Home Residents Research Articles

The Effects of the Compassionate Mind Training for Caregivers on Professional Quality of Life and Mental Health: Outcomes from a Cluster Randomized Trial in Residential Youth Care Settings

BackgroundPsychological distress is highly noticeable among caregivers working in residential youth care (RYC). Maintaining and enhancing caregivers’ professional mental health and quality of life is crucial to achieve effective outcomes in RYC. Nevertheless, trainings to protect caregivers’ mental health are scarce. Considering the buffering effect over negative psychological outcomes, compassion training could be beneficial in RYC.ObjectiveThis study is part of a Cluster Randomized Trial examining the effects of the Compassionate Mind Training for Caregivers (CMT-Care Homes), looking at professional quality of life and mental health of caregivers working in RYC.MethodThe sample was composed of 127 professional caregivers from 12 Portuguese residential care homes (RCH). RCHs were randomly allocated at experimental (N = 6) and control group (N = 6). Participants were assessed at baseline, post-treatment, and 3 and 6-month follow-ups, answering to the Professional Quality of Life Scale and the Depression, Anxiety and Stress Scale. Program effects were tested using a two-factor mixed MANCOVA, with self-critical attitude and education degree as covariates.ResultsMANCOVA showed a significant Time × Group interaction effects (F = 1.890, p = .014; ηp2\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$${\\eta }_{p}^{2}$$\\end{document} = .050), with CMT-Care Homes participants presenting lower scores on burnout, anxiety, and depression at 3 and 6-months follow-ups, when compared with controls. Participants that received CMT-Care Homes considered the program useful to deal with pandemic threats and with youth during lockdowns.ConclusionThis study shows the benefits of the CMT-Care Homes in helping professional caregivers reducing burnout, anxiety and depression, and dealing with pandemic challenges in RYC.Trial registration: This cluster randomized trial was registered at ClinicalTrials.gov (TRN: NCT04512092) on 6th August 2020.

Person-attuned musical interactions (PAMI) in dementia care. Complex intervention research for constructing a training manual.

Music is of vital importance for cognition, human care, and the formation of social communities throughout life. Dementia is a neurocognitive disorder that affects cognitive domains, and in late-stage dementia, care is needed in all aspects of daily living. Within residential care home contexts, carers play a significant role for the "caring culture" but often lack professional training in verbal and non-verbal communication skills. Thus, there is a need for training carers to respond to the multidimensional needs of persons with dementia. Music therapists use musical interactions but are not trained to train carers. Therefore, our aim was to explore person-attuned musical interactions (PAMI), and additionally, to develop and evaluate a training manual to be used by music therapists when supporting and training carers in non-verbal communication with persons with late-stage dementia in residential care home contexts. With a realist perspective and systems thinking and within the framework for complex intervention research, the research group integrated several overlapping subprojects by applying a non-linear and iterative research process. Core elements related to person-centered dementia care as well as learning objectives were considered through the following four phases; Developing, Feasibility, Evaluation, and Implementation. The result was a training manual for qualified music therapists to use when teaching and collaborating with carers about how to implement PAMI in dementia care. The manual included comprehensive resources, a clear structure for training, defined learning objectives, and integration of theory. With increased knowledge about caring values and non-verbal communication, residential care home cultures may develop carer competencies and provide professional attuned care for persons with dementia. Further piloting and testing to examine the general effect on caring cultures is needed.

Developing a Real-time Luminous Facilities Management System in Residential Care Homes

An integrated Real-time Luminous Facilities Management (Rt-LFM) system website has been developed, including hardware for data collection and software for data storage and download instantly. Two lighting sensors (illuminance, and color temperature) have been combined into a single device for measuring the continuous luminous data in the residential care homes. A wireless sensor network has been established through the combination and connection of lighting sensors to monitor the luminous conditions. The dynamic luminous environment data can then be saved and downloaded in the cloud-based system. By using the Rt-LFM system, the caregivers and managers in the residential care homes can promptly realize the luminous environment based on the instant data, while the construction professionals can then well design the building services for new homes or renovation. It is expected that the long-term health of our elderly will be improved finally. Furthermore, the subsequently improved elderly health conditioning will also relieve the medical burden of the government in central.

