Improving person-centered mobility care in nursing homes: a feasibility study.
Person-centered care is often equated with quality nursing home care. At the same time, quality mobility care contributes to residents' independence and quality of life. Realist evaluation and mixed methods were employed to evaluate the feasibility of a multi-faceted training intervention focused on person-centered mobility care. Staff and ambulatory residents of a ninety bed Australian nursing home with 3 units--one dementia-specific--participated. The intervention consisted of training sessions, weekly mobility care huddles and reflective practice sessions with individual staff. This study demonstrated the feasibility of an intervention aiming to improve person-centered mobility care in nursing homes; it was practical and well accepted. Study methods and outcome measures were suitable. Outcome measures demonstrated capacity to determine the effectiveness of the intervention in a larger randomized controlled trial. Focus groups provided insights regarding the context and mechanisms of change. Future research is recommended to evaluate intervention effectiveness and sustainability.
Monash University, Faculty of Medicine, Nursing and Health Sciences, Building 1, 270 Ferntree Gully Rd, Notting Hill, Melbourne, Victoria 3168, Australia. Electronic address: janice.taylor@monash.edu.
Janice
J
Taylor
Department of Epidemiology and Preventive Medicine, Monash University, Level 6, Alfred Centre, 99 Commercial Rd., Melbourne 3004, Australia.
Anna
A
Barker
Quality Relationships-Quality Care, Australia.
Heather
H
Hill
Allied Health Research Unit, Southern Health, Kingston Centre, Warrigal Rd., Cheltenham, Victoria 3192, Australia; Southern Physiotherapy Clinical School, Monash University, Melbourne, Australia.
Terry P
TP
Haines
D000368:Aged; D001315:Australia; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007318:Inservice Training; D008297:Male; D051346:Mobility Limitation; D009735:Nursing Homes; D017063:Outcome Assessment, Health Care; D010360:Patient Transfer; D018802:Patient-Centered Care; D011788:Quality of Life
Collaboration; Mixed methods; Mobility care; Nursing home; Person-centered care; Realist evaluation; Reflective practice