Quality of care in Norwegian nursing homes – deficiencies and their correlates

Kirkevold, Øyvind; Engedal, Knut

doi:10.1111/j.1471-6712.2007.00575.x

Cited by 20 publications

(22 citation statements)

References 38 publications

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“…Marin et al 2 found that in a Norwegian nursing home, 25.1% of patients were unco-operative when receiving assistance with tooth cleaning. Resistant and aggressive behaviour seems to be an important barrier to oral care as well as to other aspects of care in nursing homes [13][14][15][16][17] . Marin et al 2 also reported that uncooperative patients have poorer oral hygiene than co-operative patients and patients who brush their teeth themselves.…”

Section: Introductionmentioning

confidence: 99%

Are the barriers to good oral hygiene in nursing homes within the nurses or the patients?

Willumsen

Karlsen²,

Naess³

et al. 2011

Gerodontology

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Are the barriers to good oral hygiene in nursing homes within the nurses or the patients?Objective: To explore nursing home patients' oral hygiene and their nurses' assessments of barriers to improvement. Background: In nursing homes, nurses are responsible for patients' oral hygiene. Materials and methods: This study assessed the oral hygiene of 358 patients in 11 Norwegian nursing homes. 494 nurses in the same nursing homes participated in a questionnaire study. Results: More than 40% of patients had unacceptable oral hygiene. 'More than 10 teeth' gave OR = 2, 1 (p = 0.013) and 'resist being helped' OR = 2.5 (p = 0.018) for unacceptable oral hygiene. Eighty percent of the nurses believed knowledge of oral health was important, and 9.1% often considered taking care of patients' teeth unpleasant. Half of the nurses reported lack of time to give regular oral care, and 97% experienced resistant behaviour in patients. Resistant behaviour often left oral care undone. Twenty-one percent of the nurses had considered making legal decisions about use of force or restraints to overcome resistance to teeth cleaning. Conclusion: Oral hygiene in the nursing homes needed to be improved. Resistant behaviour is a major barrier. To overcome this barrier nurses' education, organisational strategies to provide more time for oral care, and coping with resistant behaviour in patients are important factors.

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Section: Introductionmentioning

confidence: 99%

Are the barriers to good oral hygiene in nursing homes within the nurses or the patients?

Willumsen

Karlsen²,

Naess³

et al. 2011

Gerodontology

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“…In a study on quality of care using data from nursing homes in the whole of Norway, the staffing ratio differed and the units (wards) were divided into high and low ratio groups. In that study, the staffing ratio had a clear effect [39]. However, in a review of the literature on the effect of staffing characteristics on quality of care in nursing homes, Collier and Harrington [38] concluded that the limitations of the methodology used had hindered the ability to draw definitive conclusions concerning the staffing ratio.…”

Section: Discussionmentioning

confidence: 99%

“…Nursing homes in Oslo may differ significantly from nursing homes in Norwegian rural areas, as well as from those in other countries. However, the distribution of gender and age is quite similar to the mean regarding persons with dementia in nursing homes in Norway [39,48]. …”

Section: Discussionmentioning

confidence: 99%

Factors to Make the VIPS Practice Model More Effective in the Treatment of Neuropsychiatric Symptoms in Nursing Home Residents with Dementia

Røsvik

Engedal

Kirkevold

2014

Dement Geriatr Cogn Disord

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Background/Aims: A recent cluster-randomized controlled study showed that the VIPS practice model (VPM) for person-centred care had a significant effect on neuropsychiatric symptoms in nursing home residents with dementia. The randomized controlled trial (RCT) indicated that a substantial proportion of the total variance of the effects was related to conditions in the particular unit (ward). We have explored which factors explain the variance of the effect of the VPM. Methods: The VPM subset of data from the RCT was explored using multilevel linear regression. The dependent variables were the change in scores on the Neuropsychiatric Inventory Questionnaire (NPI-Q) and the Cornell Scale for Depression in Dementia (CSDD). Results: The unit in which the resident was living explained 22% of the VPM's total variance of the effect on the NPI-Q and 13% of that on the CSDD. The intraclass correlation coefficient at the unit level was explained mainly by unit size on both scales and was considerably higher than at the institutional level. Conclusion: The unit is the most influential level when implementing person-centred dementia care by use of the VPM. The unit size explains most of the variance of the effect of the VPM, and the effects were best in the small units.

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“…On this basis, it is likely that the incidence of abuse of nursing home residents will also increase (Pillemer et al., ). There is evidence that abuse and neglect are part of daily life in nursing homes in many countries (Bužgová & Ivanová, ; Goergen, ; Pillemer & Moore, ; Saveman, Astrom, Bucht & Norberg, ; Wierucka & Goodridge, ) and has been found to occur in Norwegian nursing homes (Hofseth & Norvoll, ; Kirkevold & Engedal, ; Malmedal, ; Malmedal, Hammervold & Saveman, ; Malmedal, Ingebrigtsen & Saveman, ).…”

Section: Introductionmentioning

confidence: 99%

Preventing physical abuse of nursing home residents‐ as seen from the nursing staff's perspective

Braaten

Malmedal

2017

Nursing Open

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AimThis study aims to capture first‐hand information from nursing home staff's own understanding regarding what they think and have experienced about prevention of physical abuse of nursing home residents and what measures they consider useful to implement in their daily work.DesignThe design is qualitative.MethodsA convenient sample of staff in three nursing homes was used and data were collected during three focus group interviews. The total number of informants was 14. Thematic content analysis was used. The data collection period was from December 2015–February 2016.ResultsAccording to the staff, several factors contribute to the prevention of physical abuse of residents in nursing homes. There is a requirement for increased competence among staff about the concept of abuse and known risk factors. Good communication skills and trusting relationships are important factors, as well as a culture that fosters openness where ethical dilemmas can be discussed.

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Quality of care in Norwegian nursing homes – deficiencies and their correlates

Cited by 20 publications

References 38 publications

Are the barriers to good oral hygiene in nursing homes within the nurses or the patients?

Are the barriers to good oral hygiene in nursing homes within the nurses or the patients?

Factors to Make the VIPS Practice Model More Effective in the Treatment of Neuropsychiatric Symptoms in Nursing Home Residents with Dementia

Preventing physical abuse of nursing home residents‐ as seen from the nursing staff's perspective

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