Implementing a restorative care philosophy of care in assisted living: pilot testing of Res-Care-AL.
OBJECTIVE
The purpose of this study was to pilot test the feasibility of the Restorative Care for Assisted Living (Res-Care-AL) intervention. Res-Care-AL is a nurse-initiated intervention using a social ecological model and self-efficacy (SE)-based approach to implement a restorative care intervention for nursing home residents.


METHODS
Resident and nursing assistant (NA) outcome measures were obtained at baseline and 4 months postintervention. Resident outcomes included SE and outcome expectations, physical activity, function, resilience, social support for exercise, grip strength, and gait and balance, fear of falling, and quality of life. Outcomes associated with the NAs included SE and outcome expectations and knowledge and performance of restorative care.


CONCLUSIONS
At 4 months, the residents had better function (p = .05), grip strength (p = .05), and time spent in physical activity (p = .01). The NAs had a significant improvement in outcome expectations (p = .02) and a nonsignificant improvement in knowledge (p = .06), SE (p = .09), and performance of restorative care activities (p = .82).


CONCLUSIONS
Nurse practitioners can effectively implement and facilitate restorative care interventions in AL settings using a theoretically based model and a nursing team.
Resnick
Barbara
B
University of Maryland School of Nursing, 655 West Lombard Street, Baltimore, MD 21201, USA. resnick@son.umaryland.edu
Galik
Elizabeth
E
Gruber-Baldini
Ann L
AL
Zimmerman
Sheryl
S
D000203:Activities of Daily Living; D000368:Aged / Q000502:physiology / Q000523:psychology; D000704:Analysis of Variance; D015444:Exercise; D005240:Feasibility Studies; D005500:Follow-Up Studies; D015577:Geriatric Assessment; D005851:Geriatric Nursing / Q000458:organization & administration*; D018737:Hand Strength; D006801:Humans; D016294:Models, Nursing; D009722:Nurse Practitioners; D009730:Nursing Assessment; D015403:Nursing Evaluation Research; D009735:Nursing Homes / Q000458:organization & administration; D017063:Outcome Assessment, Health Care; D010687:Philosophy, Nursing; D010865:Pilot Projects; D016730:Program Development; D015397:Program Evaluation; D019145:Rehabilitation Nursing / Q000458:organization & administration*; D020377:Self Efficacy