Nursing Home Care- Nursing Students as Carers Discussing and Addressing the Negatives; a Northern Ireland Perspective

International Journal of Nursing and Health Science

© 2016 by SSRG - IJNHS Journal

Volume 2 Issue 3

Year of Publication : 2016

Authors : Dr John J. Power, Susan Spiers, Emma Silo

10.14445/24547484/IJNHS-V2I6P102

How to Cite?

Dr John J. Power, Susan Spiers, Emma Silo, "Nursing Home Care- Nursing Students as Carers Discussing and Addressing the Negatives; a Northern Ireland Perspective," SSRG International Journal of Nursing and Health Science, vol. 2,  no. 3, pp. 4-10, 2016. Crossref, https://doi.org/10.14445/24547484/IJNHS-V2I6P102

Abstract:

The quality of nursing home care is probably in many cases of a high standard. There are, however, examples where the quality of care in nursing homes presents a significant cause of concern. This paper explores and discusses some of the significant critiques and limitations to nursing home care within the UK, particularly and including end-of-life care. The paper also briefly explores some of the international literature by way of comparison. The paper incorporates two narrative accounts by first-year nursing students within Northern Ireland (UK), by way of reflection upon the delivery of quality care within nursing homes, from their perspective

A. Aim: To identify some of the characteristics contributing to the quality of holistic care within nursing homes

B. Methods: Two short narratives were drawn from the experiences of nursing home care within Northern Ireland. The narrators (and co-authors to the paper) are first-year student nurses who are also employed (part-time) as carers within nursing homes

C. Conclusions and Recommendations: Whilst the paper reflects on the state of care within some nursing homes, the paper also explores evidence of good nursing and care, together with evident quality in end-of-life care within two nursing homes, from the perspective of nursing home carers. The paper addresses the context of nursing home care and significant characteristics that reflect in the delivery of holistic care to nursing home residents, including the important role of a `culture of care, ongoing and specialist training (particularly and including within end of life care) and the important impact in the quality of nursing home leadership.
The paper concludes with some short recommendations to better develop practice within nursing homes

Keywords:

Nursing Homes, person-centered Care, End of Life Care, Student Nurse Perspective.

References:

