Evidence-Based Practice: Implementing REIS Findings in South African Aged Care Facilities.
Melissa Kilian, Tania Rauch Van der Merwe, Sanetta H J du Toit
PMID 37122162WHAT IT FOUND
Facility managers identified staff development and understanding resident needs as key priorities for implementing environmental assessments.
They reported that existing biomedical routines and financial constraints hindered person-centered care, and that the assessment tool did not account for facility budgets.
Key findings
01Managers prioritized staff development and skills analysis as the most important factor for implementing the assessment findings.
02The assessment tool was criticized for not considering the financial position and constraints of the facilities.
03A predominant biomedical care culture with rigid routines and task-oriented approaches limited opportunities for person-centered care.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
Only three facilities participated, limiting generalizability. The first author was an employed OT at the time, which may have influenced assessments or participant honesty. Power imbalances between the researcher and staff/residents may have prevented typical behavior or honest answers. The study did not audio or video record the discussion group, relying on field notes.
The easy way to misread this
Do not interpret the low REIS scores as evidence that environmental changes alone will improve care; the study found that staff development and addressing biomedical routines are prerequisites for the tool's recommendations to be actionable.