Implementation and effects of Movement-oriented Restorative Care in a nursing home – a quasi-experimental study

Henskens, Marinda; Nauta, Ilse M.; Scherder, E.J.A.; Oosterveld, Frits G. J.; Vrijkotte, Susan

doi:10.1186/s12877-017-0642-x

Cited by 24 publications

(58 citation statements)

References 37 publications

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“…Table 1 displays characteristics of included studies. Most of the studies were from the Netherlands [19,21,29,30,37,42] and the UK [23,25,28,32,33,40] (each n = 6), followed by Australia [24,34,41], Canada [20,22,27], Norway [26,31,36] (each n = 3), Germany [38,39], and Belgium [18,43] (each n = 2). One multinational study took place in Italy and the Netherlands [35].…”

Section: Resultsmentioning

confidence: 99%

“…In the studies they analysed, poor health status and cognitive impairment were reported only once. In our review, factors directly relating to characteristics of the person with dementia were described in more than one quarter of included studies [20,21,26,29,30,35,43]. Publications with other patient groups also reported on patient-or resident-related influencing factors.…”

Section: Discussionmentioning

confidence: 99%

“…Family caregivers were asked in three studies [22,28,42] and people with dementia in two studies [28,29]. Three studies included persons facilitating the intervention [24,30,36,40] and one study included volunteers [29]. The number of participants ranged between six and 90.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…The category nature and stage of dementia includes hindering factors directly relating to characteristics of the person with dementia. Residents' or patients' cognition, particularly quickly changing needs and fluctuating behaviours of people with dementia are challenging in the implementation process [20,21,26,29,30,35,43]. Furthermore, in one study, lack of background information about the person with dementia is mentioned as a barrier [21].…”

Section: Person With Dementia and Familymentioning

confidence: 99%

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What hinders and facilitates the implementation of nurse-led interventions in dementia care? A scoping review

et al. 2020

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Background: The implementation of evidence-based interventions for people with dementia is complex and challenging. However, successful implementation might be a key element to ensure evidence-based practice and high quality of care. There is a need to improve implementation processes in dementia care by better understanding the arising challenges. Thus, the aim of this study was to identify recent knowledge concerning barriers and facilitators to implementing nurse-led interventions in dementia care. Methods: We performed a scoping review using the methodological framework of Arksey and O'Malley. Studies explicitly reporting on the implementation process and factors influencing the implementation of a nurse-led intervention in dementia care in all settings were included. We searched eight databases from January 2015 until January 2019. Two authors independently selected the studies. For data analysis, we used an inductive approach to build domains and categories. Results: We included 26 studies in the review and identified barriers as well as facilitators in five domains: policy (e.g. financing issues, health insurance), organisation (e.g. organisational culture and vision, resources, management support), intervention/implementation (e.g. complexity of the intervention, perceived value of the intervention), staff (e.g. knowledge, experience and skills, attitude towards the intervention), and person with dementia/family (e.g. nature and stage of dementia, response of persons with dementia and their families). Conclusions: Besides general influencing factors for implementing nursing interventions, we identified dementiaspecific factors reaching beyond already known barriers and facilitators. A pre-existing person-centred culture of care as well as consistent team cultures and attitudes have a facilitating effect on implementation processes. Furthermore, there is a need for interventions that are highly flexible and sensitive to patients' condition, needs and behaviour.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Person With Dementia and Familymentioning

confidence: 99%

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What hinders and facilitates the implementation of nurse-led interventions in dementia care? A scoping review

