Intervening in Family-Staff Conflicts in Nursing Homes

This study determined the national prevalence and profile of Asian Americans with Activities of Daily Living (ADL) limitations and identified factors associated with institutionalization. Data were obtained from 2006 American Community Survey, which replaced the long-form of the US Census. The data are nationally representative of both institutionalized and community-dwelling older adults. Respondents were Vietnamese (n = 203), Korean (n = 131), Japanese (n = 193), Filipino (n = 309), Asian Indian (n = 169), Chinese (n = 404), Hawaiian/Pacific Islander (n = 54), and non-Hispanic whites (n = 55,040) aged 55 and over who all had ADL limitations. The prevalence of institutionalized among those with ADL limitations varies substantially from 4.7% of Asian Indians to 18.8% of Korean Americans with ADL limitations. Every AAPI group had a lower prevalence of institutionalization than disabled Non-Hispanic whites older adults (23.8%) (p < 0.001). After adjustment for socio-demographic characteristics, Asian Indians, Vietnamese, Japanese, Filipino, and Chinese had significantly lower odds of institutionalization than non-Hispanic whites (OR = 0.29, 0.31, 0.58, 0.51, 0.70, respectively). When the sample was restricted to AAPIs, the odds of institutionalization were higher among those who were older, unmarried, cognitively impaired and those who spoke English at home. This variation suggests that aggregating data across the AAPI groups obscures meaningful differences among these subpopulations and substantial inter-group differences may have important implications in the long-term care setting.

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“…Health care providers need to be aware that ethnic traditions and filial piety play a significant role in these families [31,32,33,34]. …”

Section: Discussionmentioning

confidence: 99%

Older Asian Americans and Pacific Islanders with Activities of Daily Living (ADL) Limitations: Immigration and Other Factors Associated with Institutionalization

Fuller‐Thomson

Chi

2012

IJERPH

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“…Offering an opportunity to the caregiver to share with the staff her or his experiences of dealing with those problems can validate the knowledge of the caregiver and provide staff with valuable "insider knowledge." Establishing a partnership between families and staff rather than an adversarial relationship is key to warding off future conflicts (a major source of stress for both parties) (Ejaz, Noelker, Schur, Whitlatch, & Looman, 2002;Ryan & Scullion, 2000;Vinton, Mazza, & Kim, 1998). The social worker should also realistically assess any characteristics of the nursing home that may appear incongruent with the family system's lifestyle, personality, and past caregiving approach (as the findings from this study indicate, social class may play a role in congruence or incongruence between homecare and institutional care).…”

Section: Journal Of Social Work In Long-term Carementioning

confidence: 95%

Social Class and the Subjective Adaptation of Caregivers to Institutionalization

Anderson

Jao

Pearlin

et al. 2006

Journal of Social Work in Long-Term Care

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Section: Introductionmentioning

confidence: 99%

“…For example, 67% and 11% of nursing home residents' families were reported to engage in verbal conflict and aggressive behaviours, respectively, toward nursing home staff . The greatest incidence of conflict has been found to occur in the largest nursing homes (≥ 325 beds) . However, the experiences underlying these conflicts have not been studied, leading to a lack of in‐depth understanding and a gap between education in and the practice of communication .…”

Section: Introductionmentioning

confidence: 99%

“…325 beds). 24,25 However, the experiences underlying these conflicts have not been studied, leading to a lack of in-depth understanding and a gap between education in and the practice of communication. 26 In this regard, qualitative studies have been suggested 24 to provide better understanding of the experiences of stakeholders in nursing home conflicts and thereby to help to improve conflict resolution training.…”

Section: Introductionmentioning

confidence: 99%

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More than communication skills: experiences of communication conflict in nursing home nurses

Tsai

Weng

et al. 2013

Med Educ

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The findings of this study can be considered by clinical educators and policymakers when designing communication education programmes for nurses and other clinicians. These programmes should include ways to increase nurses' independent thinking in settings in which power differences exist, as well as their cultural sensitivity as embodied in Leininger's culture care theory. These programmes should also include education in telephone communication and alternative methods of communication (e.g. videoconferencing).

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Intervening in Family-Staff Conflicts in Nursing Homes

Cited by 30 publications

References 15 publications

Older Asian Americans and Pacific Islanders with Activities of Daily Living (ADL) Limitations: Immigration and Other Factors Associated with Institutionalization

Older Asian Americans and Pacific Islanders with Activities of Daily Living (ADL) Limitations: Immigration and Other Factors Associated with Institutionalization

Social Class and the Subjective Adaptation of Caregivers to Institutionalization

More than communication skills: experiences of communication conflict in nursing home nurses

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