Witnessing presence: Swedish care professionals' experiences of supporting resident's well-being processes within the frame of residential care homes (RCH)

Lundin, Anette; Berg, Lars-Erik; Muhli, Ulla Hellström

doi:10.1016/j.jaging.2016.01.001

Cited by 4 publications

(9 citation statements)

References 14 publications

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“…Our findings support the canon of research that delineates the tensions within aged care around perceptions of quality care (person-centred, based on resident's individual needs, interpersonal, social and bodily care) and how to bring about this quality in practice (Freshwater & Cahill, 2010;Hebblethwaite, 2013;Rodríguez-Martín et al, 2016;Sharp et al, 2018;Woods, 2011). Our findings also align with prior work by Armstrong (2018), noting on an international level the strain aged care staff experience when balancing resident's autonomy with safety/risk (Greason, 2020;Jaye et al, 2016;Ludlow et al, 2020;Lundin et al, 2016;Palmer et al, 2018;Sellevold et al, 2013;Simmons et al, 2014;van Hoof et al, 2016). This balancing of choice and safety in aged care requires further investigation, ideally from a mixed-methods perspective.…”

Section: Discussionsupporting

confidence: 86%

“…Aged care staff also associated quality care with protecting residents from harm and ensuring they felt safe (Andersson & Hjelm, 2017;Behrens et al, 2020;Choe et al, 2018;Fetherstonhaugh et al, 2016;Lundin et al, 2016;Van Dijk & Buijck, 2018). Staff described safety in a variety of ways, ranging from the safe provision of healthcare, to residents feeling safe, to the balance between safety and enabling resident choice (Fetherstonhaugh et al, 2016;Greason, 2020;Jaye et al, 2016;Lundin et al, 2016;Palmer et al, 2018;Sellevold et al, 2013;Simmons et al, 2014;Soderman & Rosendahl, 2016;Van Dijk & Buijck, 2018;van Hoof et al, 2016).…”

Section: Ensuring Resident Safetymentioning

confidence: 99%

“…Staff viewed residents' unlimited freedom of choice as a risk for residents (Behrens et al, 2020;Fetherstonhaugh et al, 2016;Jaye et al, 2016;Lundin et al, 2016;Palmer et al, 2018). With competing demands on their time, and residents with significant variation in care needs, staff felt that "we all say that people are free to do this and that…these are nice phrases and intentions, but it cannot be realized in practice" (van Hoof et al, 2016, p. 7).…”

Section: Ensuring Resident Safetymentioning

confidence: 99%

“…Aged care staff were ambivalent about whether provider policies or government regulation actually facilitates quality care (Banerjee et al, 2015;Berta et al, 2010;Biggs & Carr, 2019;Hogden et al, 2017;Lundin et al, 2016). They described regulations as excessively bureaucratic and time-consuming, resulting in care "being replaced by paperwork to please the government, audits to please the employer" (Tuckett et al, 2009(Tuckett et al, , p. 2607).…”

Section: Policy and Proceduresmentioning

confidence: 99%

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What is and what ought to be: A meta‐synthesis of residential aged care staffs’ perspectives on quality care

Garratt

Kosowicz

Gilbert

et al. 2021

Journal of Clinical Nursing

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Background: As places of both residence and work, what constitutes "good quality care" in residential aged care requires consideration of staffs' perspectives.Objective: A meta-synthesis of the qualitative literature was conducted exploring residential aged care staff perspectives on "quality of care." Methods: Six electronic databases were searched for articles that met the screening inclusion criteria. This meta-synthesis was informed by the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines, and included studies were critically appraised using JBI SUMARI. Two independent reviewers conducted thematic network mapping and analysis of included articles, with oversight from three additional reviewers.Results: Forty-seven articles were included, with findings summarised into four organising themes and nine basic themes. The four organising themes about quality care from staff perspectives include direct care, professional values and competence, the care environment and organisational/regulatory factors. Conclusion:Staff describe a wide range of factors that they perceived to influence the quality of care. Some may feel motivated to leave employment in aged care, due to organisational pressures that make staff unable to uphold what they perceive as an acceptable standard of care. There is tension between professional values and organisation/regulatory factors-regulation should be enacted at a level that supports good practice and staff's moral integrity.Relevance to clinical practice: This review found that while person-centred care is now well established as the benchmark of quality care in residential aged care homes, achieving it in reality remains challenged by limitations on staff members' time, resources and sometimes their competencies and the regularity of their employment. K E Y W O R D Smeta-synthesis, nursing practice, qualitative research, quality care, residential care | 3125 GARRATT eT Al.