et al. 2020

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“…See Table S1. Thirteen studies had a total quality score between 60% and 86% (Galik et al, 2008; Guidetti & Ytterberg, 2011; Hafsteinsdóttir, Algra, Kappelle, & Grypdonck, 2005; Hedman, Eriksson, von Koch, & Guidetti, 2019; Henskens, Nauta, Drost, & Scherder, 2018; Henskens, Nauta, Scherder, Oosterveld, & Vrijkotte, 2017; Henskens, Nauta, van Eekeren, & Scherder, 2018; Kerse et al, 2008; Parsons, Sheridan, Rouse, Robinson, & Connolly, 2013; Peri et al, 2008; Resnick et al, 2006; Resnick, Galik, Gruber‐Baldini, & Zimmerman, 2009; Tuntland, Aaslund, Espehaug, Førland, & Kjeken, 2015), and seven studies had a quality score between 40% and 59% (Bertilsson et al, 2014; Galik, Resnick, Hammersla, & Brightwater, 2013; Galik, Resnick, Lerner, Hammersla, & Gruber‐Baldini, 2015; Resnick, Gruber‐Baldini, et al, 2009; Resnick, Galik, Gruber‐Baldini, & Zimmerman, 2011; Sidani, Streiner, & LeClerc, 2012; Tinetti et al, 2002). Four studies fulfilled less than 40% of the quality criteria and were excluded from the review (Engelman, Mathews, & Altus, 2002; Johnson et al, 2004; Lim, 2003; Padula, Hughes, & Baumhover, 2009).…”

Section: Resultsmentioning

confidence: 99%

Optimizing patients' functional status during daily nursing care interventions: A systematic review

Verstraten

Metzelthin

Schoonhoven

et al. 2020

Research in Nursing & Health

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Patients often experience a functional decline due to physical inactivity during illness. Nurses can influence the physical activity of patients while assisting them with activities of daily living. The purpose of this study was to identify effective interventions that are embedded in daily nursing care (irrespective of care setting) that aim to optimize the functional status of patients by increasing their physical activity. A systematic review was performed and reported following the preferred reporting items for systematic reviews and meta‐analyses. PubMed, CINAHL, and Cochrane were searched for studies from January 2002 to March 2019. The critical appraisal tools from the Joanna Briggs Institute were used to assess the risk of bias in individual studies. Study characteristics, intervention key components, and reported effects of included studies were extracted, summarized narratively, and compared. Twenty studies, evaluating nine different interventions were included. In these interventions, eight key components were identified. Four components were included in all six interventions with a positive effect on mobility, physical activity, or functional status. These components were: assessment of patient's functionality; goal setting with the patient; establishment of an individualized plan; and engagement of patients in physical and daily activity. The effects were limited due to the risk of bias in the studies, small sample sizes, limited clinical meaning of the effects, and variability of the adherence to the interventions. Multicomponent interventions were the most promising to enhance the functional status of patients. Future research should evaluate these interventions using research methods aiming at producing more rigorous evidence.

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Effects on clients' daily functioning and common features of reablement interventions: a systematic literature review

et al. 2022

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This systematic review aimed to provide an overview of reablement interventions according to the recently published ReAble definition and their effect on Activities of Daily Living (ADL). In addition, the most common and promising features of these reablement interventions were identified. Four electronic bibliographic databases were searched. Articles were included when published between 2002 and 2020, which described a Randomised or Clinical Controlled Trial of a reablement intervention matching the criteria of the ReAble definition, and had ADL functioning as an outcome. Snowball sampling and expert completion were used to detect additional publications. Two researchers screened and extracted the identified articles and assessed methodological quality; discrepancies were resolved by discussion and arbitration by a third researcher. Twenty relevant studies from eight countries were included. Ten of these studies were effective in improving ADL functioning. Identifying promising features was challenging as an equal amount of effective and non-effective interventions were included, content descriptions were often lacking, and study quality was moderate to low. However, there are indications that the use of more diverse interdisciplinary teams, a standardised assessment and goal-setting method and four or more intervention components (i.e. ADL-training, physical and/or functional exercise, education, management of functional disorders) can improve daily functioning. No conclusions could be drawn concerning the effectiveness on ADL functioning. The common elements identified can provide guidance when developing reablement programmes. Intervention protocols and process evaluations should be published more often using reporting guidelines. Collecting additional data from reablement experts could help to unpack the black box of reablement.

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Implementation and effects of Movement-oriented Restorative Care in a nursing home – a quasi-experimental study

Cited by 24 publications

References 37 publications

What hinders and facilitates the implementation of nurse-led interventions in dementia care? A scoping review

What hinders and facilitates the implementation of nurse-led interventions in dementia care? A scoping review

Optimizing patients' functional status during daily nursing care interventions: A systematic review

Effects on clients' daily functioning and common features of reablement interventions: a systematic literature review

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