title: 'Knowing what makes them tick': motivating cognitively impaired older adults to participate in restorative care.
abstract: Nursing home residents with dementia represent a majority of the most functionally impaired individuals residing in nursing homes. Although many perceive this population as having little restorative potential, maintaining resident functional abilities for as long as possible helps to optimize quality of life and decrease caregiver burden. This study used a qualitative design with a focus group methodology to explore facilitators and barriers to engaging cognitively impaired residents in functional activities and exercise. A purposive sample of seven geriatric nursing assistants who were experts in dementia care participated in the study. Twenty-seven codes were reduced to three themes: (i) knowing what makes them tick and move; (ii) teamwork and utilizing resources; and (iii) barriers to restorative care. The study findings were used to revise the Restorative Care for the Cognitively Impaired Intervention and could direct future implementation of programmes in nursing home settings.
authors.affiliation: University of Maryland School of Nursing, Baltimore, Maryland 21201, USA. galik@son.umaryland.edu
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: Galik
authors.forename: Barbara
authors.initials: B
authors.lastname: Resnick
authors.forename: Ingrid
authors.initials: I
authors.lastname: Pretzer-Aboff
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D003072:Cognition Disorders / Q000451:nursing / Q000523:psychology / Q000534:rehabilitation; D003704:Dementia / Q000451:nursing / Q000523:psychology / Q000534:rehabilitation; D015444:Exercise / Q000523:psychology; D005260:Female; D017144:Focus Groups; D005851:Geriatric Nursing / Q000379:methods*; D006801:Humans; D008297:Male; D008396:Maryland; D008875:Middle Aged; D009042:Motivation; D024802:Nurse's Role / Q000523:psychology; D009728:Nursing Assistants / Q000523:psychology*; D009735:Nursing Homes; D015404:Nursing Methodology Research; D010349:Patient Compliance / Q000523:psychology*; D036301:Qualitative Research