Function-Focused Care Efficacy in Long-Term Care: A Concept Analysis Using the Hybrid Model.
Leeho Yoo, Dukyoo Jung
PMID 40716087WHAT IT FOUND
Function-focused care in long-term care was defined as the belief that direct care workers can identify remaining abilities, set personal goals, embed support in daily tasks, encourage independence and document change.
Key findings
01The final definition described function-focused care efficacy as the belief that direct care workers can plan personalised and collaborative care, motivate residents to perform independently, provide ethical care and evaluate functional change.
02The final model organised the concept into six domains and 13 attributes across plan, action and evaluation dimensions.
03Fieldwork with five experts identified ethical care, including positive attitude and respect, and described function-focused care as embedded in routine daily tasks.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The fieldwork used five experts, not patients, families or direct care workers, so it describes expert views of a concept rather than patient experience or observed care. The study did not test whether function-focused care efficacy or training improves older adults' function, quality of life or other patient outcomes. The literature review selected seven Korean articles from 222 and 25 international articles from 495, and the authors noted the work was limited to predominantly Western papers and Korean long-term care sites. The function evaluation domain was identified in the theoretical phase but not in the fieldwork phase. The authors noted that individual characteristics such as age, tenure and caregiving experience may influence perceptions and should be considered in future work.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not read the final domains as proof that function-focused care improves older adults' daily function or quality of life. The study analysed a concept and expert views, not patient outcomes.