Engelsk titel: Health personnels experiences with changes of practice in nursing homes
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Författare:
Storlien, Marit Sund
;
Sörlie, Venke
Språk: Nor
Antal referenser: 47
Dokumenttyp:
Artikel
UI-nummer: 15053803
Sammanfattning
Background: Changing practice in long-term care
seems to be difficult. Studies about quality of care in nursing
homes conclude that there is a need of systematic
programs to develop health care providers skills in environmental
treatment. «Structural environmental treatment
by dementia» is such a systematic program. Attitudes of
the personnel are essential and the model’s focus is not
just what to do, but emphasize how the health workers
work together with the patients.
Aim: The aim of this study was to illuminate factors that
encourage or restrain implementation of environmental
treatment in nursing homes.
Method: The data was collected through focus group
interviews with health care providers in two Norwegian
nursing homes and analyzed by a phenomenological hermeneutic
method.
Findings: Management support and interpersonal
processes are of particular importance for implementation
of «Structural environmental treatment by
dementia» in nursing homes. Conditions that facilitate
commitment in the staff are essential. An essential factor
that encourage a changing practice is that the leaders
pay a careful and explicit attention to the implementation
process.
Conclusion: Conditions that facilitate work engagement
affect introduction of new practice in nursing homes.
Key words: Health care providers, nursing homes, changing
practice, nursing environment, experiences