IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v27y2018i7-8p1452-1463.html
   My bibliography  Save this article

Recognition and assessment of resident’ deterioration in the nursing home setting: A critical ethnography

Author

Listed:
  • Bridget Laging
  • Amanda Kenny
  • Michael Bauer
  • Rhonda Nay

Abstract

Aims and objectives To explore the recognition and assessment of resident deterioration in the nursing home setting. Background There is a dearth of research exploring how nurses and personal‐care‐assistants manage a deteriorating nursing home resident. Design Critical ethnography. Methods Observation and semi‐structured interviews with 66 participants (general medical practitioners, nurses, personal‐care‐assistants, residents and family members) in two Australian nursing homes. The study has been reported in accordance with the Consolidated Criteria for Reporting Qualitative Research guidelines. Results The value of nursing assessment is poorly recognised in the nursing home setting. A lack of clarity regarding the importance of nursing assessments associated with resident care has contributed to a decreasing presence of registered nurses and an increasing reliance on personal‐care‐assistants who had inadequate skills and knowledge to recognise signs of deterioration. Registered nurses experienced limited organisational support for autonomous decision‐making and were often expected to undertake protocol‐driven decisions that contributed to potentially avoidable hospital transfers. Conclusions Nurses need to demonstrate the importance of assessment, in association with day‐to‐day resident care and demand standardised, regulated, educational preparation of an appropriate workforce who are competent in undertaking this role. Workforce structures that enhance familiarity between nursing home staff and residents could result in improved resident outcomes. The value of nursing assessment, in guiding decisions at the point of resident deterioration, warrants further consideration.

Suggested Citation

  • Bridget Laging & Amanda Kenny & Michael Bauer & Rhonda Nay, 2018. "Recognition and assessment of resident’ deterioration in the nursing home setting: A critical ethnography," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1452-1463, April.
  • Handle: RePEc:wly:jocnur:v:27:y:2018:i:7-8:p:1452-1463
    DOI: 10.1111/jocn.14292
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.14292
    Download Restriction: no

    File URL: https://libkey.io/10.1111/jocn.14292?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. David Prentice, 2016. "From the Editor," Economic Papers, The Economic Society of Australia, vol. 35(1), pages 1-1, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Deirdre Fetherstonhaugh & Jo‐Anne Rayner & Kane Solly & Linda McAuliffe, 2021. "‘You become their advocate’: The experiences of family carers as advocates for older people with dementia living in residential aged care," Journal of Clinical Nursing, John Wiley & Sons, vol. 30(5-6), pages 676-686, March.
    2. Soon-Ok Kim, 2021. "Effect of Case-Based Small-Group Learning on Care Workers’ Emergency Coping Abilities," IJERPH, MDPI, vol. 18(21), pages 1-19, October.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Cihan Turhan & Silvio Simani & Ivan Zajic & Gulden Gokcen Akkurt, 2017. "Performance Analysis of Data-Driven and Model-Based Control Strategies Applied to a Thermal Unit Model," Energies, MDPI, vol. 10(1), pages 1-20, January.
    2. R. Peón-Escalante & Manuel Flota-Bañuelos & Roberto Quintal-Palomo & Luis J. Ricalde & F. Peñuñuri & B. Cruz Jiménez & J. Avilés Viñas, 2023. "Neural Network Based Control of Four-Bar Mechanism with Variable Input Velocity," Mathematics, MDPI, vol. 11(9), pages 1-17, May.
    3. Kim, Man-Keun & Jakus, Paul M., 2017. "Effects of Wildfire on National Park Visitation and Regional Economic Impacts," 2017 Annual Meeting, July 30-August 1, Chicago, Illinois 258437, Agricultural and Applied Economics Association.
    4. Brint, Steven & Allison M. Cantwell & Robert A. Hannerman, 2008. "Two Cultures: Undergraduate Academic Engagement," University of California at Berkeley, Center for Studies in Higher Education qt53g8521z, Center for Studies in Higher Education, UC Berkeley.
    5. Tomini, Sonila & Packard, Truman G., 2011. "Are health care payments in Albania catastrophic? Evidence form ALSMS 2002, 2005 and 2008," MERIT Working Papers 2011-019, United Nations University - Maastricht Economic and Social Research Institute on Innovation and Technology (MERIT).

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:27:y:2018:i:7-8:p:1452-1463. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.