OTQualitativeInternational journal of older people nursing2025

The Impact of a Leadership Support Programme on Care Home Residents and Their Families: A Qualitative Study From the Perspective of Participating Care Home Leaders.

Brighide Lynch, Assumpta Ryan, Sonja McIlfatrick and 9 others

PMID 41243232

WHAT IT FOUND

Care home leaders described using emotion cards, image cards and family-tree questions to ask residents and relatives what mattered during moves.

They reported more sharing of feelings and more involvement in decisions.

Key findings

01Participants reported that emotional touchpoint cards helped them open conversations with residents and relatives about difficult feelings and future decisions.

02Participants described using image cards to learn residents' views on meaningful activities and an 'Insights into Me' resource to learn what mattered to residents.

03Participants reported involving residents and families in decisions about home life, including renaming areas and staff mask wearing after risk assessments.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The study reports care home leaders' self-reported or perceived impact; residents and relatives were not directly interviewed. Eighty-three participants were recruited, 61 completed the study, and 56 took part in interviews. Staffing crises during and after the Omicron variant affected attendance and completion for several participants. Participants were recruited from one region of the United Kingdom. The data are perceptions and descriptions, not tested outcomes.

Declared interests

The authors declared no conflicts of interest. Funding was from the Department of Health, Castle Buildings Stormont, Belfast, Northern Ireland.

The easy way to misread this

Do not read this as evidence that the leadership programme improves resident or family outcomes. The findings are from 61 care home leaders who completed the programme, and residents and relatives were not directly interviewed.

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