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    Making the most of time: A Grounded Theory to explain what facilitates nursing home staff to connect with residents living with advanced dementia

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    PhD Thesis (3.814Mb)
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    Publication date
    2018
    Author
    Haunch, Kirsty J.
    Supervisor
    Downs, Murna G.
    Oyebode, Jan R.
    Keyword
    Advanced dementia
    Care homes
    Nursing homes
    Social isolation
    Connecting
    Interacting
    Social exclusion
    Staff
    Nurses
    Care assistants
    Rights
    Creative Commons License
    The University of Bradford theses are licenced under a Creative Commons Licence.
    Institution
    University of Bradford
    Department
    Faculty of Health Studies
    Awarded
    2018
    
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    Abstract
    Background: People living with advanced dementia in nursing homes often spend the majority of time alone, with little contact with anyone. The need to connect with others is a central part of a philosophy known as Person Centred Dementia Care. A significant body of literature demonstrates the effectiveness of a range of approaches that facilitate connections, yet, we know little about staff perspectives on what facilitates them to connect on a daily basis. Aim: To develop a Grounded Theory to explain what facilitates nursing home staff to connect with residents living with advanced dementia. Methods: Semi structured interviews were conducted with nursing home staff (n=21) and relatives (n=5) from seven nursing homes. Following Strauss and Corbin’s (1990, 1998) Interpretivist Grounded Theory methodology, data collection and analysis proceeded iteratively, and theoretical sampling was used to develop the emergent theory. Results: The Grounded Theory ‘making the most of time’ explains that most connections occurred during personal care. Interdependent contextual and individual factors facilitated staff to make the most of time. Effective leaders were described to create a caring culture in which informal leaders (experienced staff) acted as role models. Staff were then more likely to understand, accept and tolerate dementia, know connections were part of their role, get to know residents and express caring values. In the right physical environment, this then facilitated staff to make the most of time during personal care. Increased training and education from specialised dementia units and experiential knowledge from family engagement then supplement such contexts. Implications: Future research could empirically test the theory ‘making the most of time’
    URI
    http://hdl.handle.net/10454/18670
    Type
    Thesis
    Qualification name
    PhD
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    Theses

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