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| Fostering Activities of Daily Living by Intact Nursing Home Residents |
| Saturday, May 26, 2007 |
| 3:00 PM–3:20 PM |
| Molly AB |
| Area: DEV |
| Chair: Charles E. Blair (University of Texas Health Center, Tyler) |
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| Fostering Activities of Daily Living by Intact Nursing Home Residents |
| Domain: Service Delivery |
| CHARLES E. BLAIR (University of Texas Health Center, Tyler) |
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| Abstract: In nursing homes, residents who are intact enough to practice self-care in activities of daily living (ADLs) are not being allowed to do so by nursing assistants (NAs) with potential consequences of mental and physical deterioration. We assessed the effectiveness of four education programs: (1) a combination of Orem’s Systems of Nursing Care and Skinner’s Applied Behavioral Analysis; (2) Applied Behavioral Analysis; (3) Orem’s Systems of Nursing Care; and (4) regular in-service education, in providing NAs of four nursing homes with ability to produce a therapeutic milieu supportive of residents’ ADLs, positive self-esteem, and mood. We hypothesized that the combination program would be most effective. A quasi-experimental, repeated measures, four-comparison group design was used. We randomly assigned each nursing home to an education program. Fifty-one NAs and 80 residents participated in the 26-week study. Analysis of data collected on the 43 residents who completed the study indicated that the “Orem’s only” program was most effective. But, staff in that program may have benefited from a more robustly supportive administrative and supervisory environment than staff in the others. Educating staff to foster self-care by intact residents alone may not be sufficient for success. Administrative and supervisory personnel’s support is crucial. |
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