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Section: Discussionsupporting

confidence: 86%

Section: Ensuring Resident Safetymentioning

confidence: 99%

Section: Ensuring Resident Safetymentioning

confidence: 99%

Section: Policy and Proceduresmentioning

confidence: 99%

See 2 more Smart Citations

What is and what ought to be: A meta‐synthesis of residential aged care staffs’ perspectives on quality care

Garratt

Kosowicz

Gilbert

et al. 2021

Journal of Clinical Nursing

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“…This kind of humanistic approach can be widely applied in efective support and help by emphasizing on self, on non-directedness, on the inner drive of the individual to ind solutions for themselves, on the value of human encounters for well-being, and for its own sake [11]. Knowledge is lacking when it comes to how old persons experience well-being and how care professionals can support well-being in gerontological social work [13,14]. Referring to Lundin, Berg, and Hellström [15], for example, due to limited autonomy, an elderly person's ability to experience well-being is very dependent on the care professionals.…”

Section: The Purpose Of the Chaptermentioning

confidence: 99%

Well-being in Old Age: A Question of Both Continuity and Change

Muhli¹,

Svensson²

2017

Well-Being and Quality of Life - Medical Perspective

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In this chapter, we are concerned with the well-being of people in old age, living at a residential care home (RCH), and how well-being can be supported in gerontological social work and care at the RCH. Based on empirical data consisting of well-being narratives with elderly residents (average age of 91), a dialogical performance analysis was undertaken about their experiences of well-being at the RCH. The indings of importance are reported through three themes: (1) childhood memories as a source of well-being, (2) family and work as a source of well-being, and (3) opportunities for the well-being of the elderly at the RCH. To be an individual with others is a phenomenon of a personal sense of self and a phenomenon of sociality. Well-being is also found in the individual's self-renewal. Well-being is about a sense of both individual continuity and change. Well-being is created in social situations with others (including caregivers) in daily interactions and in human contacts at the RCH. This kind of individual self-renewal is about human growth and is a human need regardless of age. Consequently, the human growth in (and despite) old age at RCH should be the main target of gerontological social work and care.Keywords: well-being, old age, residential care home, sense of self, sociality, human growth IntroductionHow do we recognize well-being in old age? How do we know when elderly people feel well-being? How can we support people in old age to experience well-being? Old age here refers to the characteristic proile of the most elderly people (older than 85 years). These kinds of questions are expected to be raised, in order to fulill the elderly care policy of welfare and © 2017 The Author(s). Licensee InTech. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.to provide support for the well-being of persons in old age. This is especially true for elderly who are dependent on gerontological social work and care [1].2. Factors afecting the well-being of the elderly residing in the care home 2.1. Well-being related to health One possible answer to the above questions is that surely there is no problem: well-being is observable, at least if we understand well-being as being an experience of health and of being in good health in old age. This presupposes that we understand the essence of health as well-being, which means to feel good and thereby have a good life. To experience health and well-being requires the ability of "being able to" fulill small and large life projects [2]. Consequently, the experience of well-being is linked to health and the ability to fulill one's own life projects [3], regardless of whether they are small or big, regardless of the complexities of life, and regardless of the person's age.However, such an answer is in a certain way not entirely satisfactory because an understanding ...

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Understanding the mental well-being of older adults in care homes

Reid¹

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Older adults’ mental well-being is often overlooked, even though many stressors and triggers of mental health issues are experienced in later life. These may include the loss of family and friends through bereavement and the loss of ability and independence (Forbes-Thompson & Gessert, 2006). One of the main findings from the Older People’s Commissioner for Wales’ report ‘A Place to Call Home?’ (2014) was that there was a risk that older adults in care homes become institutionalised. Being in this kind of environment would have a significant impact on an individual’s mental well-being. To date there has been limited research into the experiences of older adults in care homes and what contributes to their mental well-being (Denning & Milne, 2011). The purpose of this PhD research was to better understand the mental well-being of older adults in care homes and look at ways to maintain and promote it. A mixed methods research design was developed to address these questions. The first quantitative stage used the Mental Health Continuum Short Form (MHC) to measure the mental well-being of 141 older adults from 23 care homes in South Wales. One of the findings from the first stage were that younger residents were more likely to have lower levels of mental well-being. The findings were then used to inform and develop the interview questions for the second qualitative stage of the research. The second stage comprised of twenty interviews with residents from six care homes. The interviews aimed to explore what was important to residents’ mental well-being. Reflexive thematic analysis (RTA) was used to analyse the interviews and generate themes important to residents’ mental well-being. Analysis indicated that residents experienced many losses in later life and since moving to a care home which impacted their mental well-being. The themes generated from the Reflexive Thematic Analysis (RTA) of residents’ experiences of what contributed to their mental well-being were ‘challenges to liberty’, ‘changes in identity’, and ‘importance of relatedness’. By considering these three themes, it is possible to better understand and offer recommendation on how to help maintain and promote the mental well-being of older adults in care homes.

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Witnessing presence: Swedish care professionals' experiences of supporting resident's well-being processes within the frame of residential care homes (RCH)

Cited by 4 publications

References 14 publications

What is and what ought to be: A meta‐synthesis of residential aged care staffs’ perspectives on quality care

What is and what ought to be: A meta‐synthesis of residential aged care staffs’ perspectives on quality care

Well-being in Old Age: A Question of Both Continuity and Change

Understanding the mental well-being of older adults in care homes

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