Evaluating an education program promoting positive family and staff relationships and collaboration in aged care services: Pre/post/follow-up pilot study. Family and staff relationships and collaboration in aged care services: Pre/post/follow-up pilot study.

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Lynette Chenoweth Janet Cook Jacqueline Wesson Henry Brodaty

Abstract

Research has identified a need to promote positive family and staff relationships and collaboration in achieving quality residential aged care services. We piloted an education program for care staff and resident’s families which aimed to achieve this outcome in two Australian aged care homes, using a mixed-methods 14-month pre/post/follow-up design. The 6-module education program was informed by the literature and baseline data (Staff and Family Relationship Audit). Education for direct care staff and residents’ family members was facilitated by 12 staff trainers. Thirty of 49 (61%) care staff and 17 of 38 (45%) family members completed pre- and post-intervention measures (Family and Staff Relationship Implementation Tool [FASRIT] and the Combined Assessment of Residential Environments [CARE]), and they participated in follow-up focus groups and interviews.  Pre/post-intervention FASRIT scores increased significantly for family (p=0.001) and staff (p=0.01).  No changes occurred in pre/post CARE scores, except for staff CARE ‘safety’ (p=0.014) and family CARE ‘significance’ (p=0.02). Focus group and interview findings identified that transparent communication policies and procedures, clear communication between families and care staff, and shared care goals and decision-making, are needed to improve care service quality. The education program promoted better understanding, relationships and collaboration between family members and direct care staff, resulting in improvements in two domains of care service quality. 

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How to Cite
CHENOWETH, Lynette et al. Evaluating an education program promoting positive family and staff relationships and collaboration in aged care services: Pre/post/follow-up pilot study.. Medical Research Archives, [S.l.], v. 7, n. 8, aug. 2019. ISSN 2375-1924. Available at: <https://journals.ke-i.org/index.php/mra/article/view/1958>. Date accessed: 22 sep. 2019. doi: https://doi.org/10.18103/mra.v7i7.1958.
Section
Research Articles

References

1. Australian Government, Department of Health. 2014. Department of Health and Ageing Annual Report 2012-13. Canberra, Australia: Department of Health and Ageing.
2. Reid RC, Chappell NL. 2017. Family Involvement in Nursing Homes: Are Family Caregivers Getting What They Want? J Appl Gerontology, 36(8):993-1015.
3. Haesler E, Bauer M, Nay R. 2010. Factors associated with constructive nursing staff-family relationships in the care of older adults in the institutional setting: An update to a systematic review. Int J of Evidence-Based Healthcare, 8(2):1744-1609.
4. Palmer JL. 2013. Preserving personhood of individuals with advanced dementia: lessons from family caregivers. Geriatric Nursing, 34(3):224-229.
5. Bauer M. 2007. Staff–family relationships in nursing home care: a typology of challenging behaviours. International Journal of Older People Nursing, 2(3): 213-218.
6. Nguyen M, Beattie E, Fielding E, Hines S, Pachana NA. 2017. Experiences of family-staff relationships in the care of people with dementia in residential aged care: a qualitative systematic review protocol. JBI Database of Systematic Reviews and Implementation Reports, 14(3):586-593.
7. Gjerberg E, Reidun Førde R, Bjørndal A. 2011. Staff and family relationships in end-of-life nursing home care. Nursing Ethics, 18(1):42–53.
8. National Health and Medical Research Council (NHMRC). 2007. National Statement on Ethical Conduct in Human Research. Canberra: NHMRC.
9. Australian Institute for Primary Care and Ageing. 2013.Supporting families and friends of older people living in residential aged care. The Australian Centre for Evidence-Based Practice, La Trobe University: Victoria, Australia.
10. Loveday B, Kitwood T, Bowe B. 1998. Improving dementia care. New York, USA: Hawker Publications.
11. Dementia Centre for Research Collaboration, University of New South Wales. 2017. Collaboration between family members and direct care staff in quality improvement of residential care services. Learning Programs. Retrieved from http://www.dementiaresearch.org.au/ttt-improving-aged-care-staff-family-relationships 10 Dec 2017.
12. Bauer M, Fetherstonhaugh D, Nay R, Winbolt M. 2008. Creating constructive staff-family relationships in the care of older people living in the residential aged care setting: A guideline for residential aged care staff. Australian Institute for Primary care and Ageing, La Trobe University, Victoria. http://qualitydementiacare.org.au/project/improving-staff-family-relationships-for-people-with-dementia-living-in-residential-aged-care/ Accessed 02 Feb 2017.
13. Bauer M, Fetherstonhaugh D, Lewis V. 2012. Assessing the quality of staff-family relationships in the Australian residential aged care setting: development and evaluation of the Family and Staff Relationship Implementation Tool (FASRIT). International Journal of Person-Centered Medicine, 2(3):564-567.
14. Faulkner M, Davies S, Nolan M, Brown-Wilson C. 2006. Development of the combined assessment of residential environments (CARE) profiles. Issues and Innovations in Nursing Practice, 21(2):134-147.
15. IBM Corporation. 2017. IBM SPSS Statistics for Windows, Version 25.0. Armonk, NY: IBM Corp.
16. Vaismoradi M, Turunen H, Bondas T. 2013. Content and thematic analysis: Implications for conducting a qualitative descriptive study. Nursing and Health Sciences, 15:398–405.
17. Sandelowski M. 2000. Whatever happened to qualitative description? Research in Nursing and Health, 23(4):334-340.
18. Australian Bureau of Statistics. Census of Population and Housing. 2011. Retrieved from http://www.abs.gov.au/AUSSTATS/abs@.nsf/ViewContent?readform&view...2.1. 06 June 2018.
19. McKeown J, Clarke A, Ingleton C, Ryan T, Repper J. 2010. The use of life story work with people with dementia to enhance person-centred care. Int Journal of Older People Nursing, 5(2):148-158.
20. Ryan AA, McKenna H. 2015. It’s the little things that count. Family experiences of caregiving roles and relationships with staff. Int J of Older People Nursing, 10(1):38-47.
21. Hertzberg A, Ekman S-L. 2008. We, not them and us. Views on the interactions and relationships between staff and relatives of older people permanently living in nursing homes. J Advanced Nursing, 31(3):614-622.

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