scholarly journals Perspectives of Healthcare Professionals on Meaningful Activities for Persons with Dementia in Transition from Home to a Nursing Home: An Explorative Study

Healthcare ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. 98 ◽  
Author(s):  
Mari Groenendaal ◽  
Anne Loor ◽  
Manja Trouw ◽  
Wilco P. Achterberg ◽  
Monique A.A. Caljouw
Keyword(s):  
Nursing Home ◽  
Focus Groups ◽  
Healthcare Professionals ◽  
Interdisciplinary Collaboration ◽  
Specific Information ◽  
Organization Of Care ◽  
The Social ◽  
Centered Care ◽  
Social And Physical Environment ◽  
The Impact

Meaningful activities can enhance quality of life, a sense of connectedness, and personhood for persons with dementia. Healthcare professionals play an important role in maintaining meaningful activities, but little is currently known about the impact of the transition from home to nursing home on these activities. This study explored the experiences of professionals in four Dutch nursing homes, identifying facilitators and barriers to the maintenance of meaningful activities during the transition. A qualitative explorative design was used. Data were collected using focus groups and analyzed using thematic analysis. Twenty-two professionals participated in four focus groups, and three themes were identified: (1) a lack of awareness and attention for meaningful activities; (2) activities should be personalized and factors such as person characteristics, interests, the social and physical environment, and specific information such as roles, routines, activities, and personal issues play an important role in maintaining activities; (3) in the organization of care, a person-centered care vision, attitudes of professionals and interdisciplinary collaboration facilitate maintenance of meaningful activities. Healthcare professionals felt that meaningful activities are difficult to maintain and that improvements are needed. Our study provides suggestions on how to maintain meaningful activities for persons with dementia prior, during and after the transition.

scholarly journals From Micro to Macro: Exploring Preference-Based Person Centered Care from Multiple Perspectives

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 836-836
Author(s):  
Katherine Abbott ◽  
Kristine Williams
Keyword(s):  
Nursing Home ◽  
Assisted Living ◽  
Fixed Effects ◽  
Nursing Home Residents ◽  
Direct Care ◽  
Multiple Perspectives ◽  
Person Centered Care ◽  
Fixed Effects Panel Regression ◽  
Centered Care ◽  
The Impact

Abstract Advancing our knowledge related to honoring nursing home resident preferences is a cornerstone of person-centered care (PCC). While there are multiple approaches to providing PCC, we focus on resident preferences as assessed via the Preferences for Everyday Living Inventory (PELI). The PELI is an evidenced-based, validated instrument that can be used to enhance the delivery of PCC. In this symposium, we explore the perspectives of a variety of stakeholders including nursing home residents, staff, and the impact of preference-based care on provider level regulatory outcomes. First, we present a comparative study of preference importance among n=317 African America and White nursing home residents that found more similarities than differences between the two groups. Second, a content analysis of the responses from n=196 interviews with nursing home residents details the barriers and facilitators connected to their levels of satisfaction with their preferences being fulfilled. Third, perspectives from n=27 direct care workers explore the concept of pervasive risk avoidance to the delivery of PCC. Fourth, systems-level practices, such as shift assignments and provider schedules are identified as barriers to successfully fulfilling resident preferences from the perspectives of n=19 staff within assisted living. Our final presentation utilizes a fixed-effects panel regression analysis with n=551 Ohio nursing home providers to explore the impact of PELI use on regulatory outcomes such as substantiated complaints and deficiency scores reported in the CMS Nursing Home Compare data. Discussant Dr. Kristi Williams will integrate findings, highlighting implications for policy, practice, and future directions. Research in Quality of Care Interest Group Sponsored Symposium.

scholarly journals The impact of young people's participation in events

2014 ◽  
Vol 5 (3) ◽  
pp. 198-218 ◽  
Author(s):  
Eliza Hixson
Keyword(s):  
Young People ◽  
Identity Development ◽  
Focus Groups ◽  
Social Impact ◽  
Transitional Period ◽  
School Students ◽  
Content Type ◽  
The Social ◽  
Sense Of Involvement ◽  
The Impact

