Need support and wellbeing during morning care activities: an observational study on resident–staff interaction in nursing homes

Custers, Annette F.J.; Kuin, Y.; Riksen-Walraven, Marianne; Westerhof, Gerben Johan

doi:10.1017/s0144686x10001522

Cited by 61 publications

(41 citation statements)

References 30 publications

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“…The current study replicates the past findings of the longitudinal study of Custers and colleagues (2014) showing a relation between the satisfaction of the needs and the affective component of subjective well-being (i.e., depressive feelings) and adds support for the relation to the cognitive-evaluative component of subjective well-being (i.e., satisfaction with life) in a nursing home context. This study is also in line with previous cross-sectional studies of one or more basic psychological needs and subjective well-being of nursing home residents (Custers et al, 2010(Custers et al, , 2011(Custers et al, , 2013Kasser & Ryan, 1999;. The results of the current study also support the SDT statement that the basic psychological needs are important for well-being across one's life span (Ryan & Deci, 2000).…”

Section: Discussionsupporting

confidence: 91%

“…There are some limitations to this study. First, these nursing home residents had higher independence of daily activities, no major cognitive impairments or dementia, and had higher life satisfaction and lower depression scores than others previously reported (Custers et al, 2010(Custers et al, , 2011(Custers et al, , 2013Jongenelis et al, 2007), which may limit the generalizability of results. Furthermore, the need for competence subscale had a low reliability; consequently, future research in a nursing home setting should test another potentially suitable questionnaire such as the Balanced Need Satisfaction Scale (Sheldon & Hilpert, 2012).…”

Section: Discussionmentioning

confidence: 78%

“…In clinical practice, it is highly desirable that support be provided for these three needs. Relatedness can be supported by showing warm interest, making conversation, and providing emotional support, whereas the need for competence is best supported by encouraging the resident to carry out activities as independently as possible and structuring each situation (Custers et al, 2011). Offering meaningful and favorable choices, while diminishing perceived difficulty associated with those choices supports nursing home residents' autonomy (Bangerter, Heid, Abbott, & Van Haitsma, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…Two correlational studies involving nursing home residents found relations between the psychological need for autonomy and well-being Vallerand, O'Connor, & Blais, 1989), and Kasser and Ryan (1999) found marginally significant correlations of both autonomy and relatedness to well-being. More recently, two survey studies and an observational study provided further cross-sectional support for the relationship between the satisfaction of all three basic psychological needs and wellbeing in nursing homes (Custers, Kuin, Riksen-Walraven, & Westerhof, 2011;Custers, Westerhof, Kuin, Gerritsen, & Riksen-Walraven, 2013;Custers, Westerhof, Kuin, & Riksen-Walraven, 2010). However to date, only one relevant longitudinal study in a nursing home context has been conducted, showing that satisfaction of the three basic psychological needs was related to depressive feelings of new residents 3 months after their admission to the nursing home (Custers, Cillessen, Westerhof, Kuin, & Riksen-Walraven, 2014).…”

mentioning

confidence: 97%

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Longitudinal Associations of Autonomy, Relatedness, and Competence With the Well-being of Nursing Home Residents

et al. 2018

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These results confirm that all three basic psychological needs are important for nursing home residents' well-being, with autonomy having the strongest and most consistent relationship to their well-being. Additionally, high satisfaction of one need does not compensate for low satisfaction of another. Supporting residents' needs for autonomy, relatedness, and competence should, therefore, have a central role in nursing home culture-change interventions.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 97%

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Longitudinal Associations of Autonomy, Relatedness, and Competence With the Well-being of Nursing Home Residents

et al. 2018

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“…3 2015 j QUALITY IN AGEING AND OLDER ADULTS j PAGE 143 caring relationships discussed in the literature (e.g. Caris-Verhallen et al, 1999;Custers et al, 2011;Dewar and Nolan, 2013;Lothian and Philp, 2001;Nolan et al, 2004). All process quality indicators were rated on a scale of 1-5 (1 ¼ not at all and 5 ¼ to a large extent).…”

Section: Observation Instrumentmentioning

confidence: 99%

User-oriented elderly care: a validation study in two different settings using observational data

Kazemi

Kajonius²

2015

Quality in Ageing and Older Adults

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2015),"Longitudinal effects on self-determination in the RCT "Continuum of care for frail elderly people""If you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. AbstractPurpose -User-oriented care, defined as individualized assisting behaviors, is the dominant approach within elderly care today. Yet, there is little known about its conceptual structure. This paper proposes that user-oriented care has a bi-partite structure which may be decomposed into the two dimensions of task and relation. Design/methodology/approach -Care workers were "shadowed" (i.e. observed) at their work (n ¼ 391 rated interactions). User-oriented care was assessed along ten process quality indicators targeting the acts of caregiving (i.e. task focus, relation focus, involvement, time-use, body language, autonomy, respect, warmth, encouragement, and information) in two elderly care settings, i.e. home care and nursing home. Observations added up to 45 hours. Findings -Principal component analyses confirmed the proposed two-factor structure of user-oriented care. Specifically, the user-oriented care indicators loaded on two distinct factors, i.e. task and relation. The underlying structure of user-oriented care revealed to be invariant across the two settings. However, the results revealed interesting structural differences in terms of explained variance and the magnitude of factor loadings in the home care and nursing home settings. Differences also emerged specifically pertaining to the indicators of autonomy and time-use. These findings suggest that user-oriented behavior may to some extent denote different acts of caregiving and what may be called task-and relation-orientation may be loaded with different meanings in these two care settings. Originality/value -This is the first study investigating user-oriented behavior in the context of elderly care using a quantitative observational approach. The authors propose that the observed differences between the two care settings are primarily not due to better elderly care work in home care, but due to some inherent differences between these two contexts of care (e.g. better health and living at home).

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Need fulfillment in the nursing home: resident and observer perspectives in relation to resident well-being

et al. 2013

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Self-reports in nursing homes generally show highly satisfied residents, whereas observational studies provide more nuanced results. In this study, which is based on self-determination theory, the perspective of nursing home residents (self-reports) is compared to the perspective of trained "neutral" observers (video-observations). The experiences of physically frail older residents are measured with regard to the fulfillment of their needs for relatedness, autonomy, and competence. Self-reports of need fulfillment , and of 36 residents (64 % female, mean age 80 years) were compared with observer ratings of resident need fulfillment during the latter caregiving episode. Furthermore, it was investigated which measure relates best to residents' self-reported well-being. The results show that residents rate their need fulfillment higher than observers. There is weak to moderate agreement between resident and observer ratings. Furthermore, only residents' self-reported need fulfillment is related with self-reported well-being. Different explanations are provided, including the "barrier of happiness," the use of cognitive strategies, a change in identity and existing power relations. There seems to be a paradox in caregiving: Residents and their needs should be central, but because residents might adapt their needs and wishes it is hard to assess these. Suggestions for practical applications are given.

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Need support and wellbeing during morning care activities: an observational study on resident–staff interaction in nursing homes

Cited by 61 publications

References 30 publications

Longitudinal Associations of Autonomy, Relatedness, and Competence With the Well-being of Nursing Home Residents

Longitudinal Associations of Autonomy, Relatedness, and Competence With the Well-being of Nursing Home Residents

User-oriented elderly care: a validation study in two different settings using observational data

Need fulfillment in the nursing home: resident and observer perspectives in relation to resident well-being

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