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Experiences of supporting older persons in completion of an exercise and nutrition intervention: an interview study with nursing home staff
BACKGROUND: The interactions between nursing home (NH) staff and their residents are crucial not only for the atmosphere at the NH but also for achieving care goals. In order to test the potential effects of daily physical activities (sit-to-stand (STS) exercises) combined with oral nutritional supp...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7866449/ https://www.ncbi.nlm.nih.gov/pubmed/33546610 http://dx.doi.org/10.1186/s12877-021-02039-7 |
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author | Vikström, S. Grönstedt, H. K. Cederholm, T. Franzén, E. Faxén-Irving, G. Seiger, Å. Boström, A.-M. |
author_facet | Vikström, S. Grönstedt, H. K. Cederholm, T. Franzén, E. Faxén-Irving, G. Seiger, Å. Boström, A.-M. |
author_sort | Vikström, S. |
collection | PubMed |
description | BACKGROUND: The interactions between nursing home (NH) staff and their residents are crucial not only for the atmosphere at the NH but also for achieving care goals. In order to test the potential effects of daily physical activities (sit-to-stand (STS) exercises) combined with oral nutritional supplementation (ONS), a randomized intervention trial (the Older Person’s Exercise and Nutrition (OPEN) Study) was performed in NH residents. One aspect of the study was to interview and report the NH staff’s experiences of supporting the residents in fulfilling the intervention. METHODS: In this qualitative study, individual and focus group interviews were performed in eight NH facilities with NH staff who had assisted residents in performing the 12-week ONS/STS intervention. An interview guide developed for this study was used to assess staff experiences of the intervention and its feasibility. The transcribed interviews were analyzed inductively following a constant comparative method and with input from experts in the area, described in Grounded Theory as a reliable technique for researchers to form theory and hypothesis in unexplored areas. RESULTS: Three main themes relating to the health-promoting intervention emerged. These included: 1) insights into attitudes towards health in general and NH care specifically; 2) intervention-related challenges, frustrations and needs, and 3) aspects of collaboration and opportunities. The overarching hypothesis derived from the analysis reads: A health-promoting intervention such as the OPEN-concept has great potential for integration into NH life if a combined empathic and encouraging attitude, and a structure to keep it sustainable, are in place. CONCLUSIONS: NH staff experienced the health-promoting intervention as a potentially positive concept, although it was suggested that it works best if introduced as a general routine in the unit and is integrated into the daily planning of care. TRIAL REGISTRATION: ClinicalTrials.govIdentifier: NCT02702037. Date of trial registration February 26, 2016. The trial was registered prospectively SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-021-02039-7. |
format | Online Article Text |
id | pubmed-7866449 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-78664492021-02-08 Experiences of supporting older persons in completion of an exercise and nutrition intervention: an interview study with nursing home staff Vikström, S. Grönstedt, H. K. Cederholm, T. Franzén, E. Faxén-Irving, G. Seiger, Å. Boström, A.-M. BMC Geriatr Research Article BACKGROUND: The interactions between nursing home (NH) staff and their residents are crucial not only for the atmosphere at the NH but also for achieving care goals. In order to test the potential effects of daily physical activities (sit-to-stand (STS) exercises) combined with oral nutritional supplementation (ONS), a randomized intervention trial (the Older Person’s Exercise and Nutrition (OPEN) Study) was performed in NH residents. One aspect of the study was to interview and report the NH staff’s experiences of supporting the residents in fulfilling the intervention. METHODS: In this qualitative study, individual and focus group interviews were performed in eight NH facilities with NH staff who had assisted residents in performing the 12-week ONS/STS intervention. An interview guide developed for this study was used to assess staff experiences of the intervention and its feasibility. The transcribed interviews were analyzed inductively following a constant comparative method and with input from experts in the area, described in Grounded Theory as a reliable technique for researchers to form theory and hypothesis in unexplored areas. RESULTS: Three main themes relating to the health-promoting intervention emerged. These included: 1) insights into attitudes towards health in general and NH care specifically; 2) intervention-related challenges, frustrations and needs, and 3) aspects of collaboration and opportunities. The overarching hypothesis derived from the analysis reads: A health-promoting intervention such as the OPEN-concept has great potential for integration into NH life if a combined empathic and encouraging attitude, and a structure to keep it sustainable, are in place. CONCLUSIONS: NH staff experienced the health-promoting intervention as a potentially positive concept, although it was suggested that it works best if introduced as a general routine in the unit and is integrated into the daily planning of care. TRIAL REGISTRATION: ClinicalTrials.govIdentifier: NCT02702037. Date of trial registration February 26, 2016. The trial was registered prospectively SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-021-02039-7. BioMed Central 2021-02-05 /pmc/articles/PMC7866449/ /pubmed/33546610 http://dx.doi.org/10.1186/s12877-021-02039-7 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. 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 in a credit line to the data. |
spellingShingle | Research Article Vikström, S. Grönstedt, H. K. Cederholm, T. Franzén, E. Faxén-Irving, G. Seiger, Å. Boström, A.-M. Experiences of supporting older persons in completion of an exercise and nutrition intervention: an interview study with nursing home staff |
title | Experiences of supporting older persons in completion of an exercise and nutrition intervention: an interview study with nursing home staff |
title_full | Experiences of supporting older persons in completion of an exercise and nutrition intervention: an interview study with nursing home staff |
title_fullStr | Experiences of supporting older persons in completion of an exercise and nutrition intervention: an interview study with nursing home staff |
title_full_unstemmed | Experiences of supporting older persons in completion of an exercise and nutrition intervention: an interview study with nursing home staff |
title_short | Experiences of supporting older persons in completion of an exercise and nutrition intervention: an interview study with nursing home staff |
title_sort | experiences of supporting older persons in completion of an exercise and nutrition intervention: an interview study with nursing home staff |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7866449/ https://www.ncbi.nlm.nih.gov/pubmed/33546610 http://dx.doi.org/10.1186/s12877-021-02039-7 |
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