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Residents' and Relatives' Experiences of Acute Situations: A Qualitative Study to Inform a Care Model


Basinska, Kornelia; Künzler-Heule, Patrizia; Guerbaai, Raphaëlle Ashley; Zúñiga, Franziska; Simon, Michael; Wellens, Nathalie I H; Serdaly, Christine; Nicca, Dunja (2021). Residents' and Relatives' Experiences of Acute Situations: A Qualitative Study to Inform a Care Model. The Gerontologist, 61(7):1041-1052.

Abstract

BACKGROUND AND OBJECTIVES

As new models of care aiming to reduce hospitalizations from nursing homes emerge, their implementers must consider residents' and relatives' needs and experiences with acute changes in the residents' health situations. As part of the larger INTERCARE implementation study, we explored these persons' experiences of acute situations in Swiss nursing homes.

RESEARCH DESIGN AND METHODS

3 focus groups were conducted with residents and their relatives and analyzed via reflexive thematic analysis.

RESULTS

The first theme, the orchestra plays its standards, describes experiences of structured everyday care in nursing homes, which functions well despite limited professional and competency resources. The second theme, the orchestra reaches its limits, illustrates accounts of acute situations in which resources were insufficient to meet residents' needs. Interestingly, participants' perceptions of acute situations went well beyond our own professional view, that is, changes in health situations, and included situations best summarized as "changes that might have negative consequences for residents if not handled adequately by care workers." Within the third theme, the audience compensates for the orchestra's limitations, participants' strategies to cope with resource limitations in acute situations are summarized.

DISCUSSION AND IMPLICATIONS

Our findings suggest differences between care providers' and participants' perspectives regarding acute situations and care priority setting. Alongside efforts to promote staff awareness of and responsiveness to acute situations, care staff must commit to learning and meeting individual residents' and relatives' needs. Implications for the development and implementation of a new nurse-led model of care are discussed.

Abstract

BACKGROUND AND OBJECTIVES

As new models of care aiming to reduce hospitalizations from nursing homes emerge, their implementers must consider residents' and relatives' needs and experiences with acute changes in the residents' health situations. As part of the larger INTERCARE implementation study, we explored these persons' experiences of acute situations in Swiss nursing homes.

RESEARCH DESIGN AND METHODS

3 focus groups were conducted with residents and their relatives and analyzed via reflexive thematic analysis.

RESULTS

The first theme, the orchestra plays its standards, describes experiences of structured everyday care in nursing homes, which functions well despite limited professional and competency resources. The second theme, the orchestra reaches its limits, illustrates accounts of acute situations in which resources were insufficient to meet residents' needs. Interestingly, participants' perceptions of acute situations went well beyond our own professional view, that is, changes in health situations, and included situations best summarized as "changes that might have negative consequences for residents if not handled adequately by care workers." Within the third theme, the audience compensates for the orchestra's limitations, participants' strategies to cope with resource limitations in acute situations are summarized.

DISCUSSION AND IMPLICATIONS

Our findings suggest differences between care providers' and participants' perspectives regarding acute situations and care priority setting. Alongside efforts to promote staff awareness of and responsiveness to acute situations, care staff must commit to learning and meeting individual residents' and relatives' needs. Implications for the development and implementation of a new nurse-led model of care are discussed.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Epidemiology, Biostatistics and Prevention Institute (EBPI)
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Gerontology
Health Sciences > Geriatrics and Gerontology
Language:English
Date:13 September 2021
Deposited On:31 Jan 2022 10:26
Last Modified:26 Apr 2024 01:40
Publisher:Oxford University Press
ISSN:0016-9013
OA Status:Hybrid
Free access at:PubMed ID. An embargo period may apply.
Publisher DOI:https://doi.org/10.1093/geront/gnab027
PubMed ID:33624766
  • Content: Published Version
  • Licence: Creative Commons: Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)