Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-26T00:38:39.205Z Has data issue: false hasContentIssue false
  • English
  • Français

Need support and wellbeing during morning care activities: an observational study on resident–staff interaction in nursing homes

Published online by Cambridge University Press:  01 February 2011

ANNETTE F. J. CUSTERS ,
YOLANDE KUIN ,
MARIANNE RIKSEN-WALRAVEN  and
GERBEN J. WESTERHOF
ANNETTE F. J. CUSTERS*
Affiliation:
Behavioural Science Institute, Radboud University Nijmegen, The Netherlands.
YOLANDE KUIN
Affiliation:
Behavioural Science Institute, Radboud University Nijmegen, The Netherlands.
MARIANNE RIKSEN-WALRAVEN
Affiliation:
Behavioural Science Institute, Radboud University Nijmegen, The Netherlands.
GERBEN J. WESTERHOF
Affiliation:
Institute for Behavioural Research, University of Twente, The Netherlands.
*
Address for correspondence: Annette F. J. Custers, Department of Developmental Psychology, Behavioural Science Institute, Radboud University Nijmegen, PO Box 9104, 6500 HE Nijmegen, The Netherlands. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Quality of life and wellbeing in nursing homes are becoming more important in research and practice. One of the main influences on residents' wellbeing is the interaction with their professional care-givers. The purpose of this study was to explore to what extent care-givers support the residents' needs of relatedness, autonomy and competence, and how this need support is related to wellbeing. Residents and their professional care-givers of four nursing homes in the Netherlands participated in an observational and questionnaire study. Three video-observations of each resident (with different care-givers) were made during morning care. Additional data were collected by means of questionnaires. The results show that the needs of residents were, on average, moderately fulfilled during care interactions. More need support by care-givers was related to higher resident wellbeing. Care-givers provided more need support to residents with stronger functional impairments. More need support was provided by higher-educated care-givers and care-givers in higher job functions. The results show the importance of need support for situational wellbeing, but the contribution to the general subjective wellbeing of residents remains unclear. Further (longitudinal) research is needed to investigate changes in wellbeing over time. Possible differences between subjective ratings and observations of need support and wellbeing should be taken into account.

