Family involvement in nursing homes: an interpretative synthesis of literature
Abstract
Background
Aim
Methods
Findings
Discussion and conclusion
Introduction
Methods
Search strategy
Inclusion/exclusion criteria
Selection process
Data extraction
Data analysis part I: Synthesis of issues
Data analysis part II: Care ethical interpretation of the synthesis of issues
Results
Results Part I: Synthesis of issues
Theme | Subtheme | Code |
---|---|---|
Family–staff relationship | Not-knowing-each-other | Family members not knowing staff and nursing home |
Family members and resident not known by staff | ||
Redefining the caregiving role | Difficulties relinquishing/holding on to previous role | |
Difficulties re-establishing the familial relationship | ||
Care expectations | Disappointment in care delivery of staff | |
Disappointment in competence of staff | ||
Communication | Not being informed | |
Giving and receiving criticism | ||
Not being taken seriously | ||
Psychosocial factors | Feelings about a relative’s move to nursing home | Guilt |
Loneliness | ||
Other feelings | ||
Dealing with the deterioration of the relative | Difficulty to connect with the relative | |
Difficult to accept changes in the relationship with the relative | ||
Personal circumstances | Competing demands | |
Distance | ||
Organizational circumstances | Staffing | Understaffing |
High staff turnover | ||
Atmosphere | Unfriendly staff | |
Untidyand unhygienic surroundings |
Family–staff relationship
Not-knowing-each-other
Redefining the caregiving role
Care expectations
Communication
Psychosocial factors
Feelings
Dealing with the deterioration of the relative
Personal circumstances
Organizational circumstances
Staffing
Atmosphere
Results part II: Care ethical interpretation of the synthesis of issues
Family–staff relationship
Not-knowing-each-other
Redefining the caregiving role
Care expectations
Communication
Psychosocial factors
Feelings, dealing with the deterioration of the relative and personal circumstances
Organizational circumstances
Staffing and atmosphere
Discussion
Limitations
Recommendations
Conclusion
Declaration of Conflicting Interests
Funding
ORCID iD
References
Appendix 1Table 2. Sample of search terms: Database Medline/Pubmed.
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