Supporting the “hallway residents”: a qualitative descriptive study of staff perspectives on implementing the Namaste Care intervention in long-term care

BMC Geriatrics

Research

Paulette V. Hunter¹  Abigail Wickson-Griffiths²  Marie-Lee Yous³  Sharon Kaasalainen³  Danielle Just⁴  Donny H.Y. Li⁵  Esther Coker⁶  Carrie McAiney⁷  Vanina Dal Bello-Haas⁸ 

[1] Department of Psychology, St. Thomas More College, University of Saskatchewan, Saskatoon, SK, Canada;Faculty of Nursing, University of Regina, Regina, SK, Canada;School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada;School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada;Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada;School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada;Michael G. DeGroote School of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada;School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada;St. Peter’s Hospital, Hamilton Health Sciences, Hamilton, ON, Canada;School of Public Health Sciences, University of Waterloo and Schlegel-UW Research Institute for Aging, Waterloo, ON, Canada;School of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada;

关键词: Advanced dementia;    Social isolation;    Long-term care;    Namaste Care;    Quality of life;   

DOI  :  10.1186/s12877-023-04360-9

 received in 2023-05-25, accepted in 2023-09-27,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundLong-term care (LTC) settings are becoming home to an increasing number of people living with advanced or late-stage dementia. Residents living with advanced dementia represent some of society’s most vulnerable and socially excluded populations and are thus at an increased risk of social isolation. A multisensory intervention tailored to this population, Namaste Care, has been developed to improve quality of life for residents living with advanced dementia in LTC homes. To date, limited research has explored the perspectives of staff in implementing the Namaste Care program with an emphasis on social inclusion of residents in Canadian LTC homes. This study aimed to describe the perspectives of LTC staff on the implementation facilitators and barriers of Namaste Care as a program to support the social inclusion of residents living with advanced dementia.MethodsUsing a qualitative descriptive design, semi-structured interviews (n = 12) and focus groups (n = 6) were conducted in two LTC homes in Southern Ontario, Canada, over a 6-month period. Convenience sampling was used to recruit LTC home staff from the two participating sites. Thematic analysis was used to analyze data.ResultsLTC staff (n = 46) emphasized the program’s ability to recognize the unique needs of residents with advanced dementia, and also stated its potential to facilitate meaningful connections between families and residents, as well as foster care partnerships between staff and families. Findings indicated staff also perceived numerous facilitators and barriers to Namaste Care. In particular, providing staff with dedicated time for Namaste Care and implementing volunteer and family participation in the program were seen as facilitators, whereas the initial perception of the need for extra staff to deliver Namaste Care and identifying times in the day where Namaste Care was feasible for residents, families, and staff, were seen as barriers.ConclusionsLTC staff recognized the need for formalized programs like Namaste Care to address the biopsychosocial needs of residents with advanced dementia and offer positive care partnership opportunities between staff and family members. Although staffing constraints remain the largest barrier to effective implementation, staff valued the program and made suggestions to build LTC home capacity for Namaste Care.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023