Feasibility of DAIly NURSE: A nursing intervention to change nursing staff behaviour towards encouraging residents' daily activities and independence in the nursing home.
Mirre den Ouden, Sandra M G Zwakhalen, Judith M M Meijers and 2 others
PMID 30230069WHAT IT FOUND
Nursing home staff found a training, coaching and policy intervention feasible, especially a breakfast video showing staff doing tasks residents could do.
It may help staff notice and reduce unnecessary help; it does not show residents became more independent.
Key findings
01All three components were delivered, staff rated the workshops 9 out of 10 on average, and average workshop attendance was 82%.
02Staff said the observation assignment increased awareness of what residents could do, and staff in home B said breakfast videos were especially valuable for awareness.
03Barriers included resistance from colleagues who did not attend workshops, too little time between workshops in home A, and low family meeting attendance.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
Only 13 residents in home A and 7 in home B had completed background questionnaires, and the wards were psychogeriatric, so it says little about other nursing home populations. The two homes implemented the intervention differently, with video observations only in home B and champions only in home A, so it is hard to separate which component mattered. The study did not test whether residents became more independent or had better health outcomes; it assessed feasibility and staff perceptions. Coaching-on-the-job was difficult to evaluate because it should occur after the workshops, and reflection meetings were not fully assessed. Family information meetings had low attendance, 10% in home A and 42% in home B, so family reach is uncertain.
Declared interests
The authors declared no conflicts of interest. Funding came from the Netherlands Organisation for Health Research and Development (ZonMw).
The easy way to misread this
Do not read this as evidence that DAIly NURSE improves residents' independence. It tested feasibility, staff satisfaction and barriers, not patient outcomes.