Keywords

care-giversnursing homeobservationresidentsquality of interactionself-determination theory
Type
Articles
Information
Ageing & Society , Volume 31 , Issue 8 , November 2011 , pp. 1425 - 1442
Copyright
Copyright © Cambridge University Press 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Baltes, M. M. 1996. The Many Faces of Dependency in Old Age. Cambridge University Press, New York.Google Scholar
Brown Wilson, C., Davies, S. and Nolan, M. 2009. Developing personal relationships in care homes: realising the contributions of staff, residents and family members. Ageing & Society, 29, 7, 1041–63.CrossRefGoogle Scholar
Caporael, L. R. 1981. The paralanguage of caregiving: baby talk to the institutionalized aged. Journal of Personality and Social Psychology, 40, 5, 876–84.CrossRefGoogle Scholar
Caporael, L., Lucaszewski, M. P. and Culbertson, G. H. 1983. Secondary baby talk: judgements by institutionalized elderly and their caregivers. Journal of Personality and Social Psychology, 44, 4, 746–54.CrossRefGoogle Scholar
Caris-Verhallen, W. M. C. M., Kerkstra, A. and Bensing, J. M. 1997. The role of communication in nursing care for elderly people: a review of the literature. Journal of Advanced Nursing, 25, 5, 915–33.CrossRefGoogle ScholarPubMed
Caris-Verhallen, W. M. C. M., Kerkstra, A. and Bensing, J. M. 1999. Non-verbal behaviour in nurse–elderly patient communication. Journal of Advanced Nursing, 29, 4, 808–18.CrossRefGoogle ScholarPubMed
Caris-Verhallen, W. M. C. M., Kerkstra, A., van der Heijden, P. G. M. and Bensing, J. M. 1998. Nurse–elderly patient communication in home care and institutional care: an explorative study. International Journal of Nursing Studies, 35, 1/2, 95–108.CrossRefGoogle ScholarPubMed
Custers, A. F. J., Kuin, Y., Riksen-Walraven, J. M. A. and Westerhof, G. J. 2009. Rating scales for the quality of interactions between caregivers and residents of somatic nursing homes. Unpublished manuscript, Behavioural Science Institute, Radboud University Nijmegen.Google Scholar
Custers, A. F. J., Westerhof, G. J., Kuin, Y. and Riksen-Walraven, J. M. A. 2010. Need fulfillment in caring relationships: its relation with well-being of residents in somatic nursing homes. Aging and Mental Health, 14, 6, 731–9.CrossRefGoogle ScholarPubMed
Davies, S., Slack, R., Laker, S. and Philp, I. 1999. The educational preparation of staff in nursing homes: relationship with resident autonomy. Journal of Advanced Nursing, 29, 1, 208–17.CrossRefGoogle ScholarPubMed
de Lange, J. 2004. Dealing with dementia: effects of integrated emotion-oriented care on adaptation and coping of people with dementia in nursing homes; a qualitative study as part of a randomised clinical trial. Trimbos Instituut, Utrecht.Google Scholar
de Schipper, E. J., Riksen-Walraven, J. M. A. and Geurts, S. A. E. 2006. Effects of child–caregiver ratio on the interactions between caregivers and children in child-care centers: an experimental study. Child Development, 77, 4, 861–74.CrossRefGoogle ScholarPubMed
Diener, E., Suh, E. M., Lucas, R. E. and Smith, H. L. 1999. Subjective well-being: three decades of progress. Psychological Bulletin, 125, 2, 276–302.CrossRefGoogle Scholar
Erickson, M. F., Sroufe, L. A. and Egeland, B. 1985. The relationship between quality of attachment and behavior problems in preschool in a high risk sample. In Bretherton, I. and Waters, E. (eds), Child Development Monographs, 50, 1/2, 147–66.Google Scholar
Finnema, E., Dröes, R., Ettema, T., Ooms, M., Adèr, H., Ribbe, M. and van Tilburg, W. 2005. The effect of integrated emotion-oriented care versus usual care on elderly persons with dementia in the nursing home and on nursing assistents: a randomized clinical trial. International Journal of Geriatric Psychiatry, 20, 4, 330–43.CrossRefGoogle Scholar
Grainger, K. 2004. Communication and the institutionalized elderly. In Nussbaum, J. F. and Coupland, J. (eds), Handbook of Communication and Aging Research. Lawrence Erlbaum Associates, Mahwah, New Jersey, 479–97.Google Scholar
Gubrium, J. F. and Holstein, J. A. 1999. The nursing home as a discursive anchor for the ageing body. Ageing & Society, 19, 5, 519–38.CrossRefGoogle Scholar
Hollinger-Sampson, N. and Pearson, J. L. 2000. The relationship between staff empathy and depressive symptoms in nursing home residents. Aging and Mental Health, 4, 1, 56–65.CrossRefGoogle Scholar
Jongenelis, L., Gerritsen, D. L., Pot, A.-M., Beekman, A. T. F., Eisses, A. M. H., Kluiter, H. and Ribbe, M. W. 2007. Construction and validation of a patient- and user-friendly nursing home version of the Geriatric Depression Scale. International Journal of Geriatric Psychiatry, 22, 9, 837–42.CrossRefGoogle ScholarPubMed
