15 research outputs found

    Quality dementia care - Prerequisites and relational ethics among multicultural healthcare providers

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    Background: Many nursing homes are multicultural workplaces where the majority of healthcare providers have an ethnic minority background. This environment creates challenges linked to communication, interaction and cultural differences. Further, the healthcare providers have varied experiences and understanding of what quality care of patients with dementia involves. Purpose: The aim of this study is to illuminate multi-ethnic healthcare providers´ lived experiences of their own working relationship, and its importance to quality care for people with dementia. Research design: The study is part of a greater participatory action research (PAR) project: “Hospice values in the care for persons with dementia”. The data material consists of extensive notes from seminars, project meetings and dialogue-based teaching. The text material was subjected to phenomenological-hermeneutical interpretation. Participants and research context: Participants in the project were healthcare providers working in a nursing home unit. The participants, came from 15 different countries, had different formal qualifications, varied backgrounds and ethnic origins. Ethical considerations: The study is approved by the Norwegian Regional Ethics Committee (REK) and the Norwegian Social Science Data Services (NSD). Findings: The results show that good working relationships, characterized by understanding each other's vulnerability and willingness to learn from each other through shared experiences are prerequisites for quality care. The healthcare providers further described ethical challenges as uncertainty and different understandings. Discussion: The results are discussed in the light of Lögstrup's relational philosophy of ethics and the concepts of vulnerability, ethic responsibility, trust and openness of speech. Conclusion: The prerequisite for quality care for persons with dementia in a multicultural working environment is to create arenas for open discussions between the healthcare providers. Leadership is of great importance. Keywords Multicultural healthcare providers, lived experience, prerequisites, quality dementia care, relational ethics, phenomenological-hermeneutical method

    Quality dementia care - Prerequisites and relational ethics among multicultural healthcare providers

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    Background: Many nursing homes are multicultural workplaces where the majority of healthcare providers have an ethnic minority background. This environment creates challenges linked to communication, interaction and cultural differences. Further, the healthcare providers have varied experiences and understanding of what quality care of patients with dementia involves. Purpose: The aim of this study is to illuminate multi-ethnic healthcare providers´ lived experiences of their own working relationship, and its importance to quality care for people with dementia. Research design: The study is part of a greater participatory action research (PAR) project: “Hospice values in the care for persons with dementia”. The data material consists of extensive notes from seminars, project meetings and dialogue-based teaching. The text material was subjected to phenomenological-hermeneutical interpretation. Participants and research context: Participants in the project were healthcare providers working in a nursing home unit. The participants, came from 15 different countries, had different formal qualifications, varied backgrounds and ethnic origins. Ethical considerations: The study is approved by the Norwegian Regional Ethics Committee (REK) and the Norwegian Social Science Data Services (NSD). Findings: The results show that good working relationships, characterized by understanding each other's vulnerability and willingness to learn from each other through shared experiences are prerequisites for quality care. The healthcare providers further described ethical challenges as uncertainty and different understandings. Discussion: The results are discussed in the light of Lögstrup's relational philosophy of ethics and the concepts of vulnerability, ethic responsibility, trust and openness of speech. Conclusion: The prerequisite for quality care for persons with dementia in a multicultural working environment is to create arenas for open discussions between the healthcare providers. Leadership is of great importance. Keywords Multicultural healthcare providers, lived experience, prerequisites, quality dementia care, relational ethics, phenomenological-hermeneutical method

    A qualitative study of professional caregivers’ perceptions of processes contributing to mealtime agitation in persons with dementia in nursing home wards and strategies toattain calmness

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    Professional caregivers perceived agitation during mealtime as resulting from negative feelings in residents triggered by a lack of or negative social interaction, too much or ambiguous stimuli or demands exceeding residents’ capacity. Strategies for attaining calm mealtimes involved thorough planning beforehand. During mealtime, professional caregivers focused on establishing a positive community around the table, helping residents focus on eating and continuously observing residents for subtle signals indicating that agitation was about to develop. The prerequisites to succeed with the strategies were knowledge of the residents’ preferences and abilities, knowledge sharing within the team and awareness of one’s own communication style. Thus, the professional caregivers operationalized person-centred care in a mealtime context

    A qualitative study of professional caregivers’ perceptions of processes contributing to mealtime agitation in persons with dementia in nursing home wards and strategies toattain calmness

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    Aim: Describe professional caregivers’ perceptions of factors and processes contributing to mealtime agitation and strategies for attaining and maintaining calm mealtimes. Design Qualitative and descriptive. Methods: A convenience sample of professional caregivers working in two wards for residents with dementia was used. Data were collected during two focus-group interviews and supplemented with field notes from six reflection groups. Thematic content analysis was conducted. Data collection occurred from 2010– 2011. Results: Professional caregivers perceived agitation during mealtime as resulting from negative feelings in residents triggered by a lack of or negative social interaction, too much or ambiguous stimuli or demands exceeding residents’ capacity. Strategies for attaining calm mealtimes involved thorough planning beforehand. During mealtime, professional caregivers focused on establishing a positive community around the table, helping residents focus on eating and continuously observing residents for subtle signals indicating that agitation was about to develop. The prerequisites to succeed with the strategies were knowledge of the residents’ preferences and abilities, knowledge sharing within the team and awareness of one’s own communication style. Thus, the professional caregivers operationalized person-centred care in a mealtime context

