coping mechanism during adoption into nursing home
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All Participants: • = 18 years of age • Able to communicate in German • Signed informed consent form Seniors: • Seniors with dementia and/or depression will be interviewed together with a family member. The family member will be chosen by the senior. • Seniors with dementia and/or depression with a legal representative will be accepted into the study only upon written consent. If no family member can be found to take part, the legal representative will take part in the interview, should they be willing to do so. Families: • A contact person from the family involved or from the social network of the senior being interviewed must make him or herself available. This person must be explicitly authorized by the senior in order to be interviewed. If no person makes him or herself available, the senior may not take part in the study. Staff: • Staff members must have worked at the selected nursing homes for at least 12 months and be employed at a minimum of 50% of full time employment. They will be recruited from the areas of nursing (RNs), housekeeping, administration, kitchen and activity therapy and perform a practical function during the admission of a senior.
Exclusion criteria
Exclusion criteria: • Participants under 18 years of age. • Participants not able to communicate in German. • Participants who have not provided a signed informed consent form for participation in the study. • Seniors with cognitive impairments who are unable to make themselves understood verbally. • Seniors with dementia and/or depression and a legal representative: Signed consent for participation has not been provided. • Seniors with dementia and/or depression and a legal representative: No family member has agreed to the planned joint interview nor does the legal representative want to take part in the interview. • Seniors with dementia and/or depression with a legal representative will be excluded from the questionnaire validation that will run concurrently with the measurement of adaptation. • Staff of selected nursing homes who have been employed for less than 12 months and those employed at less than 50% of full-time employment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Description and understanding of the admissions process and the associated social changes from the viewpoint of seniors and their families in the first three months following admission to a nursing home. 2. Illustration and analysis of how staff at a nursing home organize the admissions process. 3. Identification of criteria and factors that impact the admissions process at a nursing home. 4. Development of strategies and quality indicators for a constructive organization as well as routine evaluation of the admissions process to support successful adaptation. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Measurement of quality of care using the Nursing Home Quality Index (NCI). 2. Measurement of an adoption score using the Geriatric Psychosocial Adaptation Scale which will be translated into German (D-GAPS) once after admission. | — |
Countries
Switzerland
Contacts
Zürcher Hochschule für angewandte Wissenschaften, Department Gesundheit, Institut für Pflege