Answers were coded and grouped for key themes to provide lessons learned for future disaster planning.ResultsWe conducted 50 interviews with older people and 34 with informal caregivers. Key themes that emerged were resilience and factors that promoted resilience, including personal attitudes, life experiences, enhanced family support, and social supports. Areas of concern were (1) the mental health of evacuees: 36% reported some symptoms of anxiety, while 32.4% of caregivers reported some cognitive decline; and (2) communication difficulties during the evacuations.ConclusionsOlder people were remarkably resilient to the difficult events, and resilience was promoted by family and community support. Anxiety was reported by older people, while informal caregivers reported cognitive issues. Communication difficulties were a major concern.

Uitbraak COVID-19 in de verpleeghuiszorg

2020 ◽  
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Nursing Homes ◽  
Long Term Care ◽  
Informal Caregivers ◽  
Rapid Review ◽  
Daily Routine ◽  
Term Care ◽  
Care Facilities

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.

Providing care for older adults with extreme obesity in aged residential care facilities: An environmental scan

2020 ◽  
Vol 36 (3) ◽  
pp. 24-36
Author(s):  
Caz Hales ◽  
◽  
Isaac Amankwaa ◽  
Lesley Gray ◽  
Helen Rook ◽  
...  
Keyword(s):  
Older Adults ◽  
Residential Care ◽  
Service Provision ◽  
Aged Care ◽  
Extreme Obesity ◽  
Financial Barriers ◽  
Residential Care Facilities ◽  
Environmental Scan ◽  
Staffing Ratios ◽  
Care Facilities

Little is known about the level of service demand and preparedness of Aotearoa New Zealand’s aged residential care facilities to care for older adults with extreme obesity. The aim of this study was to assess the current state of bariatric (extreme obesity) services within aged residential care. An environmental scan was conducted to identify bariatric resident needs and gaps in service provision to inform the development of policy and service provision. Observational and interview data from three facilities in Aotearoa New Zealand was collected along with a retrospective review of national resident admissions over a three-year period. Poor environmental design that included infrastructure deficiencies and financial barriers impacted on the ability to deliver safe and equitable care for this population. Specifically, equipment procurement and safe staffing ratios were of concern to the sector. There is an increasing need for bariatric level support within aged care, necessitating more equipment and staff, adaptation of physical care environments, and enhanced funding. Significant investment is required to address care concerns of older adults with extreme obesity at government and organisational levels.

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