Kasser, V. M. and Ryan, R. M. 1999. The relation of psychological needs for autonomy and relatedness to health, vitality, well-being and mortality in a nursing home. Journal of Applied Social Psychology, 29, 5, 935–54.CrossRefGoogle Scholar
Kempen, G. I. J. M., Doeglas, D. M. and Suurmeijer, T. P. B. M. 1993. De Groningen Activiteiten Restrictie schaal (GARS): een handleiding [Groningen Activity Restriction Scale: A Guideline]. Rijksuniversiteit Groningen, Groningen, The Netherlands.Google Scholar
Kitwood, T. 1997. Dementia Reconsidered: The Person Comes First. Open University Press, Buckingham, UK.Google Scholar
Landeweerd, J. A., Boumans, N. P. and Nissen, J. M. F. 1996. Arbeidsvoldoening bij verplegenden en verzorgenden. De Maastrichtse Arbeidssatisfactieschaal voor de Gezondheidszorg [Work satisfaction in nurses and caregivers. Maastricht Work Satisfaction Scale for Healthcare]. In van Beek, C. C., van Dorsten, T. C. and Stam, G. J. (eds), Handboek Verpleegkundige Innovatie. Bohn Stafleu, Houten, The Netherlands, D250-3–D250-26.Google Scholar
Normann, H. K., Asplund, K. and Norberg, A. 1999. Attitudes of registred nurses towards patients with severe dementia. Journal of Clinical Nursing, 8, 4, 353–9.CrossRefGoogle Scholar
O'Connor, B. P. and Vallerand, R. J. 1994. Motivation, self-determination, and person–environment fit as predictors of psychological adjustment among nursing home residents. Psychology and Aging, 9, 2, 189–94.CrossRefGoogle ScholarPubMed
Pavot, W. and Diener, E. 1993. Review of the satisfaction with life scale. Psychological Assessment, 5, 2, 164–72.CrossRefGoogle Scholar
Ribbe, M. W. 1993. Care of the elderly: the role of the nursing home in the Dutch health care system. International Psychogeriatrics, 5, 2, 213–22.CrossRefGoogle ScholarPubMed
Ryan, R. M. and Deci, E. L. 2001. On happiness and human potentials: a review of research on hedonic and eudaimonic well-being. Annual Review of Psychology, 52, 141–66.CrossRefGoogle ScholarPubMed
Ryan, R. M. and Deci, E. L. 2002. Overview of self-determination theory: an organismic dialectical perspective. In Deci, E. L. and Ryan, R. M. (eds), Handbook of Self-determination Research. The University of Rochester Press, Rochester, New York, 3–33.Google Scholar
Ryvicker, M. 2009. Preservation of self in the nursing home: contradictory practices within two models of care. Journal of Aging Studies, 23, 1, 12–23.CrossRefGoogle Scholar
Sachweh, S. 1998. Granny darling's nappies: secondary baby talk in German nursing homes for the aged. Journal of Applied Communication Research, 26, 1, 52–65.CrossRefGoogle Scholar
Salari, S. M. 2002. Intergenerational partnerships in adult day centers: importance of age-appropriate environments and behaviors. The Gerontologist, 42, 3, 321–33.CrossRefGoogle ScholarPubMed
Schnelle, J. F., Bertrand, R., Hurd, D., White, A., Squires, D., Feuerberg, M., Hickey, K. and Simmons, S. F. 2009. Resident choice and the survey process: the need for standardized observation and transparency. The Gerontologist, 49, 4, 517–24.CrossRefGoogle ScholarPubMed
Smalbrugge, M., Jongenelis, L., Pot, A.-M., Eefsting, J. A., Ribbe, M. W. and Beekman, A. T. F. 2006. Incidence and outcome of depressive symptoms in nursing home patients in the Netherlands. American Journal of Geriatric Psychiatry, 14, 12, 1069–76.CrossRefGoogle ScholarPubMed
Steverink, N., Westerhof, G. J., Bode, C. and Dittmann-Kohli, F. 2001. Dutch Aging Survey: Onderzoeksdesign en Instrumenten. Universiteit Nijmegen, Sectie Psychogerontologie, Nijmegen, The Netherlands.Google Scholar
van Bakel, H. J. A. and Riksen-Walraven, J. M. A. 2002. Quality of infant–parent attachments as reflected in infant interactive behaviour during instructional tasks. Journal of Child Psychology and Psychiatry, 43, 3, 387–94.CrossRefGoogle ScholarPubMed
van Weert, J. C. M., van Dulmen, A. M., Spreeuwenberg, P. M. M., Ribbe, M. W. and Bensing, J. Z. 2005. Effects of snoezelen, integrated in 24h dementia care, on nurse–patient communication during morning care. Patient Education and Counseling, 58, 312–26.CrossRefGoogle Scholar
Ward, R., Vass, A. A., Aggarwal, N., Garfield, C. and Cybyk, B. 2008. A different story: exploring patterns of communication in residential dementia care. Ageing & Society, 28, 5, 629–51.CrossRefGoogle Scholar
Woods, R. T. 2001. Discovering the person with Alzheimer's disease: cognitive, emotional and behavioural aspects. Aging & Mental Health, 5, supplement 1, S7–16.CrossRefGoogle ScholarPubMed