‘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

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing Pub Date : 2025-03-08 DOI:10.1111/opn.70020

Rouven Brenner, Myrta Kohler, Shauna L. Rohner, Heidrun Gattinger

{"title":"‘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","authors":"Rouven Brenner, Myrta Kohler, Shauna L. Rohner, Heidrun Gattinger","doi":"10.1111/opn.70020","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Introduction</h3>\n \n <p>Worldwide, healthcare systems continue to evolve approaches to acute care delivery for older people. The Swiss healthcare system, for example, utilises Diagnosis-Related Groups (Swiss DRG) to structure hospital stays. This system creates opportunities to enhance post-acute care services that support functional recovery and independence. The ‘Home, Instead of Nursing Home’ project collaboratively developed an integrated programme that combines staff education with structured care delivery processes to enhance person-centred, rehabilitative care for older people in acute transitional care, emphasising autonomy and quality of life.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>The development process consisted of four steps: inter-professional workshops with healthcare professionals, interviews with residents of nursing homes providing acute transitional care and their relatives, data synthesis and programme development. Participants (<i>N</i> = 38) were individuals from three nursing homes, including healthcare professionals, residents and relatives. We conducted a thematic analysis to identify essential workshop and interview themes.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The analysis identified four main themes: promoting a person-centred, resource-oriented culture; implementing person-centred, resource-oriented care; fostering movement competence and developing a champion role. The derived programme for person-centred and resource-oriented care (PCC&ROC) consists of four pillars: PCC&ROC care culture, PCC&ROC care planning, movement promotion and coaching and consulting. We adapted the programme to the individual circumstances of the three nursing homes.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The programme integrates international best practices with a salutogenic perspective and the inclusion of residents and their relatives. It addresses the critical need for person-centred and resource-oriented care in the context of nursing home short-term care for older individuals, promoting autonomy and improving their quality of life. This research emphasises the importance of involving relevant stakeholders in evidence-based programme development to develop a programme tailored to the needs and challenges of the intended population.</p>\n </section>\n </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 2","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70020","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Older People Nursing","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/opn.70020","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction

Worldwide, healthcare systems continue to evolve approaches to acute care delivery for older people. The Swiss healthcare system, for example, utilises Diagnosis-Related Groups (Swiss DRG) to structure hospital stays. This system creates opportunities to enhance post-acute care services that support functional recovery and independence. The ‘Home, Instead of Nursing Home’ project collaboratively developed an integrated programme that combines staff education with structured care delivery processes to enhance person-centred, rehabilitative care for older people in acute transitional care, emphasising autonomy and quality of life.

Methods

The development process consisted of four steps: inter-professional workshops with healthcare professionals, interviews with residents of nursing homes providing acute transitional care and their relatives, data synthesis and programme development. Participants (N = 38) were individuals from three nursing homes, including healthcare professionals, residents and relatives. We conducted a thematic analysis to identify essential workshop and interview themes.

Results

The analysis identified four main themes: promoting a person-centred, resource-oriented culture; implementing person-centred, resource-oriented care; fostering movement competence and developing a champion role. The derived programme for person-centred and resource-oriented care (PCC&ROC) consists of four pillars: PCC&ROC care culture, PCC&ROC care planning, movement promotion and coaching and consulting. We adapted the programme to the individual circumstances of the three nursing homes.

Conclusion

The programme integrates international best practices with a salutogenic perspective and the inclusion of residents and their relatives. It addresses the critical need for person-centred and resource-oriented care in the context of nursing home short-term care for older individuals, promoting autonomy and improving their quality of life. This research emphasises the importance of involving relevant stakeholders in evidence-based programme development to develop a programme tailored to the needs and challenges of the intended population.

Abstract Image

查看原文本刊更多论文

在世界范围内，医疗保健系统继续发展老年人急性护理的方法。例如，瑞士医疗保健系统利用诊断相关小组（瑞士DRG）来安排住院时间。该系统为加强支持功能恢复和独立的急症后护理服务创造了机会。“家，而不是养老院”项目合作开发了一个综合计划，将员工教育与结构化的护理提供过程相结合，以加强以人为本的康复护理，为急性过渡护理的老年人提供康复护理，强调自主性和生活质量。方法开发过程包括四个步骤：与卫生保健专业人员进行专业间研讨会，与提供急性过渡护理的养老院的居民及其亲属进行访谈，数据综合和方案开发。参与者（N = 38）是来自三家养老院的个人，包括医疗保健专业人员、居民和亲属。我们进行了专题分析，以确定重要的研讨会和访谈主题。结果分析确定了四个主题：促进以人为本、资源导向的文化；实施以人为本、以资源为导向的护理；培养运动能力，培养冠军角色。以人为本与资源导向的照护衍生计划（pcc&roc）包含四个支柱：pcc&roc照护文化、pcc&roc照护计划、运动推广、辅导与咨询。我们根据三间疗养院的个别情况调整了计划。该方案结合了国际最佳实践，从有益健康的角度出发，并纳入了居民及其亲属。它解决了在养老院为老年人提供短期护理的背景下，以人为中心和资源导向的护理的关键需求，促进了自主性和改善了他们的生活质量。这项研究强调了让相关利益相关者参与以证据为基础的方案制定的重要性，以制定针对目标人群的需求和挑战的方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.