Mass Vaccination for All: Increasing Inclusivity of Point of Dispensing Plans in New Orleans.

Introduction:In January 2021, the State of Louisiana approved COVID-19 vaccine distribution to elderly and immunocompromised persons. From annual hurricane planning assessments, the city of New Orleans recognized medical and transportation barriers would prevent some eligible residents from accessing vaccines at public point of dispensing (POD) sites. A new vaccine distribution system was needed for homebound individuals and their caregivers. By February, the city developed and implemented a homebound vaccination plan under the direction of New Orleans Emergency Medical Services (NOEMS) and the New Orleans Health Department. This presentation will review this vaccine distribution model and the opportunities and challenges identified in maintaining this model for future medical POD interventions.Method:The City of New Orleans, along with news outlets and service providers, instructed homebound residents and caregivers to self-identify their need for a homebound vaccine by calling 311 and adding their name to a centralized waitlist. NOEMS/NOHD staff would schedule appointments based on resident and provider availability and geography of their home residence. Two 2-person teams were deployed simultaneously to provide ten doses within a five-hour time frame to minimize waste. Each deployment team included one city employee with an EMS certification and one volunteer, along with a cooler, ancillary supplies, registration form, and educational sheet to complete the appointment.Results:350 homebound residents and caregivers were vaccinated with the COVID-19 vaccine from February 2021 to January 2022. Vaccine doses were rarely wasted due to the availability of a centralized city-wide vaccine request list.Conclusion:The COVID-19 pandemic exposed gaps in mass dispensing plans and procedures. This local plan, created in haste to meet community need, became a model practice for other Parishes within the State of Louisiana and nationwide. This distribution modality needs to be maintained and tested, in addition to traditional POD sites, to be utilized in future dispensing events.

Staff perspectives on end-of-life care for people living with dementia in residential aged care homes: qualitative study.

People living with dementia in care homes can benefit from palliative approaches to care; however, not all will require specialist palliative care. The generalist aged care workforce is well placed to provide most of this care with adequate training and support systems in place, but little is known about their experiences. To describe staff perspectives on providing quality end-of-life care for people living with dementia in residential care and their families. Focus groups and semi-structured interviews were conducted with residential aged care managerial and frontline staff in Australia who were caring for residents living with dementia and end-of life needs. A comprehensive, then snowballing sampling strategy was used in participating care homes. Transcripts were analyzed using reflexive thematic analysis. Fifteen semi-structured interviews and six focus groups were undertaken with 56 participants across 14 sites across two Australian states. Five themes were identified: putting the resident at the center (creating homes not hospitals, knowing the individual, a case management approach); articulating goals to grant wishes (initiating the conversation, broadening death literacy, avoiding hospitalization); a collective call to action (staffing the home, recognizing deterioration and escalating issues, communication channels and engaging GPs, managing medications, psychosocial supports); educating to empower staff (governance and guidance, mentoring juniors, self-care); and facilitating family acceptance (setting expectations, partnering in care, access at all hours). Aged care staff are committed to providing person-centered palliative and end-of-life care for people living with dementia, recognizing the intrinsic value of each resident, regardless of their declining state. Frontline and managerial staff consider advance care planning, collectively working as part of a multidisciplinary team, access to targeted palliative and end-of-life education and training, and engaging families as key priorities to providing high quality care in care homes.

