Educational interventions to empower nursing home residents: a systematic literature review - PubMed (original) (raw)

Educational interventions to empower nursing home residents: a systematic literature review

Daniela Schoberer et al. Clin Interv Aging. 2016.

Abstract

Purpose of the study: Health education is essential to improve health care behavior and self-management. However, educating frail, older nursing home residents about their health is challenging. Focusing on empowerment may be the key to educating nursing home residents effectively. This paper examines educational interventions that can be used to empower nursing home residents.

Methods: A systematic literature search was performed of the databases PubMed, CINAHL, CENTRAL, PsycINFO, and Embase, screening for clinical trials that dealt with resident education and outcomes in terms of their ability to empower residents. An additional, manual search of the reference lists and searches with SIGLE and Google Scholar were conducted to identify gray literature. Two authors independently appraised the quality of the studies found and assigned levels to the evidence reported. The results of the studies were grouped according to their main empowering outcomes and described narratively.

Results: Out of 427 identified articles, ten intervention studies that addressed the research question were identified. The main educational interventions used were group education sessions, motivational and encouragement strategies, goal setting with residents, and the development of plans to meet defined goals. Significant effects on self-efficacy and self-care behavior were reported as a result of the interventions, which included group education and individual counseling based on resident needs and preferences. In addition, self-care behavior was observed to significantly increase in response to function-focused care and reasoning exercises. Perceptions and expectations were not improved by using educational interventions with older nursing home residents.

Conclusion: Individually tailored, interactive, continuously applied, and structured educational strategies, including motivational and encouraging techniques, are promising interventions that can help nursing home residents become more empowered. Empowering strategies used by nurses can support residents in their growth and facilitate their self-determination. Further research on the empowerment of residents using empowerment scales is needed.

Keywords: empowerment; health education; older people; self-care activities; self-determination; self-efficacy.

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Figures

Figure 1

Figure 1

Flow diagram of study selection.

Figure 2

Figure 2

Summary of effective educational interventions to empower nursing home residents.

References

    1. Jeon MY, Jeong H, Petrofsky J, Lee H, Yim J. Effects of a randomized controlled recurrent fall prevention program on risk factors for falls in frail elderly living at home in rural communities. Med Sci Monit. 2014;20:2283–2291. - PMC - PubMed
    1. Hageman PA, Pullen CH, Hertzog M, Boeckner LS. Effectiveness of tailored lifestyle interventions, using web-based and print-mail, for reducing blood pressure among rural women with prehypertension: main results of the Wellness for Women: DASHing towards Health clinical trial. Int J Behav Nutr Phys Act. 2014;11:148. - PMC - PubMed
    1. Kuerbis AN, Yuan SE, Borok J, et al. Testing the initial efficacy of a mailed screening and brief feedback intervention to reduce at-risk drinking in middle-aged and older adults: the comorbidity alcohol risk evaluation study. J Am Geriatr Soc. 2015;62(3):321–326. - PMC - PubMed
    1. World Health Organization . Health education: theoretical concepts, effective strategies and core competencies. Cairo: Regional Office for the Eastern Mediterranean; 2012. [Accessed May 23, 2016]. Available from: http://applications.emro.who.int/dsaf/EMRPUB_2012_EN_1362.pdf.
    1. European Commission . Investing in health. Social Investment Package. Commission staff working document. Brussels: European Commission; 2013. [Accessed May 23, 2016]. Available from: http://ec.europa.eu/health/strategy/docs/swd_investing_in_health_en.pdf.

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