OTQualitativeInternational journal of older people nursing2026

Like Bits in a Jigsaw: Exploring Ancillary Staff Interactions With Care Home Residents.

Kritika Samsi, Olivia Luijnenburg, Caroline Norrie and 3 others

PMID 41986907

WHAT IT FOUND

Ancillary staff such as cleaners and cooks were described by residents and families as noticing eating changes, offering comfort and building affectionate relationships.

These interactions were valued, but the study does not test whether changing roles improves care.

Key findings

01A cook noticed that a resident's meal was being returned uneaten, which led to a review and a soft diet.

02When visitors and outside activities stopped during pandemic restrictions, some ancillary staff took on social contact, such as bingo, singing, games and chatting, to help residents cope.

03The central theme was that interactions between ancillary staff and residents were described as meaningful, and this was acknowledged by residents, families, managers and staff.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The study was conducted during pandemic lockdowns, when care home circumstances were changing rapidly, so the accounts may reflect that crisis rather than usual care. The authors note they may have captured largely positive experiences, because people with more negative experiences may have been too busy or unwilling to take part. Findings rely on self-reported accounts that may have been shaped by the emotional context of the pandemic. Only a small number of residents and family members were interviewed, and the study did not measure clinical outcomes or test any role change. The study produces themes, not evidence that any intervention works.

Declared interests

The work was funded by the National Institute for Health and Care Research Policy Research Programme and the National Institute for Health Research Applied Research Collaboration South London. The authors declare no conflicts of interest.

The easy way to misread this

Do not conclude that redesigning ancillary staff roles improves resident care. This qualitative study reports what residents, families and staff said during pandemic restrictions, and it did not test any change or measure patient outcomes.

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