Deep learning health management diagnostics applied to the NIST smoke experiments

Fire is one of the most important hazards that must be considered in advanced nuclear power plant safety assessments. The Nuclear Regulatory Commission (NRC) has developed a large collection of experimental data and associated analyses related to the study of fire safety. In fact, computational fire models are based on quantitative comparisons to those experimental data. During the modeling process, it is important to develop diagnostic health management systems to check the equipment status in fire processes. For example, a fire sensor does not directly provide accurate and complex information that nuclear power plants (NPPs) require. With the assistance of the machine learning method, NPP operators can directly get information on local, ignition, fire material of an NPP fire, instead of temperature, smoke obscuration, gas concentration, and alarm signals. In order to improve the predictive capabilities, this work demonstrates how the deep learning classification method can be used as a diagnostic tool in a specific set of fire experiments. Through a single input from a sensor, the deep learning tool can predict the location and type of fire. This tool also has the capability to provide automatic signals to potential passive fire safety systems. In this work, test data are taken from a specific set of the National Institute of Standards and Technology (NIST) fire experiments in a residential home and analyzed by using the machine learning classification models. The networks chosen for comparison and evaluation are the dense neural networks, convolutional neural networks, long short-term memory networks, and decision trees. The dense neural network and long short-term memory network produce similar levels of accuracy, but the convolutional neural network produces the highest accuracy.

Research on indoor light environment optimization of nursing home community based on artificial neural network

ABSTRACT China's ageing population is set to peak in 2040 and nursing homes are where most elderly people live. In order to improve the comfort of the elderly in residential homes, it is necessary to investigate a greener lighting solution. The greenness of a lighting scheme is reflected in the fact that it meets the two needs of economy and comfort. The design of indoor light will directly affect their quality of life, as well as their physiological and psychological changes, so the elderly have special needs for light. To address the problem of optimizing the indoor light environment in nursing home communities, this study proposes an artificial neural network algorithm-based prediction method for optimizing the indoor light environment, which in turn improves the comfort of indoor lighting for the elderly. The results show that the mean absolute error, mean square error and root mean square error are 0.49445, 0.49984 and 0.70699 respectively after using the artificial neural network algorithm for light control. after 217 training sessions, the method can meet the pre-set error rate of 10−2 and achieve the expected purpose. The R-values for the training, validation and test sets hovered around 0.9, indicating a good fit.

Feasibility and self-perceived effectiveness of an online training program on dysphagia in residential aged care homes in mainland China.

With a rapidly aging population in mainland China, dysphagia has become one of the common geriatric disorders which creates a huge demand on speech and language therapists (SLTs). The major challenge is the shortage of SLTs in China. In addition, frontline practitioners in mainland China may not be well equipped with the knowledge and practical skills in dysphagia management due to lack of systematic training and the work nature. This study evaluates the self-perceived effectiveness and feasibility of an online training program that aims to enhance the self-assessed knowledge and skills of SLTs providing dysphagia care in residential aged care homes. Sixteen SLTs working in a residential aged care homes in mainland China attended a three-hour pilot online training program which consists of didactic lecture and practical skills activity components. A total of 10 participants completed an online questionnaire one month after the training to evaluate the feasibility and effectiveness of this online training program. The preliminary results demonstrated participants' self-perception of high training effectiveness in theoretical knowledge and practical skills. A majority of the participants perceived that the training enhanced their theoretical knowledge and all of them perceived that they acquired practical skills. All respondents were satisfied with the online training approach. They also highlighted the advantage and challenges of the online training approach. Online training is an effective and feasible approach for theoretical knowledge and practical skills transfer in SLT training and could ultimately benefit the delivery of services for individuals with dysphagia in mainland China. What is already known on the subject Previous studies have shown that online training approach is as effective as face-to-face training in increasing professional knowledge. Online training programs may be more cost efficient and time efficient when compared with face-to-face training. What this study adds The present study provided preliminary evidence to support the feasibility and effectiveness of using online training on dysphagia for speech and language therapists working in residential aged care homes in mainland China. What are the clinical implications of this work? From the participants' perception, online training approach is effective and feasible in delivering theoretical knowledge and practical skills. It may be a better training approach for mainland China considering the lack of expertise and accessibility to training.

