Evaluation of the restorative care education and training program for nursing homes.
Restorative care attempts to break the cycle of dependency and functional decline in nursing homes by addressing individual resident needs. The Restorative Care Education and Training (RCET) Program consists of a five-week workshop and resource manual for both supervisory and direct care staff. This paper describes the RCET approach and presents the implementation, process, and quasi-experimental outcome evaluation findings with 42 residents from six intervention sites and six ''wait-list'' facilities who received usual care. Baseline data supported the fact that staff primarily targeted residents with substantial functional impairments. Over four months, residents who received restorative care improved significantly on several functional outcome indicators, while the comparison sample declined in several areas of functioning. Interviews with facility directors and participating staff provided direction for modifying the RCET and insight regarding opportunities and challenges when implementing restorative care activities in nursing homes.
Shanti
C
C
Canadian Centre for Activity and Aging, University of Western Ontario, London, ON, Canada.
Johnson
Jacob
J
Meyers
Anita M
AM
Jones
Gareth R
GR
Fitzgerald
Clara
C
Lazowski
Darien-Alexis
DA
Stolee
Paul
P
Orange
J B
JB
Segall
Nicole
N
Ecclestone
Nancy A
NA
D000328:Adult; D005260:Female; D006282:Health Personnel / Q000193:education*; D006707:Homes for the Aged; D006801:Humans; D008875:Middle Aged; D009735:Nursing Homes; D015397:Program Evaluation