“The Way We Do Things Around Here”: An International Comparison of Treatment Culture in Nursing Homes

2012 ◽  
Vol 13 (4) ◽  
pp. 360-367 ◽  
Author(s):  
Carmel M. Hughes ◽  
Ailis Donnelly ◽  
Simon A. Moyes ◽  
Kathy Peri ◽  
Shane Scahill ◽  
...  
2001 ◽  
Vol 52 (5) ◽  
pp. 666-672 ◽  
Author(s):  
Bonnie L. Svarstad ◽  
Jeanine K. Mount ◽  
Wayne Bigelow

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shanty Sterke ◽  
Ana Paula Nascimento da Cunha ◽  
Hanneke Oomen ◽  
Lennard Voogt ◽  
Marleen Goumans

Abstract Background There are distinct differences in the implementation of physiotherapeutic care in nursing homes. Both nationally and internationally staffing levels of physiotherapy differ significantly between and within nursing homes. Since legislation or guidelines that specify the parameters of physiotherapy required in nursing homes are lacking, it is unknown how physiotherapists currently estimate the usefulness and necessity of physiotherapy in individual situations in long-term care. The purpose of this study was to describe how physiotherapists actually work, and how they want to work, in daily practice in Dutch nursing homes. Methods We performed a qualitative study with an online questionnaire. We asked 72 physiotherapists working in Dutch nursing homes to describe as accurately as possible usual care in nine different cases in long-term care. Furthermore we asked them to describe their role in the prevention and treatment of a number of indicators that measure the quality of care in nursing homes. Two reviewers thematically analysed the answers to the questionnaires. Results Forty-six physiotherapists returned the questionnaire. Physiotherapy services include active exercise therapy aimed to improve mobility and movement dysfunctions, advising on prevention and management of falls, pressure ulcers, incontinence, malnutrition and sarcopenia, overweight, physical restraints, intertrigo, chronic wounds, behavioural and psychological symptoms in dementia, and physical inactivity, and ergonomic and behavioural training. The way and extent in which physiotherapists are involved in the various care- and functional problems differs and depends on organisational and personal factors such as, organisation’s policy, type of ward, time pressure, staffing level, collaboration with other members of the multidisciplinary team, or lack of knowledge. Conclusion Physiotherapists in nursing homes are involved in the prevention and management of different care situations and functional problems. The way in which they are involved differs between physiotherapist. Aiming for more uniformity seems necessary. A shared vision can help physiotherapists to work more consistently and will strengthen their position in nursing homes.


2016 ◽  
Vol 3 (1) ◽  
pp. 121-130 ◽  
Author(s):  
Catherine Shaw ◽  
Brendan McCormack ◽  
Carmel M. Hughes

1988 ◽  
Vol 9 (1) ◽  
pp. 38-41 ◽  
Author(s):  
Barbara Braden ◽  
Carol Smith ◽  
Nancy Bergstrom
Keyword(s):  

2005 ◽  
Vol 12 (1) ◽  
pp. 30-42 ◽  
Author(s):  
Annemarie Kalis ◽  
Maartje HN Schermer ◽  
Johannes JM van Delden

This study investigates what professional caregivers working in nursing homes consider to be a good life for residents suffering from dementia. Ten caregivers were interviewed; special attention was paid to the way in which they deal with conflicting values. Transcripts of the interviews were analysed qualitatively according to the method of grounded theory. The results were compared with those from a similar, earlier study on ideals found in mission statements of nursing homes. The concepts that were mentioned by most interviewed participants as important for a good life were ‘peace and quiet’, ‘going along with subjective experience’ and ‘no enforcement: the way the resident wants it’. A considerable overlap was found between the interviews and the mission statements; however, when compared with the mission statements, the interviews put less emphasis on individuality and on giving meaning, and more on offering residents pleasant activities. When faced with conflicting values, caregivers tend to make pragmatic and more or less intuitive decisions. Although this has its merits, it may be desirable to stimulate conscious reflection regarding conflict between different values.


1996 ◽  
Vol 10 (24) ◽  
pp. 10-10
Author(s):  
Gladys Saer
Keyword(s):  

Author(s):  
Susana MADRIGAL-GUERRERO

The present work consists of an analysis about the conditions that are necessary for an open government, which are fundamental for our system to function as such and be carried out as that livelihood that will favor the development of our nation. Open government and democracy are two sides of the same coin since the measures to implement it constitute a new way of approaching citizens, a revolution in the way of using information from public administrations or even a platform in which citizens become the true protagonists of democracy. The objective of this work is to demonstrate that Mexico needs to evolve towards an open government. The foregoing will be done through documentary research and international comparison. I believe that this work will contribute to the understanding of what an open government is and the importance in our country of transiting at once to this type of government.


2018 ◽  
Vol 41 ◽  
Author(s):  
Maria Babińska ◽  
Michal Bilewicz

AbstractThe problem of extended fusion and identification can be approached from a diachronic perspective. Based on our own research, as well as findings from the fields of social, political, and clinical psychology, we argue that the way contemporary emotional events shape local fusion is similar to the way in which historical experiences shape extended fusion. We propose a reciprocal process in which historical events shape contemporary identities, whereas contemporary identities shape interpretations of past traumas.


2020 ◽  
Vol 43 ◽  
Author(s):  
Aba Szollosi ◽  
Ben R. Newell

Abstract The purpose of human cognition depends on the problem people try to solve. Defining the purpose is difficult, because people seem capable of representing problems in an infinite number of ways. The way in which the function of cognition develops needs to be central to our theories.


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