Nursing home residents' perspectives on their social relationships.
aged
interpersonal relations
narrative analysis
nursing homes
person-centred care
social networking
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
28
03
2019
revised:
10
12
2019
accepted:
20
12
2019
pubmed:
1
1
2020
medline:
7
7
2020
entrez:
1
1
2020
Statut:
ppublish
Résumé
To explore nursing home residents' perspectives on their relationships with other residents, family members and staff. The cultivation of social relationships is central to promoting well-being in nursing homes, as these relationships allow residents, family members and staff to be valued as unique persons and empowered as partners in care. Few studies have examined how nursing home residents perceive the relationships in their social networks, both within and beyond the facility. Qualitative secondary analysis. We analysed individual and group interviews obtained during "stakeholder engagement sessions" with cognitively intact residents (N = 11 sessions; N = 13 participants) from two nursing homes in North Carolina. The interviews were conducted as part of a larger study on person-directed care planning. We integrated thematic and narrative analytic approaches to guide the analysis of interview data, using a three-cycle coding approach. The COREQ checklist was followed. Four broad themes emerged from this analysis: (a) peer relationships foster a sense of belonging, purpose, achievement and significance; (b) residents' relationships with family members support a sense of belonging, continuity and significance; (c) mutual respect and reciprocity between residents and nursing home staff promote a sense of belonging and significance; and (d) organisational factors pose barriers to forging meaningful relationships. Each type of relationship-peer, family and staff-made distinctive contributions residents' psychosocial well-being. Recognising the diverse roles of different actors from residents' social networks raises questions for future research to optimise the distinctive contributions of network members that promote residents' psychosocial well-being. This study highlights the need for nursing home staff to understand how residents' social relationships influence residents' psychosocial outcomes. Staff training programmes are needed to support residents' rights and to dispel inaccurate interpretations of regulations that threaten sustained meaningful relationships.
Sections du résumé
AIMS AND OBJECTIVES
OBJECTIVE
To explore nursing home residents' perspectives on their relationships with other residents, family members and staff.
BACKGROUND
BACKGROUND
The cultivation of social relationships is central to promoting well-being in nursing homes, as these relationships allow residents, family members and staff to be valued as unique persons and empowered as partners in care. Few studies have examined how nursing home residents perceive the relationships in their social networks, both within and beyond the facility.
DESIGN
METHODS
Qualitative secondary analysis.
METHODS
METHODS
We analysed individual and group interviews obtained during "stakeholder engagement sessions" with cognitively intact residents (N = 11 sessions; N = 13 participants) from two nursing homes in North Carolina. The interviews were conducted as part of a larger study on person-directed care planning. We integrated thematic and narrative analytic approaches to guide the analysis of interview data, using a three-cycle coding approach. The COREQ checklist was followed.
RESULTS
RESULTS
Four broad themes emerged from this analysis: (a) peer relationships foster a sense of belonging, purpose, achievement and significance; (b) residents' relationships with family members support a sense of belonging, continuity and significance; (c) mutual respect and reciprocity between residents and nursing home staff promote a sense of belonging and significance; and (d) organisational factors pose barriers to forging meaningful relationships. Each type of relationship-peer, family and staff-made distinctive contributions residents' psychosocial well-being.
CONCLUSION
CONCLUSIONS
Recognising the diverse roles of different actors from residents' social networks raises questions for future research to optimise the distinctive contributions of network members that promote residents' psychosocial well-being.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
This study highlights the need for nursing home staff to understand how residents' social relationships influence residents' psychosocial outcomes. Staff training programmes are needed to support residents' rights and to dispel inaccurate interpretations of regulations that threaten sustained meaningful relationships.
Identifiants
pubmed: 31889360
doi: 10.1111/jocn.15174
pmc: PMC7085465
mid: NIHMS1560732
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Pagination
1162-1174Subventions
Organisme : NIH HHS
ID : P30NR014139
Pays : United States
Organisme : Duke University-RTI International collaborative initiative "Funds Launching Alliances for Research Exploration (FLARE)"
Organisme : NINR NIH HHS
ID : P30 NR014139
Pays : United States
Organisme : NIA NIH HHS
ID : P60 AG011268
Pays : United States
Organisme : T32 Postdoctoral Fellowship
ID : 5T32AG000029-40
Organisme : Duke University School of Nursing Postdoctoral Fellowship Program
Organisme : NIA NIH HHS
ID : T32 AG000029
Pays : United States
Organisme : Duke University Graduate School Summer Research Fellowship
Informations de copyright
© 2019 John Wiley & Sons Ltd.
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