[1] De Moulin M. van Haastregt J.C. and Hamers J.P., Monitoring the quality of care in nursing homes is making information available for the general public: state-of-the-art. Patient Education and Counselling , 78 (2010) 288-296.
[2] Age UK, (2016). Later life in the United Kingdom. Available @ http://www.ageuk.org.uk/Documents/EN-GB/Factsheets/Later_Life_UK_factsheet.pdf?dtrk=true
[3] Office for National Statistics., Changes in the Older Resident Care Home Population between 2001 and 2011, (2014).Available@http://webarchive.nationalarchives.gov.uk/20160105160709/http://www.ons.gov.uk/ons/dcp171776_373040.pdf
[4] Lievesley N. Crosby G. and Bowman C., The Changing Role of Care Homes. London: Centre for Policy on Ageing and BUPA , (2011).
[5] Frost and Sullivan., Analysis of UK Long-Term Care Market: Technology Strategy Board, (2013). Available@ https://connect.innovateuk.org/documents/3301954/11214094/Health_KTN_LongTermCare_Frost&Sullivan_report.pdf
[6] Whittaker, E.Kernohan W.G.Hasson Howard F. McLauchlin, D.,The Palliative Care Education Needs of Nursing Home Staff, Nursing Education Today, 26 (2006) 501-510.
[7] Kelly D., Personal statistics 2008: a survey of NCF member organizations Coventry: National Care Forum, (2008).
[8] National Care Forum., Personnel Statistics Report: A survey of NCF member organizations, National Care Forum, (2016). Available @ file:///C:/Users/2079585/Downloads/PS%20report%202016%20(1).pdf
[9] Browne C. and Braun K., Globalization, women's migration and the long‐term‐ care workforce, The Gerontologist, 48 (1) (2008) 16‐24.
[10] Department of Health, Social Services, and Public Safet, Care Standards for Nursing Homes, (2015). Available@ http://www.rqia.org.uk/cms_resources/nursing_homes_standards_-_april_2015.pdf
[11] Kelly D., Personnel statistics 2008: a survey of NCF member organizations, National Care Forum ‐ NCF, (2008) 11.
[12] National Care Forum Report, (2016). Quality First. Available @ http://www.nationalcareforum.org.uk/quality-first.asp?menu_ID=105
[13] Public Health England,National end of life care intelligence network: Care homes, UK, (2016). Available @ http://www.carehome.co.uk/care_search.cfm
[14] Care Quality Commission (2014) State of Care. Available@ http://www.cqc.org.uk/content/state-of-care
[15] Hardy R., Why are nursing homes worse than residential homes, The Guardian 11th of June, (2015). Available@ https://www.theguardian.com/social-care-network/2015/jun/11/why-are-nursing-homes-worse-than-care-homes
[16] Rigby J., a day in the life of England’s bad care homes. The Telegraph 5th February, (2015). Available @ http://www.telegraph.co.uk/news/health/news/11387606/A-day-in-the-life-of-Englands-bad-care-homes.html
[17] Szczepura A. Clay D. Nelson, S. Wild D. and Spilsbury C. (2008). Improving Care in Residential Care Homes: a Literature Review-Joseph Rowntree Foundation. Available @ https://www.jrf.org.uk/report/improving-care-residential-care-homes-literature-review
[18] British Geriatrics Society, Quest for quality, (2011). Available@ http://www.bgs.org.uk/campaigns/carehomes/quest_quality_care_homes.pdf
[19] Fahy T. Montgomery A.A. Barnes J and Protheroe J., (2003) Quality of Care for Elderly Residents in Nursing Homes and Elderly People Living at Home: Controlled Observational Study. British Medical Journal. 326: 1-5.Available @ http://www.bmj.com/content/bmj/326/7389/580.1.full.pdf
[20] Stillman D. Strumpf M.Caezuti E. and Tuch H., Staff Perceptions concerning Barriers and Facilitators to End of Life Care in Nursing Homes. Geriatric Nursing, 26(4) (2005) 259-264.
[21] Comondore V.R. Devereaux P. Zhou Q. Stone S. Busse J. Ravindran N. Burns K. Haynes T. Stringer B. Cooke, D. Walter S. Sullivan, T. Bewanger O.Bhandari M. Banglawala S. Lavis J.Petrison B. Schunermann H. Walsh K. Bhatnagar N. and Guyatt G., Quality of Care in for-profit and not-for-profit nursing homes: systematic review and meta-analysis, British Medical Journal, (2009). Available@ http://www.bmj.com/content/339/bmj.b2732
[22] Kim, H.Kovner, C.Harrington, C.Greene W.and Mezey M., A Panel Data Analysis of the Relationships of Nursing Home Staffing Levels and Standards of the Regulatory Deficiencies, Journal of gerontology, (2009). social sciences. Available @ http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2655170/
[23] Nakrem S. Vinsnes A. Harkless G.E. Paulsen B.and Seim., Nursing Sensitive Quality Indicators for Nursing Home Care, International review of literature, policy, and practice, International Journal of Nursing Studies, 46 (2009) 848-857.
[24] Anderson.A. Issel .M. and McDaniel.R., Nursing Homes Is Complex Adaptive Systems: Relationship between Management Practice and Residential Outcomes. Nursing Research. 52(1) (2003) 12-21 [25] Hunter PV, Hadjistavropoulos T, Thorpe L, Lix LM, Malloy DC., The influence of individual and organizational factors on person-centered dementia care. Aging and Mental Health. 20(7) (2015) 700-708. .Available @ http://www.tandfonline.com/doi/pdf/10.1080/13607863.2015.1056771?needAccess=true
[26] Castle N.G.and Enberg J., Staff Turnover and Quality of Care in Nursing Homes. Medical Care, 6 (2005) 616-626.
[27] Zimmerman S. Sloan, P.D.Williams, C.S.Read P.S.Priesser J.S.Eckert J.K. Boustani M. and Dobbs D., Dementia Care and Quality of Life in Assisted Living in Nursing Homes. The Gerontologist, 45(1) (2005)133-146.
[28] Birch, D.and Draper J., A Critical Literature Review Exploring the Challenges of Delivering Effective Palliative Care to Older People with Dementia. Journal of Clinical Nursing, 17(9) (2008) 114 4-63.
[29] Zucker D.M., how to do case study research, (2009). Available@http://scholarworks.umass.edu/cgi/viewcontent.cgi?article=1001&context=nursing_faculty_pubs
[30] Hague R. And Harrop, M., Comparative government and politics, An Introduction (7th edition) Basingstoke: Palgrave Macmillan, (2007).
[31] Baxter P. And Jack, S., Qualitative Case Study Methodology: Study Design and Implementation. From Novice Researchers. The Qualitative Report, 13(4) (2008) 544-559.
[32] Yin, R. K., Case study research: Design and methods (3rd ed.). Thousand Oaks, CA: Sage., (2003).
[33] Levy J. S., Case Studies: Types, Designs, and Logics of Inference. Conflict Management and Peace Science, 25 (2008)1-18.