Exploring facilitators and barriers to using a person centered care intervention in a nursing home setting

Person-centered care (PCC) interventions have the potential to improve resident well-being in nursing homes, but can be difficult to implement. This study investigates perceived facilitators and barriers reported by nursing staff to using a PCC intervention consisting of three components: assessment of resident well-being, planning of well-being support, and behavioral changes in care to support resident well-being. Our explorative mixed method study combined interviews (n = 11) with a longitudinal survey (n = 132) to examine which determinants were most prevalent and predictive for intention to use the intervention and actual implementation 3 months later (n = 63). Results showed that perceived barriers and facilitators were dependent on the components of the intervention. Assessment of resident well-being required a stable nursing home context and a detailed implementation plan, while planning of well-being support was impeded by knowledge. Behavioral changes in nursing care required easy integration in daily caring tasks and social support

Psychometric evaluation of the Indonesian version of the Person-centered Care Assessment Tool

Background: The number of Indonesian care staff working in hospitals and long-term care facilities caring for persons with dementia in Japan is increasing; however, there is no instrument available in the Indonesian language to assess their dementia care practice. Objectives: This study aimed to translate the Person-centered Care Assessment Tool (P-CAT) and evaluate its psychometric properties in a sample of Indonesian care staff working in dementia care and long-term care facilities in Japan. Methods: This is a descriptive, methodological, and cross-sectional study. The P-CAT was translated into the Indonesian language. The draft was administered to Indonesian care staff (n = 218) working at long-term care facilities in Japan. Data were analysed using exploratory factor analysis (EFA), confirmatory factor analysis (CFA), known-group validity, internal consistency, and test–retest reliability. Results: EFA showed three-factor and CFA of the three-factor indicated that the model had an acceptable fit (chi-squared statistics/degree of freedom = 1.78, comparative fit index = 0.94, root mean square error of approximation = 0.06) with a slightly different structure compared to the original P-CAT. Regarding known-group validity, the P-CAT total score was significantly higher for those who had training in dementia, who knew about person-centred care, and who showed satisfaction in the job. Internal consistency (Cronbach's α) of the total scale was 0.68 which is considered acceptable, and the test–retest reliability intraclass correlation coefficient was 0.61 which is considered moderate. Conclusion: The Indonesian P-CAT indicated sound validity and reliability to measure person-centred care among Indonesian care staff working in dementia care and long-term care facilities in Japan. Implication for Practice: The development of Indonesian P-CAT allows the evaluation of dementia care, promotes and further improves person-centred care for persons with dementia provided by Indonesian care staff working in long-term care facilities in Japan.</p

Regaining Mental Well-Being in the Aftermath of the Covid-19 Pandemic with a Digital Multicomponent Positive Psychology Intervention:A Randomized Controlled Trial

This randomized controlled trial evaluated the effectiveness of a 3-week multicomponent positive psychology self-help application on ability to adapt and mental well-being in the following the Covid-19 pandemic in adults with mild to moderate anxiety and depression levels. Outcomes were assessed online at baseline, posttest (three weeks after baseline), and follow-up (12 weeks after baseline). The intervention group (n = 118) received the application after baseline, whereas the control group (n = 116) received the app after completing posttest. Linear mixed models showed significant effects on ability to adapt, mental well-being, anxiety, depression, spiritual well-being, and self-compassion at post-test compared to the control condition (d = 0.56–0.96). Effects in the intervention group were maintained at follow-up. Results suggest that a multicomponent positive psychology self-help application can support adults with distress to recover after a psychologically disruptive pandemic. Clinical Trial Registration ClinicalTrials.gov (NCT05292560).</p

WELL-BEING OF NURSING HOME PROFESSIONAL CAREGIVERS: TESTING A POSITIVE PSYCHOLOGICAL INTERVENTION

With major job demands such as workload, professional caregivers in nursing homes are at increased risk for stress related problems like burnout. As such job demands will most likely not decrease in the near future, attention should be shifted towards resilience of all professional caregivers by focusing on increasing personal resources. The purpose of this study was to test a generic online positive psychology intervention in increasing both general wellbeing and work related wellbeing for professional caregivers of somatic units of four nursing homes. This study had a group-randomized controlled design (intervention group n = 74, control group n = 47). The intervention consisted of reading information and doing exercises of 8 themes of positive psychology (e.g. strengths, positive relations) in 12 weeks. Questionnaires on work related wellbeing (Utrecht Work Engagement Scale), general wellbeing (Mental Health Continuum) and burnout (Utrecht BurnOut Scale) were filled out online at baseline and 3 months later (T1). Mixed ANOVAs showed no significant increase in work related wellbeing (p = .61) or general wellbeing (p = .37) of the intervention group compared to the control group. Burnout and engagement at baseline were not significant moderators (p’s > .40). Providing professional caregivers of nursing homes with an online generic positive psychological intervention did not increase work related wellbeing or general wellbeing, even for caregivers most at risk for stress related problems. Possible alternative explanations such as ceiling effects, lack of intrinsic motivation and high workload as well as practical implications are discussed