Tahfidz Al-Quran Learning Methods With Superior Class Programs

Tahfidz learning is a learning that is carried out between students and teachers to change student behavior and improve Al-Quran memorization. Rumah Tahfidz is an activity where learning to memorize the Al-Quran, practice and apply the values ??of the Al-Quran which are carried out in daily life can be in residential homes, campuses and schools. The purpose of this research is to 1). Knowing how the activities of the Tahfidz Al-Quran program are at the MQM Batusangkar Quran House. 2). Knowing how the method of implementing the Tahfidz program at the MQM Batusangkar Quran House 3). Knowing the supporting and inhibiting factors for the implementation of the Tahfidz Program at the MQM Batusangkar Quran House. In this study it is known that 1). Tahfidz activities are held from Monday to Friday every ba'da asar until half past six, where the activities initially start here by praying first then students listen to directions from the Tahfidz teacher and are given a few minutes to prepare their respective memorization to be deposited, after all students deposit their memorization followed by several games such as the verse connecting game, and guessing the letter immediately closed with a prayer, then the teacher and students prepare for the next material lesson. 2). The methods for implementing the Tahfidz Program at the MQM Batusangkar Quran House are the Wahdah Method, Kitabah Method, Sima'i Method, and Murajaah Method. 3). supporting and inhibiting factors for the implementation of the Tahfidz Program at the MQM Batusangkar Quran House, namely student interests, student talents, parents, teachers, the community and the surrounding environment and also equipped with several media images when teaching Tahfidz. While the inhibiting factor is the ability of the students themselves because there are some abilities that are below average, so the teacher has to be more extra in teaching with various methods.

Effects of subjective perceptions of indoor visual environment on visual-related physical health of older people in residential care homes

Aging profoundly affects people's visual functions, and older persons generally show a declination of visual abilities. The indoor visual environment (IVE) in residential care homes (RCHs) is vital to ensure the visual-related physical health of older people (i.e., general vision, functional vision, visual acuity, physical discomfort, and injuries). The IVE, including opening design, interior design, and lighting conditions components, should be designed to satisfy older people's special visual needs. Hence, this study aims to investigate the effects of older people's subjective perceptions of the IVE on their visual-related physical health. In total, 197 questionnaires were collected from older persons living in RCHs. The integrated IVE–Visual-related Physical Health model was established based on multiple statistical methods for older residents in RCHs. The model revealed that the view out, window, corridors, furniture locations, curtains or louvers, handrails, and light level significantly affected the visual-related physical health of older people. Practical recommendations were proposed, including beds and seats near the windows with beautiful scenery, corridors with night lights and unblocked vision, automatic curtains with light sensors, handrails with a high color contrast with the background walls, minimum 200lx ambient lighting, etc. This study's findings provide valuable insight into enhancing the IVE in RCHs for older people's visual-related physical health.

Glamour or sham? Residents' perceptions of city branding in a superdiverse city: The case of Rotterdam

This study focused on the reconstruction of residents' city imaginaries in a superdiverse context, and on the question how residents relate to official city branding. This is an important question, as there is great gap in the literature on how residents perceive brands. Eight focus groups were conducted in the city of Rotterdam, which is considered a typical superdiverse city. The focus groups have shown the complexity of developing a city brand that fits residents' experiences, as the daily encounters and memories of residents go much deeper than most branding communications, in which ‘superficial’ assets of the city are put to the front. The raw, messy and multi-faced reality of residents is harshly in line with the ‘picture perfect’ brand image. Especially in a superdiverse city, as Rotterdam, where this ‘messy’ reality on the level of the streets is felt as home for many residents. The focus groups have hence captured a strong sense of belonging to the city, whereas the branding of the municipality raises frustration and feelings of exclusion with residents. The overall feeling of disapproval of the city brand goes beyond individual characteristics of residents, such as age, education level and cultural background.

