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Function-Focused Care Efficacy in Long-Term Care: A Concept Analysis Using the Hybrid Model.

Leeho Yoo1, Dukyoo Jung1

  • 1College of Nursing, Ewha Womans University, Seoul, Republic of Korea.

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Summary

This study conceptualizes function-focused care efficacy for direct care workers in long-term care facilities, identifying key domains and attributes to improve care quality and older adult independence.

Keywords:
direct care workerefficacyfunction‐focused carelong‐term care facilities

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Area of Science:

  • Gerontology
  • Healthcare Quality
  • Nursing Practice

Background:

  • Direct care workers in long-term care facilities (LTCFs) are crucial for older adult well-being.
  • Function-focused care efficacy is a developing concept impacting care quality.

Purpose of the Study:

  • To conceptualize function-focused care efficacy among direct care workers in LTCFs.
  • To identify the core domains and attributes of this concept using a hybrid model.

Main Methods:

  • A hybrid model concept analysis was utilized, involving theoretical, fieldwork, and final analysis stages.
  • Data collection included literature reviews and in-depth interviews with LTCF professionals and gerontological experts in South Korea.

Main Results:

  • Function-focused care efficacy was conceptualized across six domains and 13 attributes within planning, action, and evaluation dimensions.
  • Planning includes personalized and collaborative care; action involves daily, motivational, and ethical care; evaluation focuses on functional changes.

Conclusions:

  • Function-focused care efficacy encompasses effective planning, motivation, integrated daily care, ethical practice, and functional assessment by direct care workers.
  • The identified framework can guide the development of measurement instruments and training programs to enhance care worker efficacy.