Barriers and benefits to implementing a restorative care intervention in nursing homes

J Am Med Dir Assoc. 2008 Feb;9(2):102-8. doi: 10.1016/j.jamda.2007.08.011.

Abstract

Objectives: This study considered the factors that facilitated or prevented nursing assistants (NAs) from engaging in restorative care activities.

Design: This was a qualitative study using a focus group methodology.

Setting: Study participants were recruited from 6 nursing homes.

Participants: Participants were nursing assistants (NAs) from a study testing the implementation of a restorative care intervention (Res-Care) study. Of the 244 NAs recruited from the 6 treatment sites, 179 were available at 12 months and 93 (52%) participated in the study.

Measurement: An interview guide was used during each of the focus groups. Data analysis was done using basic content analysis.

Results: Sixty-one codes were identified and reduced to 4 themes: facilitators of restorative care; barriers to restorative care; benefits of restorative care; and sustaining restorative care.

Conclusion: The findings provide an important NA perspective with regard to implementation of a restorative philosophy of care and provide recommendations for future work in this area.

Publication types

  • Multicenter Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Aged
  • Attitude of Health Personnel
  • Focus Groups
  • Geriatric Nursing*
  • Health Promotion
  • Humans
  • Motivation
  • Nurse-Patient Relations
  • Nursing Assistants*
  • Nursing Homes*
  • Program Evaluation
  • Self Efficacy*