Feasibility of DAIly NURSE: A nursing intervention to change nursing staff behaviour towards encouraging residents' daily activities and independence in the nursing home.
activities of daily living
awareness
behaviour change
encouragement
feasibility studies
independence
nursing home residents
nursing homes
nursing intervention
nursing staff
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
received:
15
12
2017
revised:
02
09
2018
accepted:
13
09
2018
pubmed:
20
9
2018
medline:
14
3
2019
entrez:
20
9
2018
Statut:
ppublish
Résumé
To examine the feasibility of DAIly NURSE and a nursing intervention to encourage nursing home residents' daily activities and independence. Nursing home residents are mainly inactive during the day. DAIly NURSE was developed to change nursing behaviour towards encouraging nursing home residents' activities and independence by creating awareness. It consists of three components: education, coaching-on-the-job and policy. A mixed-method study. The feasibility of DAIly NURSE in practice was tested in six psychogeriatric nursing home wards, using attendance lists (reach), evaluation questionnaires (fidelity, dose received and barriers), notes made by the researcher (dose delivered and fidelity) and a focus group interview (dose received and barriers) with nursing home staff (n = 8) at the end of the study. The feasibility study showed that all three components (education, coaching-on-the-job and policy) were implemented in practice. The attendance rate in the workshops was high (average: 82%). Nursing home staff were satisfied with the workshops (mean score 9 out of 10 points) and agreed that DAIly NURSE was feasible in daily nursing care practice. Recommendations to optimise the feasibility of DAIly NURSE included the following: Add video observations of a specific moment of the day to create awareness of nursing behaviour; educate all nursing staff of the ward during the workshops; and organise information meetings for family members before the start of the intervention. Nursing staff were satisfied with the intervention and provided recommendations for adjustments to the content of the three components. The most important adjustment is the use of video observations to create awareness of nursing staff behaviour. DAIly NURSE, consisting of education, coaching-on-the-job and policy, is feasible in nursing home practice. DAIly NURSE might help to change nursing behaviour towards encouraging residents' daily activities and independence.
Sections du résumé
AIMS AND OBJECTIVES
OBJECTIVE
To examine the feasibility of DAIly NURSE and a nursing intervention to encourage nursing home residents' daily activities and independence.
BACKGROUND
BACKGROUND
Nursing home residents are mainly inactive during the day. DAIly NURSE was developed to change nursing behaviour towards encouraging nursing home residents' activities and independence by creating awareness. It consists of three components: education, coaching-on-the-job and policy.
DESIGN
METHODS
A mixed-method study.
METHODS
METHODS
The feasibility of DAIly NURSE in practice was tested in six psychogeriatric nursing home wards, using attendance lists (reach), evaluation questionnaires (fidelity, dose received and barriers), notes made by the researcher (dose delivered and fidelity) and a focus group interview (dose received and barriers) with nursing home staff (n = 8) at the end of the study.
RESULTS
RESULTS
The feasibility study showed that all three components (education, coaching-on-the-job and policy) were implemented in practice. The attendance rate in the workshops was high (average: 82%). Nursing home staff were satisfied with the workshops (mean score 9 out of 10 points) and agreed that DAIly NURSE was feasible in daily nursing care practice. Recommendations to optimise the feasibility of DAIly NURSE included the following: Add video observations of a specific moment of the day to create awareness of nursing behaviour; educate all nursing staff of the ward during the workshops; and organise information meetings for family members before the start of the intervention. Nursing staff were satisfied with the intervention and provided recommendations for adjustments to the content of the three components. The most important adjustment is the use of video observations to create awareness of nursing staff behaviour.
CONCLUSIONS
CONCLUSIONS
DAIly NURSE, consisting of education, coaching-on-the-job and policy, is feasible in nursing home practice.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
DAIly NURSE might help to change nursing behaviour towards encouraging residents' daily activities and independence.
Identifiants
pubmed: 30230069
doi: 10.1111/jocn.14677
pmc: PMC7380124
doi:
Types de publication
Journal Article
Langues
eng
Pagination
801-813Subventions
Organisme : Netherlands Organisation for Health Research and Development
Organisme : ZonMw
ID : 520001003
Informations de copyright
© 2018 The Authors. Journal of Clinical Nursing Published by John Wiley & Sons Ltd.
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