454 Exploring the views of care home staff on the use of antipsychotics for people with dementia amid the COVID-19 pandemic: A qualitative study

Abstract Introduction There was an increase in antipsychotic prescribing for people with dementia during the COVID-19 pandemic (1). To explain this increase, the current study was conducted to explore the views of staff working in care homes for the elderly during the pandemic on the use of antipsychotics for residents with Behavioural and Psychological Symptoms of Dementia (BPSD). Aim The aim was to explore the use of antipsychotics for people with BPSD during the COVID-19 pandemic by interviewing staff in care homes about their experiences during that time. Methods Semi-structured interviews were conducted online with staff working in ten UK elderly care settings using convenience sampling. Participants mainly onsite care home staff were recruited through online networks, for example, Twitter, and support groups such as CHAIN and NIHR clinical research network. Interviews were conducted between May 2021-March 2022, were audio recorded, transcribed verbatim, and analysed inductively using thematic analysis in NVivo version 12. Results Ten interviews were completed with managers (n=2), care staff (n=6) and nurses (n=2) in nursing homes (n=7) and residential homes (n=3) (all were female). The first theme ‘Challenges experienced in care provision’ entails challenges experienced in the care environment; residents were confined to their rooms, activities were suspended, staff were absent and stressed, and family visits were barred. The reduced human contact affected residents’ sense of self, mental and physical wellbeing, and in turn, their behaviours. The second theme ‘Prescribing process’ refers to doctors prescribing medicines in response to staff raising concerns. The third theme ‘Attitude toward antipsychotics’ denotes participants’ positive and negative beliefs about antipsychotics. The positive beliefs included antipsychotics being the right choice and beneficial, an increased need and continued use of antipsychotics, use of a combination of medications and weighing the risks and benefits of antipsychotics. The negative beliefs included reports of adverse effects and short-term benefits of antipsychotics, antipsychotics not always beneficial, benefits in deprescribing, dislike for antipsychotics and belief antipsychotics are the last resort. Some expressed the need for antipsychotics had not increased but been driven by health professionals involved. The fourth theme ‘Other psychotropic medication’ alluded to other commonly used psychotropic medications and associated risks and benefits. The fifth theme ‘Measures implemented within care settings’ represented strategies implemented to avert the initiation or bolster antipsychotic deprescribing such as non-pharmacological approaches, nurses’ assessment of residents before requesting antipsychotics, multidisciplinary consultation, and medication review. Conclusion This is the first study that reports care home staff views on antipsychotic use for residents with dementia during the pandemic. The limitations include that only views of female respondents were obtained and the limited sample size. Care homes faced enormous challenges in the provision of care services to residents with dementia during the pandemic. The multitude of difficulties experienced in care homes due to lack of preparedness may have influenced staff to have positive views of antipsychotics and their use as an option during the pandemic. It’s important to acknowledge and address these difficulties for example through education and training interventions to help with future preparedness.

Religion and Subjective Well-being Among the Female Elderly People: A Focused Ethnography

Background: Each religion has its own unique history, as well as specific life way for its followers based on beliefs, traditions, rules, and values. Objectives: This study aimed to explore the lived experiences of elderly people to determine the relationship between religiosity and subjective well-being. Methods: This is a qualitative study that employed a method known as ethnographic research. Data were collected using observations, field notes, and in-depth interviews. Purposive sampling was used to select ten knowledgeable female elderly people within a residential home in the Kerman province in Iran. Collected data were analyzed through principles of thematic analysis. Results: Two themes were identified: A, embedded beliefs: The religious world of key participants, religious activities, and religious faith; B, religiousness and personal beliefs: Spiritual well-being and religious concerns. All older adults believed that praying can affect their feelings and make their hearts calm and peaceful, and enable them to cope with their problems in a peaceful way. Conclusions: Participants have asserted the significance of religious faith and spiritual well-being in everyday life. Having stronger religiosity gives them a meaning of life and satisfies them with all components of life, a feeling like one has finished something in one's life, accomplished happiness, and peace.

