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Residents' and relatives' experiences of acute situations: a qualitative study to inform a care model

Basinska, Kornelia and Künzler-Heule, Patrizia and Guerbaai, Raphaëlle Ashley and Zúñiga, Franziska and Simon, Michael and Wellens, Nathalie I. H. and Serdaly, Christine and Nicca, Dunja. (2021) Residents' and relatives' experiences of acute situations: a qualitative study to inform a care model. The Gerontologist, 61 (7). pp. 1041-1052.

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Abstract

As new models of care aiming to reduce hospitalizations from nursing homes emerge, their implementers must consider residents' and relatives' needs and experiences with acute changes in the residents' health situations. As part of the larger INTERCARE implementation study, we explored these persons' experiences of acute situations in Swiss nursing homes.; Three focus groups were conducted with residents and their relatives and analyzed via reflexive thematic analysis.; The first theme, the orchestra plays its standards, describes experiences of structured everyday care in nursing homes, which functions well despite limited professional and competency resources. The second theme, the orchestra reaches its limits, illustrates accounts of acute situations in which resources were insufficient to meet residents' needs. Interestingly, participants' perceptions of acute situations went well beyond our own professional view, i.e., changes in health situations, and included situations best summarized as "changes that might have negative consequences for residents if not handled adequately by care workers." Within the third theme, the audience compensates for the orchestra's limitations, participants' strategies to cope with resource limitations in acute situations are summarized.; Our findings suggest differences between care providers' and participants' perspectives regarding acute situations and care priority setting. Alongside efforts to promote staff awareness of and responsiveness to acute situations, care staff must commit to learning and meeting individual residents' and relatives' needs. Implications for the development and implementation of a new nurse-led model of care are discussed.
Faculties and Departments:03 Faculty of Medicine > Departement Public Health > Institut für Pflegewissenschaft
UniBasel Contributors:Basinska, Kornelia and Künzler-Heule, Patrizia and Guerbaai, Raphaelle Ashley and Zuniga, Franziska and Simon, Michael and Nicca, Dunja
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Oxford University Press
ISSN:0016-9013
e-ISSN:1758-5341
Note:Publication type according to Uni Basel Research Database: Journal article
Language:English
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edoc DOI:
Last Modified:28 Sep 2021 09:39
Deposited On:28 Sep 2021 09:39

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