Purpose – This paper aims to explore the social impact that two events, the Adelaide Fringe Festival and the Clipsal 500, have on young residents (16-19 years old) of Adelaide. The purpose of this paper is to examine how young people participate in these events and how this affects their sense of involvement in the event and contributes to their identity development. Design/methodology/approach – A mixed methods approach was adopted in which focus groups and questionnaires were conducted with secondary school students. As an exploratory study, focus groups (n=24) were conducted in the first stage of the research. The results of the focus groups were used to develop a questionnaire that resulted in 226 useable responses. The final stage of the research explored one event in further depth in order to determine the influence of different participation levels. Findings – This study found that young people demonstrated more involvement in the Adelaide Fringe Festival and their identities were more influenced by this event. Further investigation of the Adelaide Fringe Festival also indicated that level of participation affects the social outcomes gained, with those participating to a greater degree achieving higher involvement and increased identity awareness. This is demonstrated through a model which aims to illustrate how an event impact an individual based on their role during the event. Originality/value – This paper applies two leisure concepts in order to analyse the impact of events. Activity involvement is a concept which examines the importance of the activity in the participant's life. Also of importance to young people is how activities contribute to their identities, especially because they are in a transitional period of their lives.

The impact of person-centered care on residents' perceptions of care quality in nursing homes: an intervention study

2018 ◽  
Vol 7 (2) ◽  
pp. 118-124
Author(s):  
Vigdis Abrahamsen Grøndahl ◽  
Liv Berit Fagerli ◽  
Heidi Karlsen ◽  
Ellen Rosseland Hansen ◽  
Helena Johansson ◽  
...  
Keyword(s):  
Nursing Home ◽  
Intervention Study ◽  
Care Quality ◽  
Legal Rights ◽  
Nursing Home Administrators ◽  
Person Centered Care ◽  
Before And After ◽  
Centered Care ◽  
The Impact ◽  
Perceptions Of Care

Background: The quality of care offered to older people is still poor. Nursing home administrators often claim that they provide person-centered care, but research indicates that institutional goals take precedence. Aim: The aim was to explore the impact of person-centered care on residents’ perceptions of care quality.  Methods: An intervention study was conducted in one nursing home (41 residents). Person-centered care was operationalized into the interventions: greeting the resident on each shift, one-to-one contact (resident – carer) for 30 minutes twice a week, informing the residents continuously about changes in medication, and informing the residents about their legal rights at admission and three months after admission. The interventions were systematically conducted for 12 months. Face-to-face interviews using the Quality from Patient’s Perspective (QPP) questionnaire were conducted both prior to interventions and immediately after the 12-month period. Descriptive and comparative statistics were used to test for differences between care quality perceptions before and after intervention (p ≤ .05). Results: The residents rated all four quality dimensions (caregivers’ medical-technical competence and identity-oriented approach, care organization’s socio-cultural atmosphere, and physical-technical conditions) more highly after the 12-month period, and the socio-cultural atmosphere was rated significantly more highly. At item level, 44 items received higher scores, and, among them, significantly higher scores were given to 6 items. One item received a significantly lower score. Conclusions: Residents’ perceptions of care quality increase when person-centered care is operationalized and takes precedence over the ward’s routines or is part of the ward’s routines. The results indicate that it is possible to design a care system where the residents are at the centre of the health care offered.

Hu Resources Replaces Human Resources in Health Care

2012 ◽  
pp. 1392-1407
Author(s):  
Emmett Davis
Keyword(s):  
Health Care ◽  
Human Resources ◽  
Healthcare Professionals ◽  
Healthcare Industry ◽  
Behavioral Skills ◽  
Intelligent Software ◽  
The Social ◽  
Multiple Levels ◽  
And Performance ◽  
The Impact

Intelligent technologies are exponentially approaching the stage where healthcare professionals must begin to plan for the management of “hu” (human, software, and robotic) resources, replacing management of human resources alone in isolation from other intelligences. The healthcare industry in multiple levels and ways must begin to plan for human resources in health care to extend existing and to develop new conceptual and behavioral skills in order for humans, intelligent software, and robots to optimally partner with each other. The interaction among hu resources will be active and carried out in multiple modes and intellectual and emotional intensities. Healthcare professionals, who shape the social and cultural institutions around intelligence and active knowledge, can optimize the impact and performance of this intelligence partnership.

