Nursing staff intentions towards managing deteriorating health in nursing homes: A convergent parallel mixed-methods study using the theory of planned behaviour

2018 ◽  
Vol 27 (5-6) ◽  
pp. e992-e1003
Author(s):  
Barbara J. O'Neill ◽  
Trudy Dwyer ◽  
Kerry Reid-Searl ◽  
Lynne Parkinson
BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e025614 ◽  
Author(s):  
Jonas Czwikla ◽  
Maike Schulz ◽  
Franziska Heinze ◽  
Thomas Kalwitzki ◽  
Daniel Gand ◽  
...  

IntroductionNursing home residents typically have greater needs for medical care than community-dwelling elderly. However, restricted cognitive abilities and limited mobility may impede their access to general practitioners and medical specialists. The provision of medical care in nursing homes may therefore be inappropriate in some areas of medical care. The purpose of this mixed-methods study is to systematically assess, evaluate and explain met and unmet medical care needs in German nursing homes and to develop solutions where medical care is found to be inappropriate.Methods and analysisFirst, statutory health insurance claims data are analysed to identify differences in the utilisation of medical care between nursing home residents and community-dwelling elderly with and without need for long-term care. Second, the health status and medical care of 500 nursing home residents are assessed and evaluated to quantify met and unmet medical care needs. Third, qualitative expert interviews and case conferences and, fourth, quantitative analyses of linked data are used to provide structural, case-specific and generalisable explanations of inappropriate medical care among nursing home residents. Fifth, a modified Delphi study is employed to develop pilot projects aiming to improve medical care in nursing homes.Ethics and disseminationThis study was approved by the Ethics Committee of the University of Bremen on 23 November 2017. Research findings are disseminated through presentations at national and international conferences and publications in peer-reviewed scientific journals.Trial registration numberDRKS00012383.


2015 ◽  
Vol 5 (Suppl 2) ◽  
pp. A10.2-A10
Author(s):  
Tryge Johannes Lereim Sævareid ◽  
L Lillemoen ◽  
Lisbeth Thoresen ◽  
E Gjerberg ◽  
R Førde ◽  
...  

2017 ◽  
Vol 38 (6) ◽  
pp. 498-504
Author(s):  
Nienke O. Kuk ◽  
Gerrie J.J.W. Bours ◽  
Jan P.H. Hamers ◽  
Gertrudis I.J.M. Kempen ◽  
G.A. Rixt Zijlstra

2021 ◽  
Author(s):  
◽  
Ria Goble

<p>This study focused on the Enviroschools organisation, a provider of education for sustainability in Aotearoa New Zealand. This research used a mixed-methods approach, involving seven schools in the Wellington region. Study one incorporated qualitative methods and gained insight into how the Enviroschools programme works in schools through interviewing teachers. Specifically, this study examined: 1) How the Enviroschools programme is implemented in different schools, 2) How action competence (a key component of the Enviroschools programme) is encouraged in students, and 3) Identified the challenges and benefits that teachers faced when implementing the programme.  The second study used a quantitative approach and aimed to identify if variables from the Theory of Planned Behaviour could predict children’s behaviour intentions. Study two: 1) Explored whether the Theory of Planned Behaviour could predict children’s gardening and waste behaviour intentions, 2) Investigated whether environmental concern could explain behaviour intentions, and 3) Explored whether socio-demographic variables helped explain behaviour intentions.   The results of study one highlighted the different ways in which teachers implemented the Enviroschools programme; this varied from being fully integrated throughout their teaching to offering extra-curricular environmental activities. The challenges and benefits included a lack of support, positive impacts on the community, and the influence of school culture.   The quantitative survey (n=155) found that the Theory of Planned Behaviour variables could predict both Living Landscapes and Zero Waste behaviour intentions. However, environmental concern or socio-demographics did not add to explaining behaviour intentions.   These study findings may benefit the Enviroschools organisation and policy makers who want to improve education for sustainability in New Zealand and know which variables to target to increase children’s engagement in waste and gardening behaviours.</p>


PeerJ ◽  
2015 ◽  
Vol 3 ◽  
pp. e1120 ◽  
Author(s):  
Jorunn Drageset ◽  
Elin Dysvik ◽  
Birgitte Espehaug ◽  
Gerd Karin Natvig ◽  
Bodil Furnes

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