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Nursing staff interactions during the older residents’ transition into long-term care facility in a nursing home in rural Norway: an ethnographic study

BACKGROUND: Future challenges in many countries are the recruitment of competent staff in long-term care facilities, and the use of unlicensed staff. Our study describes and explores staff interactions in a long-term care facility, which may facilitate or impede healthy transition processes for olde...

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Autores principales: Eika, Marianne, Dale, Bjørg, Espnes, Geir Arild, Hvalvik, Sigrun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4380253/
https://www.ncbi.nlm.nih.gov/pubmed/25888843
http://dx.doi.org/10.1186/s12913-015-0818-z
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author Eika, Marianne
Dale, Bjørg
Espnes, Geir Arild
Hvalvik, Sigrun
author_facet Eika, Marianne
Dale, Bjørg
Espnes, Geir Arild
Hvalvik, Sigrun
author_sort Eika, Marianne
collection PubMed
description BACKGROUND: Future challenges in many countries are the recruitment of competent staff in long-term care facilities, and the use of unlicensed staff. Our study describes and explores staff interactions in a long-term care facility, which may facilitate or impede healthy transition processes for older residents in transition. METHODS: An ethnographic study based on fieldwork following ten older residents admission day and their initial week in the long-term care facility, seventeen individual semi-structured interviews with different nursing staff categories and the leader of the institution, and reading of relevant documents. RESULTS: The interaction among all staff categories influenced the new residents’ transition processes in various ways. We identified three main themes: The significance of formal and informal organization; interpersonal relationships and cultures of care; and professional hierarchy and different scopes of practice. CONCLUSIONS: The continuous and spontaneous staff collaborations were key activities in supporting quality care in the transition period. These interactions maintained the inclusion of all staff present, staff flexibility, information flow to some extent, and cognitive diversity, and the new resident’s emerging needs appeared met. Organizational structures, staff’s formal position, and informal staff alliances were complex and sometimes appeared contradictory. Not all the staff were necessarily included, and the new residents’ needs not always noticed and dealt with. Paying attention to the playing out of power in staff interactions appears vital to secure a healthy transition process for the older residents.
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spelling pubmed-43802532015-04-01 Nursing staff interactions during the older residents’ transition into long-term care facility in a nursing home in rural Norway: an ethnographic study Eika, Marianne Dale, Bjørg Espnes, Geir Arild Hvalvik, Sigrun BMC Health Serv Res Research Article BACKGROUND: Future challenges in many countries are the recruitment of competent staff in long-term care facilities, and the use of unlicensed staff. Our study describes and explores staff interactions in a long-term care facility, which may facilitate or impede healthy transition processes for older residents in transition. METHODS: An ethnographic study based on fieldwork following ten older residents admission day and their initial week in the long-term care facility, seventeen individual semi-structured interviews with different nursing staff categories and the leader of the institution, and reading of relevant documents. RESULTS: The interaction among all staff categories influenced the new residents’ transition processes in various ways. We identified three main themes: The significance of formal and informal organization; interpersonal relationships and cultures of care; and professional hierarchy and different scopes of practice. CONCLUSIONS: The continuous and spontaneous staff collaborations were key activities in supporting quality care in the transition period. These interactions maintained the inclusion of all staff present, staff flexibility, information flow to some extent, and cognitive diversity, and the new resident’s emerging needs appeared met. Organizational structures, staff’s formal position, and informal staff alliances were complex and sometimes appeared contradictory. Not all the staff were necessarily included, and the new residents’ needs not always noticed and dealt with. Paying attention to the playing out of power in staff interactions appears vital to secure a healthy transition process for the older residents. BioMed Central 2015-03-29 /pmc/articles/PMC4380253/ /pubmed/25888843 http://dx.doi.org/10.1186/s12913-015-0818-z Text en © Eika et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Eika, Marianne
Dale, Bjørg
Espnes, Geir Arild
Hvalvik, Sigrun
Nursing staff interactions during the older residents’ transition into long-term care facility in a nursing home in rural Norway: an ethnographic study
title Nursing staff interactions during the older residents’ transition into long-term care facility in a nursing home in rural Norway: an ethnographic study
title_full Nursing staff interactions during the older residents’ transition into long-term care facility in a nursing home in rural Norway: an ethnographic study
title_fullStr Nursing staff interactions during the older residents’ transition into long-term care facility in a nursing home in rural Norway: an ethnographic study
title_full_unstemmed Nursing staff interactions during the older residents’ transition into long-term care facility in a nursing home in rural Norway: an ethnographic study
title_short Nursing staff interactions during the older residents’ transition into long-term care facility in a nursing home in rural Norway: an ethnographic study
title_sort nursing staff interactions during the older residents’ transition into long-term care facility in a nursing home in rural norway: an ethnographic study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4380253/
https://www.ncbi.nlm.nih.gov/pubmed/25888843
http://dx.doi.org/10.1186/s12913-015-0818-z
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