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Exploring how residential care facilities can enhance the autonomy of people with dementia and improve informal care
| Content Provider | SAGE Publishing |
|---|---|
| Author | Boumans, Jogé Leonieke C van Boekel Verbiest, Marjolein Ea Baan, Caroline A. Luijkx, Katrien G. |
| Copyright Year | 2021 |
| Abstract | Background and objectivesResidential care facilities (RCFs) strive to enhance autonomy for people with dementia and to enhance informal care provision, although this is difficult. This study explored how RCF staff can enhance autonomy and improve informal care by looking at the influence of interactions (contact and approachability between residents, staff members and informal caregivers) and the physical environment, including the use of technologies.Research design and methodsA realist evaluation multiple-case study was conducted using document analyses, eight semi-structured interviews with staff members and relatives and 56 hours of observations of residents across two RCFs aiming to provide person-centred care. Realist logic of analysis was performed, involving Context-Mechanism-Outcome configurations.FindingsThe behaviour, attitudes and interactions of staff members with residents and informal caregivers appeared to contribute to the autonomy of people with dementia and enhance informal care provision. The physical environment of the RCFs and the use of technologies were less relevant to enhancing autonomy and informal care provision, although they can support staff members in providing person-centred care in daily practice.Discussion and implicationsThe findings add to those of other studies regarding the importance of interaction between residents, staff members and informal caregivers. The findings provide insight for other RCFs on how successfully to enhance autonomy for their residents and to improve informal care provision, as well as, more broadly, how to implement person-centred care. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/14713012211030501?download=true |
| Starting Page | 136 |
| Ending Page | 152 |
| Page Count | 17 |
| ISSN | 14713012 |
| Issue Number | 1 |
| Volume Number | 21 |
| Journal | Dementia (DEM) |
| e-ISSN | 17412684 |
| DOI | 10.1177/14713012211030501 |
| Language | English |
| Publisher | Sage Publications UK |
| Publisher Date | 2021-07-02 |
| Publisher Place | London |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2021 |
| Subject Keyword | physical environment autonomy technology realist evaluation informal care interactions dementia (care) person-centred care |
| Content Type | Text |
| Resource Type | Article |
| Subject | Sociology and Political Science History Medicine Social Sciences |
