Challenges for institutional elder care in Slovenian nursing homes

Habjanič, Ana; Saarnio, Reetta; Elo, Satu; Turk, Dušanka Mičetić; Isola, Arja

doi:10.1111/j.1365-2702.2011.04044.x

Cited by 14 publications

(15 citation statements)

References 45 publications

(49 reference statements)

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“…Therefore, many countries over the world have devised policies and strategies to improve the quality of care in nursing homes (Chang ; Habjanič et al. ). Older people should be provided the opportunity to experience the least change in their life when transitioning into nursing homes.…”

Section: Introductionmentioning

confidence: 99%

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Older people's experiences of care in nursing homes: a meta‐synthesis

Vaismoradi

Wang

Turunen

et al. 2015

International Nursing Review

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Aim To integrate the current international knowledge and enhance our understanding of the experiences of older people of being cared for in nursing homes. Background There is a lack of integrated knowledge to help face the challenge of providing care to older people in nursing homes. Understanding the experiences of older people regarding their own care leads to interventions for reducing older people's suffering, while living in nursing homes. Methods Keywords describing the experiences of being cared for in nursing homes were used to systematically search electronic databases for qualitative research articles. A meta‐synthesis study employing the interpretative meta‐ethnography approach devised by Noblit and Hare was carried out to analyse seven qualitative articles identified during the search process. Findings Seven studies included in this meta‐synthesis were published between 2007 and 2015. The experiences of older people of being cared for in nursing homes were expressed by the metaphor ‘retaining the meaning of being alive’. Older people wished for a homelike place where they would be delivered care with the consideration of all its humanistic aspects. While conflict between their expectations and organizational demands damaged this sought ideal, adjustment to life conditions and taking an active role led to a feeling of being alive. Discussion This meta‐synthesis integrates our knowledge on organizational and administrative demands, and personal factors influencing the provision of individualized care in nursing homes. Limitations The mental functionality of older people that suffer from dementia might impact on their ability to be involved in research and have a ‘voice’ in terms of their experience of being cared for in nursing homes. Conclusion and Implications for Nursing The institutional character of the nursing home restricts older people's decision‐making. The challenge in nursing home care is to balance the tensions between the individual needs and the collective dimensions of care. Implications for Nursing Policy Nurse policymakers need to consider the ambience in nursing homes, develop a caring culture for the provision of a holistic care to older people and make the nursing home as close to a home as possible.

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Section: Introductionmentioning

confidence: 99%

“…Understanding the experiences of older people regarding their own care helps reduce deficiencies and increase facilities (Habjanič et al. ). Also, it improves our awareness of how to provide person‐centred care characterized by comfort and providing a supportive environment (Crandall et al.…”

Section: Introductionmentioning

confidence: 99%

Older people's experiences of care in nursing homes: a meta‐synthesis

Vaismoradi

Wang

Turunen

et al. 2015

International Nursing Review

View full text Add to dashboard Cite

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“…According to Wakefield and Poland [40], there is a danger of non-reflexive practice in such participation approaches, however. Instead, another way to understand partici-pation is to highlight the social and psychological dimensions of healthcare as they relate to identity [41] and place [42]. At the same time, the phenomenon of participation might also be philosophically grounded in the idea of being master of one's own life, which is stressed as being essential to all human beings and, in our study, important for the self-esteem and dignity of older individuals in community care.…”

Section: Discussionmentioning

confidence: 94%

Shareholding Networks for Care in Rural Thailand: Experiences of Older Persons and Their Family Members

Voraroon¹,

Meebunmak²,

Enmarker³

2017

OJN

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Most members of the older population in Thailand live in rural areas while their children live in cities. With the joint family system separated, elderly Thai persons often have to care for themselves, and opportunities for them to get involved in community care remain limited. In response, the aim of this study was to describe older persons' and their family members' experiences with shareholding networks for the care of older people in rural Thailand. Paired interviews with five older persons and five of their family members were conducted, and collected data were subjected to content analysis, which yielded results organized around two themes: older persons' outsider status and disregard for older persons' individuality. Whereas the theme of outsider status describes shortcomings in healthcare encounters, the theme of disregard for individuality describes the lack of engagement of authorities and caregivers in older persons' care. In that sense, the concept of participation emerged as a framework for understanding interviewees' experiences. Given findings from local authorities, older individuals and their family members should engage in dialogue in order to support healthcare based on shared understanding.

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“…Furthermore, in the United States, a comprehensive assessment, referred to as the Minimum Data Set (Centers for Medicare and Medicare Services, 2013), is used to evaluate residents quarterly and when there is a change in condition. Other countries have similar assessment tools that are likewise regularly monitored (Habjanič , Saarnio, Elo, Turk, & Isola, 2012;Katz, 2011;Netten et al, 2010).…”

Section: Nursing Home Settingsmentioning

confidence: 94%

Incorporating Function and Physical Activity Across All Settings

Resnick¹,

Boltz

2016

annu rev gerontol geriatr

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The majority of older adults do not engage in regular physical activity. In surveys of community dwelling, among older adults age 75 and above, one in three men and one in two women engage in no physical activity. These rates are even lower among those who are hospitalized or institutionalized in nursing homes or assisted living settings. Moreover, those living in institutional settings demonstrate a decline in function that exceeds what would be expected based on disease states. Limited activity and functional decline place older adults at risk for pain associated with contractures, pressure sores, and decreased sense of wellbeing and overall quality of life. We propose a Function Focused Care approach that encourages caregivers to engage older adults in function and physical activity during all care interactions. This approach can be implemented using a fourstep approach and practical, cost-neutral approaches. This chapter delineates the ways in which to implement Function Focused Care across all settings, describes outcomes associated with this approach, and provides ways in which to overcome the setting-specific challenges.

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Challenges for institutional elder care in Slovenian nursing homes

Abstract: To improve the living environment in nursing homes, it is important to consider the opinions of all those who are involved closely in institutional elder care. Correction of deficiencies should be a priority and should result in more engagement with residents.

Cited by 14 publications

References 45 publications

Older people's experiences of care in nursing homes: a meta‐synthesis

Older people's experiences of care in nursing homes: a meta‐synthesis

Shareholding Networks for Care in Rural Thailand: Experiences of Older Persons and Their Family Members

Incorporating Function and Physical Activity Across All Settings

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