Accessing a “bounded space”: An ethnographic map of a residential care home for old persons during COVID-19

Taking place in a residential care setting in England during COVID-19, this ethnographic study offers a closer look at residents' experiences of residential care, with particular focus on dignity and wellbeing. Viewing experiences of well-being as embedded within interpersonal negotiations, the study turns to experience and stories to reveal complexities and contradictions in this taken-for-granted space. However, the timeline and design for this project has been greatly impacted by COVID-19. In exploring the design of this study and its ‘journey’ toward the field, the following article takes a critical view in order to view the impacts that ‘bounded’ and protected care settings may have on the agency and rights of older adult research participants. In this article, I also consider some of the complex ethical issues of conducting qualitative research during a time when older adults are being denied personal visitors, which can further 'bound' the care home space. The article offers timely insight on issues of agency and voice when working with a ‘protected population’ during a time which highlights the vulnerability of old adults.

Advancing nursing practice and residential care

Kim Barron discusses the role of the advanced nursing practitioner in residential care homes.

Biophilic Concept Analysis in The Interior of a Post-New Normal Residential Home

A residential house is a basic necessity owned by everyone. In general, people are in the house staying at rest, gathering with family, and some for work. During the Covid-19 pandemic, activities carried out outdoors became limited. All work activities that previously existed outside the home were changed to inside the house or WFH (Work from Home). Even though it has become a new normal era, work from home activities are still ongoing today. With this condition, people become thinking about making the interior of the residential room comfortable. One way to make a room comfortable is to apply the Biophilic concept in the form of adding elements of indoor plants. The problem that often occurs is an error in placing or choosing the type of plant, so that it actually makes the room uncomfortable. In this study, we will examine the optimization of the Biophilic concept applied to the interior of a residential house. A mix method, which mixes quantitative and qualitative data, was employed in this investigation. The findings of this study are anticipated to serve as a guide for creating a residential home’s interior with a biophilic idea that has a visible link to nature.

The Integration of WoT and Edge Computing: Issues and Challenges

The Web of Things is an improvement on the Internet of Things (IoT) that incorporates smart objects into both the web architecture (application) and the internet (network). WoT applications are inescapable in residential homes and communities. The intent behind WoT applications is to increase sustainable development for reducing resource consumption. The Web of Things (WoT) aims to create a decentralized Internet of Things. Edge computing addresses IoT computing demands by reducing the escalation in resource congestion situations. In edge computing data is placed closed to the end users which diverts computation load from the centralized data centers. Furthermore, the dispersed structure balances network traffic and minimizes traffic peaks in IoT networks. Therefore, resulting in reducing transmission delays between edge servers and end users which improves response times for real-time WoT applications. Low battery supply to nodes with enough power resources can increase the lifespan of the individual nodes by moving processing and communication overhead from the nodes. This paper integrates WoT and edge computing and compares their functionalities. In addition, it demonstrates how edge computing enhances WoT performance and concentrates on transmission, storage, and computation aspects. Furthermore, for performance evaluation it categorizes edge computing based on different architectures. Moreover, the challenges of Web of Things and edge computing have been discussed in terms of bandwidth, latency, energy, and cost. Finally, advantages of the Web of Things and edge computing have been discussed.

Mental health experiences and coping strategies of BAME care workers who worked in nursing and residential care homes during the COVID-19 pandemic in Luton, England

BackgroundThe COVID-19 pandemic intensified the risk factors for poor mental health among care workers in the UK. However, there is inadequate evidence on the mental health impact of COVID-19 on Black, Asian, and minority ethnic (BAME) care workers in particular. This study seeks to explore mental health experiences and coping strategies of BAME care workers who worked in nursing and residential care homes during the COVID-19 pandemic.MethodThis is a qualitative study conducted between February and May, 2021 in Luton, England. A sample of n = 15 care workers from BAME background working in nursing and residential care homes were recruited purposively using the snowball sampling technique. In-depth interviews were conducted around topics such as views on COVID-19, the impact of the COVID-19 pandemic on mental health and coping during the COVID-19 pandemic. Data from the interviews was analysed using the Framework Analysis Approach.ResultsThe COVID-19 pandemic had a negative impact on the participants’ mental health as they experienced stress, depression, anxiety, trauma and paranoia. The majority of the participants explained that they managed their mental health by belief in God and religious practices, by keeping themselves busy doing activities they were passionate about, following government guidelines on the prevention of COVID-19, seeing the service users happy and some participants managed through support that was offered by the government. However, some participants did not have any support for their mental health.ConclusionIssues such as increased workload associated with COVID-19 restrictions engendered mental health problems among BAME care workers, however, the workload only further increased during the pandemic, but the health and social care sector was already affected by heavy workload due to staff shortages and this needs to be addressed through increasing their wages to encourage more people to work in the health and social care sector. In addition, some BAME care workers never received any support for their mental health during the pandemic. Hence, integrating mental health services such as counselling, supportive psychotherapy and recreational therapies in care homes could help to support the mental health of care workers in the COVID-19 era.

