O'Neill, BJ and Dwyer, T and Reid-Searl, K and Reid-Searl, KA, Nursing staff intentions towards managing deteriorating health in nursing homes: A convergent parallel mixed-methods study using the theory of planned behaviour, Journal of Clinical Nursing, 27, (5-6) pp. e992-e1003. ISSN 1365-2702 (2018) [Refereed Article]
© 2017 John Wiley & Sons Ltd.
Methods: Surveys and focus groups were conducted with nursing staff (n = 75) at a 94-bed nursing home at two points in time, prior to and following the implementation of a hospital avoidance program. The quantitative and qualitative data were analysed separately and merged during final analysis.
Results: Nursing staff had strong intentions, a positive attitude that became significantly more positive with the hospital avoidance program in place, and a reasonable sense of control; however, the influence of important referents was the strongest predictor of intention towards managing residents with deteriorating health. Support from a hospital avoidance program empowered staff and increased confidence to intervene.
Conclusions: The theory of planned behaviour served as an effective framework for identifying the strong influence referents had on nursing staff intentions around managing residents with deteriorating health. Although nursing staff had a reasonable sense of control over this area of their work, they believed they benefitted from a hospital avoidance program initiated by the nursing home.
Relevance to clinical practice: Managers implementing hospital avoidance programs should consider the role of referents, appraise the known barriers and facilitators and take steps to identify those unique to their local situation. All levels of nursing staff play a role in preventing hospitalisation and should be consulted in the design, implementation and evaluation of any hospital avoidance strategies.
|Item Type:||Refereed Article|
|Keywords:||hospitalisation; intention; nursing homes; nursing staff; psychological theory; subacute care; surveys and questionnaires.|
|Research Division:||Health Sciences|
|Research Field:||Aged care nursing|
|Objective Group:||Provision of health and support services|
|UTAS Author:||Reid-Searl, K (Professor Kerry Reid-Searl)|
|Web of Science® Times Cited:||7|
Repository Staff Only: item control page