Basic mechanisms of, and treatment targets for, stress-related disorders

2020 ◽  
pp. 829-839
Author(s):  
Bruce S. McEwen
Keyword(s):  
Early Life ◽  
Allostatic Load ◽  
Life Experiences ◽  
The Body ◽  
The Social ◽  
Wear And Tear ◽  
Short Run ◽  
Social And Physical Environment ◽  
The Impact ◽  
The Brain

The response to the social and physical environment involves two-way communication between the brain and the body and epigenetic adaptation (‘allostasis’) via mediators of the cardiovascular, immune, metabolic, neuroendocrine, and neural mechanisms. Chronic stress causes wear and tear on the brain and body (‘allostatic load and overload’), reflecting also the impact of health-damaging behaviours and lasting effects of early life experiences interacting with genetic predispositions. Hormonal and other mediators of allostasis promote adaptation in the short run but cause allostatic load/overload when they are overused or dysregulated. The brain is key because it determines what is threatening and the physiological and behavioural responses, while showing structural remodelling that affects its function. Besides pharmaceuticals, there are ‘top–down’ interventions, like physical activity, that engage ‘the wisdom of the body’ to change itself, as well as the impact of policies of government and business that encourage individuals to manage their own lives and promote increased ‘healthspan’.

scholarly journals A qualitative assessment of factors affecting nursing home caregiving staff experiences during the COVID-19 pandemic

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0260055
Author(s):  
Rachel L. Snyder ◽  
Laura E. Anderson ◽  
Katelyn A. White ◽  
Stephanie Tavitian ◽  
Lucy V. Fike ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Focus Groups ◽  
Financial Incentives ◽  
Well Being ◽  
The United States ◽  
Qualitative Assessment ◽  
Simple Random Sample ◽  
Nursing Home Staff ◽  
The Impact

Background A large portion of COVID-19 cases and deaths in the United States have occurred in nursing homes; however, current literature including the frontline perspective of staff working in nursing homes is limited. The objective of this qualitative assessment was to better understand what individual and facility level factors may have contributed to the impact of COVID-19 on Certified Nursing Assistants (CNAs) and Environmental Services (EVS) staff working in nursing homes. Methods Based on a simple random sample from the National Healthcare Safety Network (NHSN), 7,520 facilities were emailed invitations requesting one CNA and/or one EVS staff member for participation in a voluntary focus group over Zoom. Facility characteristics were obtained via NHSN and publicly available sources; participant demographics were collected via SurveyMonkey during registration and polling during focus groups. Qualitative information was coded using NVIVO and Excel. Results Throughout April 2021, 23 focus groups including 110 participants from 84 facilities were conducted homogenous by participant role. Staffing problems were a recurring theme reported. Participants often cited the toll the pandemic took on their emotional well-being, describing increased stress, responsibilities, and time needed to complete their jobs. The lack of consistent and systematic guidance resulting in frequently changing infection prevention protocols was also reported across focus groups. Conclusions Addressing concerns of low wages and lack of financial incentives may have the potential to attract and retain employees to help alleviate nursing home staff shortages. Additionally, access to mental health resources could help nursing home staff cope with the emotional burden of the COVID-19 pandemic. These frontline staff members provided invaluable insight and should be included in improvement efforts to support nursing homes recovering from the impact of COVID-19 as well as future pandemic planning.

scholarly journals The Impact of Music Games on the Social Interaction of Elderly Occupants in the Communal Room of a Nursing Home

2018 ◽  
Vol 22 (2) ◽  
pp. 91
Author(s):  
Yusaumi Ramadhanti Fitri Taufik ◽  
Prabu Wardono ◽  
G. Prasetyo Adhitama
Keyword(s):  
Nursing Home ◽  
Social Interaction ◽  
The Social ◽  
The Impact

scholarly journals Parents' and healthcare professionals' perceptions of the use of live video recording in neonatal units: A focus group study

