'Home, Instead of Nursing Home'-Improving the Quality of Care for Older People Receiving Short-Term Care: Development of a Person-Centred, Resource-Oriented Programme.
Rouven Brenner, Myrta Kohler, Shauna L Rohner and 1 others
PMID 40055931WHAT IT FOUND
Residents and nursing home staff prioritised person-centred care planning, everyday movement support and a champion role for short-term stays.
This programme was developed and validated by institutions, not tested for patient outcomes.
Key findings
01Workshops and interviews identified four themes: person-centred culture, care planning from admission to discharge, movement competence, and a champion role.
02Residents and relatives wanted more involvement and everyday movement support; one resident said gait exercises only three times a week with physiotherapy were not enough.
03The paper reports development and validation of a four-pillar programme, but implementation and outcome results are detailed in a separate publication.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for RNs
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What it does not show
This paper reports programme development, not implementation or patient outcome results. The sample was convenience sampled from three nursing homes, and only nine residents and three relatives were interviewed. Themes come from workshops and interviews, so they describe preferences and perceived gaps, not tested effects. Relatives were intended to be interviewed, but scheduling was difficult, so the family perspective may be incomplete. Some programme components are not new, and the article does not show they improve mobility, discharge or quality of life.
The easy way to misread this
Do not read the validated programme as evidence that it improves older people's mobility, discharge or quality of life. This paper reports stakeholder themes and programme development, while implementation and outcome results are in a separate publication.