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Interventions maintaining eating Independence in nursing home residents: a multicentre qualitative study
BACKGROUND: Despite 32 years of research and 13 reviews published in the field, no intervention can be considered a gold standard for maintaining eating performance among residents with dementia. The study aim was to highlight the interventions derived from tacit knowledge and offered daily in assis...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6258290/ https://www.ncbi.nlm.nih.gov/pubmed/30482168 http://dx.doi.org/10.1186/s12877-018-0985-y |
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author | Palese, Alvisa Bressan, Valentina Kasa, Tea Meri, Marin Hayter, Mark Watson, Roger |
author_facet | Palese, Alvisa Bressan, Valentina Kasa, Tea Meri, Marin Hayter, Mark Watson, Roger |
author_sort | Palese, Alvisa |
collection | PubMed |
description | BACKGROUND: Despite 32 years of research and 13 reviews published in the field, no intervention can be considered a gold standard for maintaining eating performance among residents with dementia. The study aim was to highlight the interventions derived from tacit knowledge and offered daily in assisting eating by healthcare professionals (HCPs) in nursing homes (NHs). METHOD: A multicentre descriptive qualitative study was performed in 2017. Thirteen NHs admitting residents with moderate/severe functional dependence in eating mainly due to dementia, were approached. A purposeful sample of 54 HCPs involved on a daily basis in assisting residents during mealtime were interviewed in 13 focus groups. Data analysis was conducted via qualitative content analysis. RESULTS: The promotion and maintenance of eating performance for as long as possible is ensured by a set of interventions targeting three levels: (a) environmental, by ‘Ritualising the mealtime experience by creating a controlled stimulated environment’; (b) social, by ‘Structuring effective mealtime social interactions’; and (c) individual, by ‘Individualising eating care’ for each resident. CONCLUSIONS: In NHs, the eating decline is juxtaposed with complex interventions regulated on a daily basis and targeting the environment, the social interactions, and the residents’ needs. Several interventions that emerged as effective, according to the experience of participants, have never been documented before; while others are in contrast to the evidence documented. This suggests the need for further studies in the field; as no conclusions regarding the best interventions have been established to date. |
format | Online Article Text |
id | pubmed-6258290 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-62582902018-11-29 Interventions maintaining eating Independence in nursing home residents: a multicentre qualitative study Palese, Alvisa Bressan, Valentina Kasa, Tea Meri, Marin Hayter, Mark Watson, Roger BMC Geriatr Research Article BACKGROUND: Despite 32 years of research and 13 reviews published in the field, no intervention can be considered a gold standard for maintaining eating performance among residents with dementia. The study aim was to highlight the interventions derived from tacit knowledge and offered daily in assisting eating by healthcare professionals (HCPs) in nursing homes (NHs). METHOD: A multicentre descriptive qualitative study was performed in 2017. Thirteen NHs admitting residents with moderate/severe functional dependence in eating mainly due to dementia, were approached. A purposeful sample of 54 HCPs involved on a daily basis in assisting residents during mealtime were interviewed in 13 focus groups. Data analysis was conducted via qualitative content analysis. RESULTS: The promotion and maintenance of eating performance for as long as possible is ensured by a set of interventions targeting three levels: (a) environmental, by ‘Ritualising the mealtime experience by creating a controlled stimulated environment’; (b) social, by ‘Structuring effective mealtime social interactions’; and (c) individual, by ‘Individualising eating care’ for each resident. CONCLUSIONS: In NHs, the eating decline is juxtaposed with complex interventions regulated on a daily basis and targeting the environment, the social interactions, and the residents’ needs. Several interventions that emerged as effective, according to the experience of participants, have never been documented before; while others are in contrast to the evidence documented. This suggests the need for further studies in the field; as no conclusions regarding the best interventions have been established to date. BioMed Central 2018-11-27 /pmc/articles/PMC6258290/ /pubmed/30482168 http://dx.doi.org/10.1186/s12877-018-0985-y Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. 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 Palese, Alvisa Bressan, Valentina Kasa, Tea Meri, Marin Hayter, Mark Watson, Roger Interventions maintaining eating Independence in nursing home residents: a multicentre qualitative study |
title | Interventions maintaining eating Independence in nursing home residents: a multicentre qualitative study |
title_full | Interventions maintaining eating Independence in nursing home residents: a multicentre qualitative study |
title_fullStr | Interventions maintaining eating Independence in nursing home residents: a multicentre qualitative study |
title_full_unstemmed | Interventions maintaining eating Independence in nursing home residents: a multicentre qualitative study |
title_short | Interventions maintaining eating Independence in nursing home residents: a multicentre qualitative study |
title_sort | interventions maintaining eating independence in nursing home residents: a multicentre qualitative study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6258290/ https://www.ncbi.nlm.nih.gov/pubmed/30482168 http://dx.doi.org/10.1186/s12877-018-0985-y |
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