Effectiveness of auricular acupressure on constipation and related quality of life among the older people in the residential care home: a randomized clinical trial

IntroductionConstipation can be one of the biggest health problems for the older people that has negative effects on their quality of life. Some studies have reported that new non-pharmacological interventions such auricular acupressure have promising results in the management of constipation. This study was performed to investigate the effect of auricular acupressure on constipation and health-related quality of life in the older people living in the residential care home.MethodsSample of this randomized clinical trial consisted of 53 older people with chronic constipation living in a residential care home in the southeast of Iran (Kerman city). The participants were randomly assigned to intervention (n = 27) and control (n = 26) groups. Auricular acupressure was applied to seven auricular acupoints (large intestine, rectum, San Jiao, spleen, lung, sympathetic, and subcortex) using Vaccaria seeds for the intervention group and for the control group, seedless auricular plasters were used at the seven auricular acupoints for 10 days. Data were collected before the intervention, end of the intervention, and 10-day follow-up using demographic and clinical, Patient Assessment of Constipation-Symptom, and Patient Assessment of Constipation-Quality of Life questionnaires. The SPSS-22 software was used for data analysis.ResultsThe difference between groups and times was significant in constipation and related quality of life and scores. The mean score of constipation at the end of intervention was 0.41 less in the intervention group than the control group (P < 0.0001). This mean score, in the intervention group also on the 10-day follow-up was 0.09 less than the control group (P = 0.004), which indicates a decrease in the severity of constipation symptoms. In the intervention group, mean score of quality of life related to constipation at the end of intervention and the 10-day follow-up was 0.56 and 0.19 less than the control group (Decrease in the mean score of quality of life related to constipation indicates an improvement in the quality of life) (P < 0.0001).ConclusionThe results showed the positive effect of auricular acupressure on reducing the severity of constipation symptoms and improving the quality of life in old patients living in the residential care home. This non-pharmaceutical practice can be used by nurses as an inexpensive, safe, acceptable, and non-invasive nursing care for older people with constipation in homes, medical centers, or nursing homes.

A mixed methods study investigating the quality of urinary and faecal continence assessment and management in residential aged care: Challenges, implications and solutions.

Incontinence is one of the main reasons for institutionalisation into residential aged care. It is linked with increased falls, skin breakdown, depression, social isolation and impaired quality of life. Studies over the past decade have demonstrated poor-quality incontinence care, which has led to ongoing development of best practice guidelines and educational resources. This study investigated current practices, and staff and resident experiences with continence assessment and management, in comparison with best practice guidelines. This concurrent mixed methods study was conducted in a 120-bed residential aged care home. Secondary analysis of data from clinical records provided a snapshot of how continence was assessed and managed. Semistructured interviews with four staff and five residents explored their experiences to understand the impact of current practice on resident emotional well-being. Mixing methods allowed for comparison between quantitative and qualitative findings, enabling a deeper understanding. Findings from the two data sets were highly congruent and identified: (1) lack of communication with residents and family members about continence needs; (2) heavy reliance on product usage and limited other conservative strategies; (3) staff frustration at inability to respond to calls in a timely manner; and (4) positive staff-resident relationships protect resident emotional well-being. Current practices are not consistent with best practice guidelines, which raises the question as to why nothing has changed. We argue that a stronger focus on implementation underpinned by a relationship-centred approach is required to improve continence care practices among residential care staff, and the quality of life for adults living with incontinence.