International journal of older people nursing
-
Int J Older People Nurs · Mar 2014
People with dementia and the hospital environment: the view of patients and family carers.
A metropolitan geriatric evaluation and management (GEM) facility in Australia was undergoing expansion, and consideration for the needs of individuals with dementia and their family carers was identified as important in planning the new facility. Existing literature revealed that people in hospital value privacy, minimal noise, family amenities and homeliness, but these findings did not consider the perspectives of the person with dementia specifically. ⋯ Consumer opinions about hospital design/environment should be considered as an important source of data. Privacy and personal space for people with dementia and their family carers, a connection with the outside environment , and the needs of carers and visitors are all important considerations when designing healthcare environments.
-
Int J Older People Nurs · Dec 2013
Bereavement care for older people in healthcare settings: qualitative study of experiences.
This study aimed to explore the experiences of healthcare staff of caring for bereaved older people, and older people's experiences of bereavement care. ⋯ (i) Healthcare staff may identify gaps in services in terms of preparing relatives and follow-up post-bereavement; (ii) Therapeutic relationships between staff and relatives enable ongoing support; (iii) Development of practice guidelines is a key consideration.
-
Residential care in nursing homes continues to be necessary for those individuals who are no longer able to live at home. Uncovering what nursing home residents' view as quality of care in nursing homes will help further understanding of how best to provide high quality, person-centred care. ⋯ Ambiguities concerning the nursing home as a home and place to live, a social environment in which the residents experience most of their social life and the institution where professional health service is provided were uncovered. High-quality care was when ambiguities were managed well and a home could be created within the institution. Implication for practice. Achieving quality care in nursing homes requires reconciling the ambiguities of the nursing home as a home. This implies helping residents to create a private home distinct from the professional home, allowing residents' personal habits to guide institutional routines and supporting meaningful activities. Using these resident developed quality indicators is an important step in improving nursing home services.
-
Int J Older People Nurs · Sep 2012
'Finding home': a grounded theory on how older people 'find home' in long-term care settings.
A link between residents 'feeling at home' in long-term care facilities and 'quality of life' is emerging in the literature. Few studies, however, have focused on what helps residents to find a home in long-term care settings. This study aimed to fill this gap. ⋯ The Theory of Finding Home gives insight into what matters to older people living in long-term care settings. Strategies to help generate a feeling of home in long-term care settings are shared.
-
Int J Older People Nurs · Jun 2012
Comparative Study'Poppets and parcels': the links between staff experience of work and acutely ill older peoples' experience of hospital care.
Few empirical studies have directly examined the relationship between staff experiences of providing healthcare and patient experience. Present concerns over the care of older people in UK acute hospitals - and the reported attitudes of staff in such settings - highlight an important area of study. AIMS AND OBJECTIVES. To examine the links between staff experience of work and patient experience of care in a 'Medicine for Older People' (MfOP) service in England. ⋯ The work experiences of staff in a MfOP service impacted directly on patient care experience. Poor ward and patient care climates often lead staff to seek job satisfaction through caring for 'poppets', leaving less favoured - and often more complex patients - to receive less personalised care. Implications for practice. Investment in staff well-being and ward climate is essential for the consistent delivery of high-quality care for older people in acute settings.