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Related Experiment Videos

Postintervention focus groups: toward sustaining care.

Betsy Kemeny1, Iris F Boettcher, Richard P Deshon

  • 1Project RELATE (Research and Education for Living With Alzheimer's and Related Disorders: Therapeutic Eldercare), Grand Rapids, Michigan, USA.

Journal of Gerontological Nursing
|September 14, 2004
PubMed
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Certified nursing assistants (CNAs) sustained person-centered care skills postintervention, but nurse mentors showed less change. Perceptions of nurse-CNA relationships differed, highlighting barriers to sustained behavior change in long-term care.

Area of Science:

  • Gerontology
  • Nursing Studies
  • Healthcare Management

Background:

  • Person-centered care (PCC) and mentoring are crucial in long-term care.
  • Sustaining PCC and mentoring effects postintervention requires understanding staff perspectives.
  • Assessing behavioral changes from the viewpoint of different staff roles is essential.

Purpose of the Study:

  • To evaluate the sustained effects of person-centered care and mentoring interventions.
  • To explore perceptions of behavioral changes among long-term care nursing staff.
  • To identify barriers to sustaining these interventions over time.

Main Methods:

  • Qualitative study utilizing separate focus groups for administration, nurse mentors, and certified nursing assistants (CNAs).
  • Assessed staff perceptions of behavioral changes related to person-centered care and mentoring.

Related Experiment Videos

  • Explored discrepancies in perceptions between nurses and CNAs regarding their relationships.
  • Main Results:

    • Certified nursing assistants (CNAs) demonstrated sustained person-centered care skills.
    • Nurse mentors reported less sustained change compared to CNAs.
    • A notable discrepancy existed in the perceptions of nurse-CNA relationships between the two groups.
    • Focus groups provided a safe space for staff to discuss barriers to sustained behavior change.

    Conclusions:

    • Sustaining person-centered care interventions requires addressing role-specific challenges and inter-staff relationships.
    • CNAs appear more effective at integrating PCC skills long-term than nurse mentors.
    • Understanding and addressing perceptual differences between staff is key to successful, sustained interventions in long-term care settings.