Nursing home resident relationship types: What supports close relationships with peers &amp; staff?

Roberts, Tonya

doi:10.1111/jocn.14554

Cited by 25 publications

(29 citation statements)

References 38 publications

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“…Indeed, spending ‘non-care’ time together is crucial for residents to develop close friendships with staff. 25 …”

Section: Discussionmentioning

confidence: 99%

“… 23 These findings are significant given the central importance of relationships in the lives of residents. 13 , 24 , 25 However, none of these studies focused specifically on social relationships or social wellbeing, and most considered only one art-form. In contrast, the study reported here explored the impact of participatory arts across different art-forms on the social relationships between older people, and between older people and care home staff, within Essex care homes.…”

Section: Introductionmentioning

confidence: 99%

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The impact of participatory arts in promoting social relationships for older people within care homes

Dadswell

Bungay

Wilson

et al. 2020

Perspect Public Health

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Aims: Loneliness and social isolation negatively affect wellbeing and quality of life. Despite the proximity of others, older people living in care homes often experience loneliness and social isolation. The impact of participatory arts on wellbeing is widely acknowledged; however, relational impacts have received less attention. This article explores the impact of participatory arts in care homes on the social relationships between older people and older people and care staff. Methods: ‘Creative Journeys’, an initiative led by Essex County Council, provides opportunities for older people living in care homes to participate in arts activities. In this study, three arts organisations (reminiscence arts, seated dance, and orchestral music participation) delivered participatory arts in three homes. Stage 1 of the research comprised mixed-methods case studies in each home. Stage 2 involved an online survey across care homes in Essex to provide a broader perspective, with follow-up interviews in three further homes, and a focus group with the arts organisations. Findings presented here focus on the qualitative data around the impact of participatory arts on the social relationships in care homes between older people and older people and care staff. Results: Participatory arts enhanced social relationships between older people and between older people and care staff in care homes. Through engagement in shared experiences leading to increased communication and interaction, participatory arts facilitated social connectedness between residents, and changed the relationship dynamics between older people and care staff, thus promoting reciprocity. Conclusion: Participatory arts enable older people to express themselves creatively, and make meaningful contributions to their social relationships. Policy makers and those working in the care sector should consider including participatory arts as an integral and necessary component of quality care for older people living in care homes.

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“…Indeed, spending ‘non-care’ time together is crucial for residents to develop close friendships with staff. 25 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The impact of participatory arts in promoting social relationships for older people within care homes

Dadswell

Bungay

Wilson

et al. 2020

Perspect Public Health

View full text Add to dashboard Cite

show abstract

“…Despite these important insights from early studies of the social lives of NH residents and a growing body of literature highlighting the importance of person‐ and relationship‐centred care, few studies examine relationships from the perspective of residents themselves. Recent empirical studies on social relationships in NHs have been conducted primarily using researcher‐ or staff‐administered structured surveys or open‐ended interviews that examined staff perspectives without including resident perspectives (Roberts, ; Roberts & Bowers, ). In addition, few studies have focused on the broader social network of residents beyond the caregiver and care recipient relationships.…”

Section: Introductionmentioning

confidence: 99%

Nursing home residents’ perspectives on their social relationships

Kang

Scales

McConnell

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To explore nursing home residents’ perspectives on their relationships with other residents, family members and staff. Background The cultivation of social relationships is central to promoting well‐being in nursing homes, as these relationships allow residents, family members and staff to be valued as unique persons and empowered as partners in care. Few studies have examined how nursing home residents perceive the relationships in their social networks, both within and beyond the facility. Design Qualitative secondary analysis. Methods We analysed individual and group interviews obtained during “stakeholder engagement sessions” with cognitively intact residents (N = 11 sessions; N = 13 participants) from two nursing homes in North Carolina. The interviews were conducted as part of a larger study on person‐directed care planning. We integrated thematic and narrative analytic approaches to guide the analysis of interview data, using a three‐cycle coding approach. The COREQ checklist was followed. Results Four broad themes emerged from this analysis: (a) peer relationships foster a sense of belonging, purpose, achievement and significance; (b) residents’ relationships with family members support a sense of belonging, continuity and significance; (c) mutual respect and reciprocity between residents and nursing home staff promote a sense of belonging and significance; and (d) organisational factors pose barriers to forging meaningful relationships. Each type of relationship—peer, family and staff—made distinctive contributions residents’ psychosocial well‐being. Conclusion Recognising the diverse roles of different actors from residents’ social networks raises questions for future research to optimise the distinctive contributions of network members that promote residents’ psychosocial well‐being. Relevance to clinical practice This study highlights the need for nursing home staff to understand how residents’ social relationships influence residents’ psychosocial outcomes. Staff training programmes are needed to support residents’ rights and to dispel inaccurate interpretations of regulations that threaten sustained meaningful relationships.

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“…Above all, NH staff have reported implementing multiple strategies based on a deep knowledge of their residents and their interactions: this seems to confirm the need to ensure both the stability of the dyad (carer and resident) [ 42 ] but also the stability of the entire staff to maximise this knowledge and the consequent decisions. This contrasts the tendency of some NHs to recruit temporary or informal staff [ 43 ].…”

Section: Discussionmentioning

confidence: 89%

Interventions maintaining eating Independence in nursing home residents: a multicentre qualitative study

et al. 2018

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BackgroundDespite 32 years of research and 13 reviews published in the field, no intervention can be considered a gold standard for maintaining eating performance among residents with dementia. The study aim was to highlight the interventions derived from tacit knowledge and offered daily in assisting eating by healthcare professionals (HCPs) in nursing homes (NHs).MethodA multicentre descriptive qualitative study was performed in 2017. Thirteen NHs admitting residents with moderate/severe functional dependence in eating mainly due to dementia, were approached. A purposeful sample of 54 HCPs involved on a daily basis in assisting residents during mealtime were interviewed in 13 focus groups. Data analysis was conducted via qualitative content analysis.ResultsThe promotion and maintenance of eating performance for as long as possible is ensured by a set of interventions targeting three levels: (a) environmental, by ‘Ritualising the mealtime experience by creating a controlled stimulated environment’; (b) social, by ‘Structuring effective mealtime social interactions’; and (c) individual, by ‘Individualising eating care’ for each resident.ConclusionsIn NHs, the eating decline is juxtaposed with complex interventions regulated on a daily basis and targeting the environment, the social interactions, and the residents’ needs. Several interventions that emerged as effective, according to the experience of participants, have never been documented before; while others are in contrast to the evidence documented. This suggests the need for further studies in the field; as no conclusions regarding the best interventions have been established to date.

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Nursing home resident relationship types: What supports close relationships with peers & staff?

Abstract: Nurses can be intentional about resident placements in the facility to promote social interactions and keep social goals in mind when making medical or staffing decisions to prevent interruption of important relationships.

Cited by 25 publications

References 38 publications

The impact of participatory arts in promoting social relationships for older people within care homes

The impact of participatory arts in promoting social relationships for older people within care homes

Nursing home residents’ perspectives on their social relationships

Interventions maintaining eating Independence in nursing home residents: a multicentre qualitative study

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