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Nurses’ clinical decision‐making for preserving nursing home residents’ remaining abilities

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  • Hyun Ju Kim
  • Jung Eun Choi
  • Mi So Kim
  • Su Jin Kim
  • Sung Ok Chang

Abstract

Aims and objectives This study was conducted to clarify and conceptualise nurses’ clinical decision‐making for preserving the remaining abilities of nursing home residents suffering from physical‐cognitive functional decline. Background Older adults experience physical, psychological and social changes, but their remaining abilities differ across individuals. Design This study used a qualitative research to gain a deeper understanding of nursing homes nurses’ clinical decision‐making. Methods In‐depth interviews with 32 experienced nurses were undertaken. The data were analysed using conventional content analysis. Results Six categories and 58 subcategories of nursing practice related to managing the remaining abilities of residents with physical‐cognitive functional decline were generated. The results of this study revealed five themes: (1) seeing residents’ potential, (2) physical, emotional and psychosocial care in daily routines, (3) keeping personalised charts, (4) encouraging, promoting and physical and emotional support and (5) preparing residents for more independent living. The results were categorised into nurses’ personal strategies based on their experience, practical nursing knowledge, nursing interventions and nursing evaluation criteria. Conclusions The themes reflected positive views on the residents’ functional abilities and the nursing homes nurses’ perception that their goal was to help residents achieve their highest level of independence. Relevance to clinical practice Preserving nursing home residents’ remaining abilities represents nurses’ optimistic view of residents’ functional status. Routine care tailored for preserving the remaining abilities of individual nursing home residents with physical‐cognitive functional decline is needed. Preserving the remaining abilities of nursing home resident is supported by therapeutic interactions including close contact as well as physical and emotional support. Nurses’ main goal in working with residents with remaining abilities is improving their independence.

Suggested Citation

  • Hyun Ju Kim & Jung Eun Choi & Mi So Kim & Su Jin Kim & Sung Ok Chang, 2016. "Nurses’ clinical decision‐making for preserving nursing home residents’ remaining abilities," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(9-10), pages 1326-1335, May.
    • Handle: RePEc:wly:jocnur:v:25:y:2016:i:9-10:p:1326-1335
    DOI: 10.1111/jocn.13206
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    References listed on IDEAS

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    1. Teresa Cardoso & Mónica Oliveira & Ana Barbosa-Póvoa & Stefan Nickel, 2012. "Modeling the demand for long-term care services under uncertain information," Health Care Management Science, Springer, vol. 15(4), pages 385-412, December.
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    1. Carola Maurer & Sever Draganescu & Hanna Mayer & Heidrun Gattinger, 2019. "Attitudes and needs of residents in long‐term care facilities regarding physical activity—A systematic review and synthesis of qualitative studies," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(13-14), pages 2386-2400, July.
    2. Sung Ok Chang & Su Jung Lee & Min Sun Park & Young Lim Choi & Geun Myun Kim, 2020. "Conceptualizations of function‐focused care used by practitioners in Korean nursing homes," Nursing & Health Sciences, John Wiley & Sons, vol. 22(4), pages 988-999, December.

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