Tri-focal Model of Care Implementation: Perspectives of Residents and Family

Work engagement, psychological empowerment and relational coordination in long-term care: A mixed-method examination of nurses' perceptions and experiences

Nurse engagement, empowerment and strong relationships among staff, residents and families, are essential to attract and retain a suitably qualified and skilled nursing workforce for safe, quality care. There is, however, limited research that explores engagement, empowerment and relational coordination in long-term care (LTC). Nurses from an older persons' mental health and dementia LTC unit in Australia participated in this study. Forty-one nurses completed a survey measuring psychological empowerment, work engagement and relational coordination. Twenty-nine nurses participated in individual interviews to further explore these concepts. Although nurses reported high psychological empowerment and work engagement, their relationships with key stakeholders varied. Our findings suggest that nurses in LTC require both supports and opportunities to contribute as active members of the multiprofessional care team that includes tailored education, professional development and positive interactions within the care team. Regular support is needed to enable nurses to feel empowered, foster relationships and communication, and facilitate work engagement. Based on these findings, we suggest that it is important to find ways to ensure that all who provide care perceive that they are part of the whole care team and able to contribute to the care and well-being of people in LTC.

Keeping the Connection Alive With Tender Care and Common Sense: A Phenomenological Study on Daughters' Experiences of Having a Mother in a Nursing Home

The relationship between mother and daughter is exceptional when it comes to closeness and its impact on their whole life. Thus, a mother's move to a nursing home is pivotal for both of them. The aim of this interpretative phenomenological study, using the Vancouver School of Doing Phenomenology, was to explore daughters' experience of having a mother in a nursing home, its impact on the maternal relationship, and the daughters' need for education and support. Data were collected by 21 semi-structured interviews with 12 women who had mothers living in a nursing home. Keeping the connection alive with tender care and common sense encapsulates the interrelation between the daughters' urge to hold on to the mother-daughter relationship and the rare consideration of education and support from health professionals. Responsibility and sense of duty paired with relief because the mother is in a safe place were accompanied by the daughters' need for confirmation that the mother is well taken care of.

It takes three to tango: An ethnography of triadic involvement of residents, families and nurses in long-term dementia care

Background

Researchers often stress the necessity and challenge of integrating the positionings of residents, family members and nurses in order to realize each actor's involvement in long‐term dementia care. Yet most studies approach user and family involvement separately.

Aim

To explain how productive involvement in care provision is accomplished in triadic relationships between residents, family members and nurses.

Methods

An ethnographic study of identity work, conducted between 2014 and 2016 in a Dutch nursing home.

Findings

We identify four ideal‐typical identity positionings performed by nurses through daily activities. The findings reveal how their identity positionings were inseparable from those of the residents and family members as they formed triads. Congruent, or ‘matching’, identity positionings set the stage for productive involvement. Our systematic analysis of participants' identity work shows how—through embedded rights and responsibilities—their positionings inherently shaped and formed the triadic types and degrees of involvement observed within these relationships.

Discussion and conclusion

This study both unravels and juxtaposes the interrelatedness of, and differences between, the concepts of user and family involvement. Accordingly, our findings display how residents, family members and nurses—while continuously entangled in triadic relationships—can use their identity positionings to accomplish a variety of involvement activities. To mirror and optimize the implementation of user and family involvement, we propose a rights‐based and relational framework based on our findings.

Patient or public contribution

Conversations with and observations of residents; feedback session with the Clients' Council.

The mentoring relation as an interpersonal process in EDUCATE: A qualitative case study of mentor–mentee perspectives

The EDUCATE research-based accelerator employs academic mentors to support entrepreneurs to use research in the development of educational technology. Mentorship is a common feature of business accelerators, yet only a few empirical studies have shown or analysed the relationship and how it influences business success outcomes. In EDUCATE, the mentorship adopts a unique approach by focusing the relationship on goals and evidence-based knowledge exchange concerning educational technology. Examining previous literature on mentorship and exploring the novel features of EDUCATE, a qualitative case study was conducted using a semi-structured interview with a mentor and mentee within the programme. Although this was a limited study of only one dyad mentor−mentee relationship, the research elicits findings that may be of interest for future research. The study highlights the importance of the interpersonal process of mentorship, and advances understanding of what constructs effective mentorship relationships for accelerators. Findings suggest that from the perspective of the mentee, the psychosocial function forms a big component of the relationship. Concepts such as trust, decision-making, personality and self-efficacy arise in the analysis. In contrast, the mentor focuses on career functions and aspects of the programme such as frequency of interaction and knowledge about research. In addition, structured goals within the relationship seem to help the research activities expected in the accelerator. In conclusion, mentorship within EDUCATE is key for the programme, the psychosocial functions in the relationship are critical for entrepreneur satisfaction and, consequently, the integration of research and practice. Constructs such as trust and personality are worth exploring as components within training of the psychosocial aspect of mentors’ activity, as opposed to the traditional view of expert and experienced mentors, often acquired in business accelerators. The analysis of the interpersonal process is of importance to further understand the definition of ‘good mentor’ within formal mentoring programmes for evaluation purposes.

What kind of home is your care home? A typology of personalised care provided in residential and nursing homes

This paper examines how care home managers in England conceptualised the approach to delivering personalised care in the homes they managed. We conducted interviews with care home managers and mapped the approaches they described on two distinct characterisations of personalised care prominent in the research and practitioner literature: the importance of close care relationships and the degree of resident choice and decision-making promoted by the care home. We derived three ‘types’ of personalised care in care homes. These conceptualise the care home as an ‘institution’, a ‘family’ and a ‘hotel’. We have added a fourth type, the ‘co-operative’, to propose a type that merges proximate care relationships with an emphasis on resident choice and decision-making. We conclude that each approach involves trade-offs and that the ‘family’ model may be more suitable for people with advanced dementia, given its emphasis on relationships. While the presence of a range of diverse approaches to personalising care in a care home market may be desirable as a matter of choice, access to care homes in England is likely to be constrained by availability and cost.

The impact of mentor-mentee rapport on nurses' professional turnover intention: Perspectives of social capital theory and social cognitive career theory

AIMS AND OBJECTIVES

This study examines the impacts of mentor-mentee rapport on willingness to mentor/be mentored, self-efficacy, outcome expectations, career interest and subsequently on nurses' professional turnover intention.

BACKGROUND

Workplace relationships, whether positive or negative, influence nurse turnover within an organisation. Yet little is known about the effects of mentoring on nurses' intentions to leave the nursing profession.

DESIGN

A cross-sectional, survey-based research design was used to collect data from a large medical centre in Northern Taiwan.

METHODS

Study concepts were measured using scales from social capital theory (SCT), social cognitive career theory (SCCT) and the nursing literature. Partial least square structural equation modelling was used to test all study hypotheses. The STROBE statement was chosen as the EQUATOR checklist.

RESULTS

For mentors, rapport was positively related to willingness to mentor, which was positively related to outcome expectations, and further, positively related to career interest and negatively related to professional turnover intention. For mentees, rapport was positively related to willingness to be mentored, which was positively related to self-efficacy, outcome expectations and ultimately to career interest. Career interest was negatively related to professional turnover intentions.

CONCLUSIONS

Rapport between mentors and mentees may be an important means to retain nurses in the profession.

RELEVANCE TO CLINICAL PRACTICE

Managers should consider taking steps to enhance rapport between mentors and mentees. In doing so, managers improve nurse retention, a critical component of providing high-quality patient care.