The provision of person-centred care for care home residents with stroke: An ethnographic study

TY - JOUR

T1 - The provision of person-centred care for care home residents with stroke

T2 - An ethnographic study

AU - Stevens, Eleanor

AU - Clarke, Stephanie G.

AU - Harrington, Jean

AU - Manthorpe, Jill

AU - Martin, Finbarr C.

AU - Sackley, Catherine

AU - McKevitt, Christopher

AU - Marshall, Iain J.

AU - Wyatt, David

AU - Wolfe, Charles

N1 - Funding Information: This paper presents independent research funded/supported by The Dunhill Medical Trust (grant R537/0217), the National Institute for Health and Care Research (NIHR) Biomedical Research Centre at Guy's and St Thomas’ NHS Foundation Trust and King's College London, the NIHR Applied Research Collaboration South London, and the NIHR Policy Research Unit in Health & Social Care Workforce. IJM is funded by the UK Medical Research Council (MRC), through its Skills Development Fellowship programme, MR/N015185/. We would like to thank the residents, relatives, care home managers and staff who participated in the study. Funding Information: This paper presents independent research funded/supported by The Dunhill Medical Trust (grant R537/0217), the National Institute for Health and Care Research (NIHR) Biomedical Research Centre at Guy's and St Thomas’ NHS Foundation Trust and King's College London, the NIHR Applied Research Collaboration South London, and the NIHR Policy Research Unit in Health & Social Care Workforce. IJM is funded by the UK Medical Research Council (MRC), through its Skills Development Fellowship programme, MR/N015185/. We would like to thank the residents, relatives, care home managers and staff who participated in the study. Publisher Copyright: © 2022 The Authors. Health and Social Care in the Community published by John Wiley & Sons Ltd.

PY - 2022/11

Y1 - 2022/11

N2 - Care home residents with stroke have higher levels of disability and poorer access to health services than those living in their own homes. We undertook observations and semi-structured interviews (n = 28 participants) with managers, staff, residents who had experienced a stroke and their relatives in four homes in London, England, in 2018/2019. Thematic analysis revealed that residents' needs regarding valued activity and stroke-specific care and rehabilitation were not always being met. This resulted from an interplay of factors: staff's lack of recognition of stroke and its effects; gaps in skills; time pressures; and the prioritisation of residents' safety. To improve residential care provision and residents' quality of life, care commissioners, regulators and providers may need to re-examine how care homes balance safety and limits on staff time against residents' valued activity, alongside improving access to specialist healthcare treatment and support.

AB - Care home residents with stroke have higher levels of disability and poorer access to health services than those living in their own homes. We undertook observations and semi-structured interviews (n = 28 participants) with managers, staff, residents who had experienced a stroke and their relatives in four homes in London, England, in 2018/2019. Thematic analysis revealed that residents' needs regarding valued activity and stroke-specific care and rehabilitation were not always being met. This resulted from an interplay of factors: staff's lack of recognition of stroke and its effects; gaps in skills; time pressures; and the prioritisation of residents' safety. To improve residential care provision and residents' quality of life, care commissioners, regulators and providers may need to re-examine how care homes balance safety and limits on staff time against residents' valued activity, alongside improving access to specialist healthcare treatment and support.

KW - care homes

KW - nursing homes

KW - person-centred care

KW - qualitative research

KW - residential facilities

KW - stroke

UR - http://www.scopus.com/inward/record.url?scp=85134539785&partnerID=8YFLogxK

U2 - 10.1111/hsc.13936

DO - 10.1111/hsc.13936

M3 - Article

AN - SCOPUS:85134539785

SN - 0966-0410

VL - 30

SP - e5186-e5195

JO - Health and Social Care in the Community

JF - Health and Social Care in the Community

IS - 6

ER -