    Staff experience of factors contributing to a quiet atmosphere during meals in two nursing home wards

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    Staff in two nursing home wards with patients with dementia and/or psychiatric diagnoses experienced several episodes of agitation during meals. They also reported that some of their colleagues successfully created a quiet atmosphere during meals and more generally in the ward. The head nurses wanted to develop the staff’s competence and focus on ‘knowledge sharing’ in their wards

    Improving Documentation of Nutritional Care in A Nursing Home: An Evaluation of A Participatory Action Research Project

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    Background: Nursing home patients at nutritional risk are often not identified, nor given entitled nutritional treatment. One approach proven suitable to facilitate change in clinical practise is participatory action research (PAR). This is a process which involves research participants in reflection, planning, action, observation, assessing and re-planning, targeted to bring about change. The aim of the present study was to evaluate whether a PAR project resulted in improved documentation of nutritional care in a nursing home ward. Method and sample: A quantitative evaluation. Documentation of the nutritional information was collected from medical records of residents in a nursing home ward at baseline and five months into the project period. Results: Increased documentation of individual nutritional treatment measures was found from baseline to the follow-up. The number of residents with a nutritional care plan (NCP) also increased significantly. On the other hand, the study identified a significant decrease in the proportion of residents with documented weight and nutritional status. Conclusion: The evaluation found several improvements in the documentation of nutritional care practice in the nursing home ward as a result of the PAR project, indicating that a PAR approach is suitable to bring about change in practice.publishedVersio

    Nutrition Students’ Experiences of Interprofessional Learning in a Nursing Home

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    Abstract Background: Interprofessional experience is vitally important for nutrition stu- dents, as nutritionists oen find themselves working independently in a team with other professionals. Few studies have explored qualitatively how nutrition students perceive learning activities in an interprofessional setting. Methods and Findings: ird-year bachelor’s degree nutrition students partici- pated in a focus group interview aer interprofessional learning in a nursing home. A qualitative study with a phenomenological-hermeneutical approach was conducted to investigate lived experiences. One theme emerged from the data analysis: A professional understanding of oneself and others. Being acknowl- edged as a professional, being an active participant, and collaborating to enhance resident care were revealed as sub-themes. Conclusions: A short period of interprofessional learning in an authentic setting may expand students’ experiences and enhance professional confidence.publishedVersio

    Improving Documentation of Nutritional Care in A Nursing Home: An Evaluation of A Participatory Action Research Project

    No full text
    Background: Nursing home patients at nutritional risk are often not identified, nor given entitled nutritional treatment. One approach proven suitable to facilitate change in clinical practise is participatory action research (PAR). This is a process which involves research participants in reflection, planning, action, observation, assessing and re-planning, targeted to bring about change. The aim of the present study was to evaluate whether a PAR project resulted in improved documentation of nutritional care in a nursing home ward. Method and sample: A quantitative evaluation. Documentation of the nutritional information was collected from medical records of residents in a nursing home ward at baseline and five months into the project period. Results: Increased documentation of individual nutritional treatment measures was found from baseline to the follow-up. The number of residents with a nutritional care plan (NCP) also increased significantly. On the other hand, the study identified a significant decrease in the proportion of residents with documented weight and nutritional status. Conclusion: The evaluation found several improvements in the documentation of nutritional care practice in the nursing home ward as a result of the PAR project, indicating that a PAR approach is suitable to bring about change in practice

    Nutrition Students’ Experiences of Interprofessional Learning in a Nursing Home

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    Background: Interprofessional experience is vitally important for nutrition students, as nutritionists often find themselves working independently in a team with other professionals. Few studies have explored qualitatively how nutrition students perceive learning activities in an interprofessional setting.Methods and Findings: Third-year bachelor’s degree nutrition students participated in a focus group interview after interprofessional learning in a nursing home. A qualitative study with a phenomenological-hermeneutical approach was conducted to investigate lived experiences. One theme emerged from the data analysis: A professional understanding of oneself and others. Being acknowledged as a professional, being an active participant, and collaborating to enhance resident care were revealed as sub-themes.Conclusions: A short period of interprofessional learning in an authentic setting may expand students’ experiences and enhance professional confidence

    Improving Documentation of Nutritional Care in A Nursing Home: An Evaluation of A Participatory Action Research Project

    Get PDF
    Background: Nursing home patients at nutritional risk are often not identified, nor given entitled nutritional treatment. One approach proven suitable to facilitate change in clinical practise is participatory action research (PAR). This is a process which involves research participants in reflection, planning, action, observation, assessing and re-planning, targeted to bring about change. The aim of the present study was to evaluate whether a PAR project resulted in improved documentation of nutritional care in a nursing home ward. Method and sample: A quantitative evaluation. Documentation of the nutritional information was collected from medical records of residents in a nursing home ward at baseline and five months into the project period. Results: Increased documentation of individual nutritional treatment measures was found from baseline to the follow-up. The number of residents with a nutritional care plan (NCP) also increased significantly. On the other hand, the study identified a significant decrease in the proportion of residents with documented weight and nutritional status. Conclusion: The evaluation found several improvements in the documentation of nutritional care practice in the nursing home ward as a result of the PAR project, indicating that a PAR approach is suitable to bring about change in practice
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