Testing of the Function Focused Environment Assessment and the Function Focused Policy Assessment in Assisted Living

Galik, Elizabeth; Boltz, Marie; Vigne, Erin; Holmes, Sarah; Fix, Steven; Zhu, Shijun; Lewis, Regina

doi:10.1080/02763893.2018.1534180

Cited by 9 publications

(4 citation statements)

References 47 publications

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“…This study used baseline data collected by research assistants all of whom had prior experience working with this population. Descriptive information for the facility included size based on number of beds, profit status (for profit or not for profit) and an assessment of the environment and policies related to optimizing function and physical activity using the Function Focused Environment Assessment and Function Focused Policy Assessment in Assisted Living (Resnick, Galik, et al, 2019). Descriptive information for residents included age, gender, number of comorbidities, and race.…”

Section: Methodsmentioning

confidence: 99%

The Impact of Cognitive impairment on Clinical Symptoms, Physical Activity and Care Interactions among Residents in Assisted Living Settings

2021

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The purpose of this study was to describe differences in pain, behavioral symptoms, quality of staff-resident interactions, participation in function focused care and physical activity among residents with and without cognitive impairment in assisted living. This was a secondary data analysis using baseline data from an ongoing trial testing Function Focused Care for Assisted Living using the Evidence Integration Triangle (FFC-AL-EIT). A total of 550 residents were recruited from 59 communities. The average age of participants was 89.30 ( SD = 7.63), the majority were white (98%), female (69%), had evidence of cognitive impairment (75%), and 5.16 ( SD = 1.86) comorbidities. Those with cognitive impairment had more pain, were more sedentary and less likely to engage in function focused care activities. Addressing pain and implementing interventions for those with cognitive impairment to participate in function focused care may help optimize function and physical activity in assisted living residents.

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Section: Methodsmentioning

confidence: 99%

The Impact of Cognitive impairment on Clinical Symptoms, Physical Activity and Care Interactions among Residents in Assisted Living Settings

2021

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“…Champion and research nurse facilitator complete the Function Focused Environment Assessment and the Function Focused Policy Assessment in Assisted Living 22 …”

Section: Methodsmentioning

confidence: 99%

“…As shown in Table 2, FFC-AL-EIT is a four-step approach that is implemented by a research nurse facilitator working with a facility-identified champion and stakeholder team over a Champion and research nurse facilitator complete the Function Focused Environment Assessment and the Function Focused Policy Assessment in Assisted Living. 22 Research nurse facilitator reviews way to alter the environment and policies to optimize function and physical activity.…”

Section: Interventionmentioning

confidence: 99%

“…Receipt of education was based on posteducation scores of 80% or greater among direct care workers on the Knowledge of Function Focused Care 12-item multiple choice test. Enactment was based on evidence that there was a change in environments and policies to facilitate function focused care using the Function Focused Environment Assessment and Function Focused Policy Assessment in Assisted Living, 22 that function focused care was provided by direct care workers based on the Function Focused Care Checklist for Caregivers, 35 and that there was an increase in the incorporation of function focused care in service plans.…”

Section: Interventionmentioning

confidence: 99%

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Testing the Impact of FFC‐AL‐EIT on Psychosocial and Behavioral Outcomes in Assisted Living

Resnick

Boltz

Galik

et al. 2020

J American Geriatrics Society

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BACKGROUND This study tested the impact of Function Focused Care for Assisted Living Using the Evidence Integration Triangle (FFC‐AL‐EIT) on: (1) care interactions between residents and direct care staff; and (2) behavior and psychological symptoms associated with dementia among residents. DESIGN This was a randomized controlled trial. SETTING A total of 59 assisted living facilities in Maryland, Pennsylvania, and Massachusetts participated. PARTICIPANTS The sample included 550 mostly White (98%), female (69%) residents with a mean age of 89.30 (standard deviation = 7.63) years. INTERVENTION The four‐step FFC‐AL‐EIT intervention was implemented by a function focused care nurse facilitator working with a facility champion over 12 months. The steps included: (1) environment and policy assessments; (2) education; (3) establishing resident function focused care service plans; and (4) mentoring and motivating. MEASURES Resident descriptive data (e.g., age, sex, education, and comorbidities), depression, agitation, resistiveness to care, and the quality of care interactions were obtained at baseline and 4 and 12 months. Treatment fidelity data included environment and policy assessments, performance of function focused care by staff, and service plan assessments. RESULTS There was a significant positive treatment effect related to depression, agitation, resistiveness to care, and quality of care interactions with either less decline or some improvement in these behaviors and symptoms in the treatment versus control group. CONCLUSION The study provides some statistical support, which may not necessarily be clinically significant evidence, for psychosocial outcomes of residents and care interactions between staff and residents in assisted living settings.

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Testing Function Focused Care for Acute Care using the Evidence Integration Triangle: Protocol description

Boltz

Galik

Kuzmik

et al. 2022

Research in Nursing & Health

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This manuscript provides the protocol for a National Institute of Aging-funded cluster randomized clinical trial that focuses on helping nurses in acute care to engage patients with dementia in physical activity while hospitalized using an approach referred to as function-focused care. Physical activity is defined as bodily movement produced by skeletal muscles resulting in the expenditure of energy and includes functional tasks such as bathing and dressing, leisure activity, ambulation, and moderate and vigorous intensity physical activity such as dancing, bike riding, or walking upstairs. The development of Function Focused Care for Acute Care (FFC-AC) was based on the Social Ecological Model and Social Cognitive Theory and includes four steps: (1) Environment and Policy Assessments; (2) Education; (3) Establishing Patient Goals; and (4) Mentoring and Motivating of Staff (all levels of nursing staff), Patients, and Families. Function-focused care activities include motivating older patients to participate in bed mobility; personal care activities such as bathing, dressing, ambulating as they are able; and other types of physical activities.The integration of the intervention among the nurses on the units is guided by the Evidence Integration Triangle (EIT), which includes the participation of a stakeholder team and practical outcome measures. The intervention is therefore referred to as FFC-AC-EIT. In addition to describing the protocol developed to test the effectiveness and feasibility of FFC-AC-EIT, a description of ways to overcome some of the barriers and challenges that can be encountered with this study is provided.

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Testing of the Function Focused Environment Assessment and the Function Focused Policy Assessment in Assisted Living

Cited by 9 publications

References 47 publications

The Impact of Cognitive impairment on Clinical Symptoms, Physical Activity and Care Interactions among Residents in Assisted Living Settings

The Impact of Cognitive impairment on Clinical Symptoms, Physical Activity and Care Interactions among Residents in Assisted Living Settings

Testing the Impact of FFC‐AL‐EIT on Psychosocial and Behavioral Outcomes in Assisted Living

Testing Function Focused Care for Acute Care using the Evidence Integration Triangle: Protocol description

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