Using Normalization Process Theory to Evaluate the Implementation of Montessori-Based Volunteer Visits Within a Canadian Long-Term Care Home.

Background and Objectives Montessori-based interventions (MBIs) have potential to improve the life quality of long-term care residents with dementia. In this study, we aimed to understand the processes by which staff integrated a volunteer-led MBI into practice within a special dementia care unit, a...

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Publicado en:Gerontologist Vol. 60; no. 1; pp. 182 - 193
Autores principales: Hunter, Paulette V, Thorpe, Lilian, Hounjet, Celine, Hadjistavropoulos, Thomas
Formato: Artículo
Publicado: Oxford University Press / USA Feb2020
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Acceso en línea:Ver este registro en EBSCOhost
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        atl: Using Normalization Process Theory to Evaluate the Implementation of Montessori-Based Volunteer Visits Within a Canadian Long-Term Care Home.
      aug:
        au:
          Hunter, Paulette V
          Thorpe, Lilian
          Hounjet, Celine
          Hadjistavropoulos, Thomas
        affil:
          Department of Psychology, St. Thomas More College
          Community Health & Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, Canada
          Department of Psychology, University of British Columbia, Vancouver, Canada
          Department of Psychology, University of Regina, Saskatchewan, Canada
      su:
        Canada
        Elder care
        Commitment (Psychology)
        Content analysis
        Interviewing
        Medical quality control
        Patient-professional relations
        Nursing
        Nursing care facilities
        Qualitative research
        Psychosocial factors
        Dementia
        Integrated health care delivery
        Research methodology
        Nursing home employees
        Quality assurance
      sug:
        subj:
          Elder care
          Commitment (Psychology)
          Content analysis
          Interviewing
          Medical quality control
          Patient-professional relations
          Nursing
          Nursing care facilities
          Qualitative research
          Psychosocial factors
          Canada
          Continuing Care Retirement Communities
          Nursing Care Facilities (Skilled Nursing Facilities)
          Community care facilities for the elderly
          Dementia
          Integrated health care delivery
          Research methodology
          Nursing home employees
          Quality assurance
      keyword:
        Behavior (i.e. wandering)
        D&I/Implementation science/Pragmatic trials
        Psychosocial
        Qualitative analysis: Thematic analysis
        Recreational therapy/Activities
        Behavior (i.e. wandering)
        D&I/Implementation science/Pragmatic trials
        Psychosocial
        Qualitative analysis: Thematic analysis
        Recreational therapy/Activities
      ab: Background and Objectives Montessori-based interventions (MBIs) have potential to improve the life quality of long-term care residents with dementia. In this study, we aimed to understand the processes by which staff integrated a volunteer-led MBI into practice within a special dementia care unit, and to explore staff members ' perceptions of associated strengths and limitations. Research Design and Methods This study relied on a qualitative descriptive design. Following a 3-month period of volunteer involvement, we conducted 21 interviews with staff members to document perceptions of the new program and subjected interview transcripts to qualitative content analysis, guided by normalization process theory. Results During the implementation of the volunteer-led MBI, staff members developed a shared understanding of the intervention, a sense of commitment, practical ways to support the intervention, and opinions about the value of the residents. Overall, we found that the volunteer-led MBI was quickly and successfully integrated into practice and was perceived to support both residents and staff members in meaningful ways. Nevertheless, some limitations were also identified. Discussion and Implications Volunteer-delivered MBIs are a useful adjunct to practice within a special dementia care unit. This article raises attention to some strengths and limitations associated with this approach.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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