‘You can’t be forcing food down ‘em’: Nursing home carers’ perceptions of residents’ dining needs
Malnutrition is a life-threatening condition among older people living in nursing care homes. This qualitative analysis of interview data from five care staff aimed to understand their perceptions of ‘caring for’ residents’ nutritional needs. Tensions in the delivery of care and institutionalisation...
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Veröffentlicht in: | Journal of health psychology 2016-05, Vol.21 (5), p.619-627 |
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description | Malnutrition is a life-threatening condition among older people living in nursing care homes. This qualitative analysis of interview data from five care staff aimed to understand their perceptions of ‘caring for’ residents’ nutritional needs. Tensions in the delivery of care and institutionalisation and disempowerment were identified. Despite carers’ good intentions, they often failed to recognise the importance of the psychosocial aspects of mealtimes. Staff shortages, routine-driven, medically based working practices and residents’ resistance to institutionalisation emerged as barriers to quality caregiving. The findings indicate that the relational aspects of care are constrained by social, structural and ideological contexts. |
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This qualitative analysis of interview data from five care staff aimed to understand their perceptions of ‘caring for’ residents’ nutritional needs. Tensions in the delivery of care and institutionalisation and disempowerment were identified. Despite carers’ good intentions, they often failed to recognise the importance of the psychosocial aspects of mealtimes. Staff shortages, routine-driven, medically based working practices and residents’ resistance to institutionalisation emerged as barriers to quality caregiving. The findings indicate that the relational aspects of care are constrained by social, structural and ideological contexts.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Allied Health Personnel - psychology</subject><subject>Attitude of Health Personnel</subject><subject>Caregivers</subject><subject>Caregiving</subject><subject>Empowerment</subject><subject>Feeding Behavior - ethics</subject><subject>Feeding Behavior - psychology</subject><subject>Female</subject><subject>Home health care</subject><subject>Homes for the Aged - ethics</subject><subject>Homes for the Aged - organization & administration</subject><subject>Humans</subject><subject>Institutionalization</subject><subject>Institutionalization - ethics</subject><subject>Institutionalization - organization & administration</subject><subject>Life threatening</subject><subject>Male</subject><subject>Malnutrition</subject><subject>Middle Aged</subject><subject>Needs Assessment</subject><subject>Nursing homes</subject><subject>Nursing Homes - ethics</subject><subject>Nursing Homes - organization & administration</subject><subject>Older people</subject><subject>Patient Participation - psychology</subject><subject>Perceptions</subject><subject>Power (Psychology)</subject><subject>Professional-Patient Relations - ethics</subject><subject>Psychosocial factors</subject><subject>Qualitative Research</subject><subject>Residential care</subject><subject>Resistance</subject><subject>Shortages</subject><subject>United Kingdom</subject><issn>1359-1053</issn><issn>1461-7277</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkcFLHDEUxkOp1HX17qkEeullbF4y2STeitQqSL3owdMwm7yxs-wkazKDePPP0H_Pv6QZV0UWCp5eeN_v-x7hI2Qf2AGAUj9ASANMCiil4EbBJzKBcgaF4kp9zu8sF6O-TXZSWjDG5EzzL2Sbl5obodSEdE_3D1dhoLb2T_ePPZ0jbUK0rb_OMzjqwq2nmcEMPh7SP0NMo_Y3dJg9EWPKe7rCaHHVt8EnGhoaMbUOff-sudaPDo_o0i7Zauplwr2XOSWXx78ujk6Ks_Pfp0c_zworjO4LZ4xlVqsajXENKO5KMBwccCvd3MjGWl4bbFjpmARt5rO851pJEBYkMDEl39e5qxhuBkx91bXJ4nJZewxDqkAZZgSbafEBVGtZAmdj6rcNdBGG6PNHngO1NkbyTLE1ZWNIKWJTrWLb1fGuAlaNrVWbrWXL15fgYd6hezO81pSBYg2k-hrfXf1f4D_MVaL-</recordid><startdate>201605</startdate><enddate>201605</enddate><creator>Dunn, Heather</creator><creator>Moore, Tria</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7X8</scope><scope>7TK</scope></search><sort><creationdate>201605</creationdate><title>‘You can’t be forcing food down ‘em’: Nursing home carers’ perceptions of residents’ dining needs</title><author>Dunn, Heather ; Moore, Tria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c398t-d99c0c87ae99df172d41921d12c5db95fcc2a9ef04d05189b6c5d287513c15103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Allied Health Personnel - psychology</topic><topic>Attitude of Health Personnel</topic><topic>Caregivers</topic><topic>Caregiving</topic><topic>Empowerment</topic><topic>Feeding Behavior - ethics</topic><topic>Feeding Behavior - psychology</topic><topic>Female</topic><topic>Home health care</topic><topic>Homes for the Aged - ethics</topic><topic>Homes for the Aged - organization & administration</topic><topic>Humans</topic><topic>Institutionalization</topic><topic>Institutionalization - ethics</topic><topic>Institutionalization - organization & administration</topic><topic>Life threatening</topic><topic>Male</topic><topic>Malnutrition</topic><topic>Middle Aged</topic><topic>Needs Assessment</topic><topic>Nursing homes</topic><topic>Nursing Homes - ethics</topic><topic>Nursing Homes - organization & administration</topic><topic>Older people</topic><topic>Patient Participation - psychology</topic><topic>Perceptions</topic><topic>Power (Psychology)</topic><topic>Professional-Patient Relations - ethics</topic><topic>Psychosocial factors</topic><topic>Qualitative Research</topic><topic>Residential care</topic><topic>Resistance</topic><topic>Shortages</topic><topic>United Kingdom</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dunn, Heather</creatorcontrib><creatorcontrib>Moore, Tria</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>Journal of health psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dunn, Heather</au><au>Moore, Tria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>‘You can’t be forcing food down ‘em’: Nursing home carers’ perceptions of residents’ dining needs</atitle><jtitle>Journal of health psychology</jtitle><addtitle>J Health Psychol</addtitle><date>2016-05</date><risdate>2016</risdate><volume>21</volume><issue>5</issue><spage>619</spage><epage>627</epage><pages>619-627</pages><issn>1359-1053</issn><eissn>1461-7277</eissn><abstract>Malnutrition is a life-threatening condition among older people living in nursing care homes. 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subjects | Adult Aged Aged, 80 and over Allied Health Personnel - psychology Attitude of Health Personnel Caregivers Caregiving Empowerment Feeding Behavior - ethics Feeding Behavior - psychology Female Home health care Homes for the Aged - ethics Homes for the Aged - organization & administration Humans Institutionalization Institutionalization - ethics Institutionalization - organization & administration Life threatening Male Malnutrition Middle Aged Needs Assessment Nursing homes Nursing Homes - ethics Nursing Homes - organization & administration Older people Patient Participation - psychology Perceptions Power (Psychology) Professional-Patient Relations - ethics Psychosocial factors Qualitative Research Residential care Resistance Shortages United Kingdom |
title | ‘You can’t be forcing food down ‘em’: Nursing home carers’ perceptions of residents’ dining needs |
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