Is the influence of nurse care practices and nursing home organization understood? A qualitative study

Authors


Domingo Palacios-Ceña
Facultad de Ciencias de la Salud
Universidad Rey Juan Carlos
Avenida de Atenas s/n
28922 Alcorcón
Madrid
Spain
E-mail: domingo.palacios@urjc.es

Abstract

palacios-ceña d., cachón-pérez j.m., gómez-pérez d., gómez-calero c., brea-rivero m. & fernández-de-las-peñas c. (2012) Journal of Nursing Management
Is the influence of nurse care practices and nursing home organization understood? A qualitative study

Aim  To describe residents’ experience of nursing home organization and nursing care practices in a region of Spain.

Background  Nursing home organization, nursing practices and rules within the institution may all influence residents’ daily living and their perception on the quality of care provided.

Design  A qualitative approach was conducted, using purposeful and theoretical sampling. Data were collected from nursing home residents, following unstructured and semi-structured interviews, researcher field notes and residents’ personal diaries and letters. Giorgi analysis was conducted.

Results  Two main themes emerged. (1) ‘Following nursing home rules’. Norms may be seen as boundaries, especially for those residents who were independent before admission. (2) ‘Prioritizing nursing care in residents’. Prioritizing the nursing care may limit the autonomy of residents because it does not meet their preferences and needs.

Conclusion  Understanding the meaning of nursing home organization and nursing care practices with nursing home residents might provide deeper insight into their expectations.

Implications for nursing management  Nursing staff should have greater involvement in the nursing home organization, as well as in prioritizing the care provision based on resident’s needs and preferences.

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