2020 ◽  
Author(s):  
Aude LE BRIS ◽  
Nadia MAZILLE ◽  
Pauline SIMONOT ◽  
Maude LUHERNE ◽  
Cyril FLAMANT ◽  
...  
Keyword(s):  
Focus Groups ◽  
Healthcare Professionals ◽  
Video Recording ◽  
Focus Group Study ◽  
Live Video ◽  
Potential Benefits ◽  
Newborn Child ◽  
Field Notes ◽  
Negative Impacts ◽  
The Impact

Abstract Background: The emerging use of video in neonatology units raises ethical and practical questions. This study aims to gain a better understanding of the suitability, limitations and constraints concerning the use of live video as a tool in neonatal clinical practice. The perceptions of parents and healthcare professionals in regard to live video were examined. Methods : Nine focus groups were conducted in four neonatal units involving 20 healthcare professionals and 19 parents. Data were triangulated using transcripts and field notes and analyzed using inductive and semantic thematic analysis. Results: The seven major themes that emerged from the healthcare professionals focus groups were (i) the impact of video recording on healthcare professionals’ behavior; (ii) the impact on parents; (iii) forensic issues ;(iv) guarantee of use; (v) benefits for the newborn; (vi) methodology of use; and (vii) technical considerations & feasibility. The five major themes that emerged from parents focus groups were (i) benefits for the newborn and care enhancement; (ii) impact on parents and potential benefits in case of newborn child/parent separation; (iii) informed consent and guarantee of use;(iv) concern about a possible disruptive impact on healthcare professionals; and (v) data protection. Conclusion: Both parents and healthcare professionals found video recording useful and acceptable if measures were taken to protect the data and mitigate any negative impacts on healthcare professionals.

scholarly journals Using, Citing and Publishing Scholarly Content in the Digital Age: Case Study of Humanities Researchers

2015 ◽  
Vol 53 (1(105)) ◽  
pp. 7-19
Author(s):  
David Nicholas
Keyword(s):  
Social Media ◽  
Open Access ◽  
Focus Groups ◽  
International Study ◽  
Digital Age ◽  
Arts And Humanities ◽  
The Social ◽  
Academic Researchers ◽  
The Impact ◽  
The Way

PURPOSE: The research upon which this article is largely based comes from a year-long international study of trustworthiness in scholarly Communications in the digital age, Essentially, the main thrust of the project was to determine the impact of the digital transition and the new products it has ushered in, such as open access publications and the social media, on academic researchers’ scholarly practices. This paper focuses and reflects further on the disciplinary differences of scholarly researchers when it comes to using, citing and publishing and, especially, whether arts and humanities researchers are any different in the way they think and behave to their counterparts in the sciences and social sciences. APPROACH/METHODS: An international survey of over 3650 academic researchers examined how trustworthiness is determined when making decisions on scholarly reading, citing, and publishing in the digital age. The survey asked respondents whether or not they agreed with comments and ąuotes about scholarly behaviour obtained from pre-survey focus groups and interviews. Data from focus groups, interviews and the published literature are also used to explain further the results of the survey. RESULTS AND CONCLUSIONS: In generał, it was found that traditional methods and criteria remain important across the board. That is, researchers have moved inexorably from a print-based system to a digital system, but have not significantly changed the way they decide what to trust, where to publish, what to cite or use. Social media outlets and (non-peer reviewed) open access publications are not fully trusted. However, there were some significant differences according to the discipline of the respondent and this papers focuses upon these differences by comparing the views and behaviour of arts and humanities researchers with those from other disciplines. The main findings were: a) journals and the metrics that surround them are clearly not so important to humanities scholars, but nevertheless still pretty important; b) humanities researchers take a lot more care about what they use and where content comes from; c) humanities researchers look slightly more favourably on the social media. Originality/value: As far as it is known this is the first comprehensive study of digital humanities researchers and their decisions on what they use and cite and where they choose to publish.

Sign in / Sign up

Export Citation Format

Share Document