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      Identifying personal beliefs of nursing staff about encouraging psychogeriatric nursing home residents in daily activities: A qualitative study

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          Abstract

          Aim

          To identify personal beliefs of Dutch nursing staff about encouraging psychogeriatric nursing home residents in daily activities.

          Design

          Qualitative study following COREQ guidelines.

          Methods

          Fifteen semi‐structured interviews with Dutch nursing staff of wards hosting psychogeriatric residents were conducted in Spring 2021. Data were systematically analysed through deductive coding analysis in NVivo.

          Results

          Most nurses indicated to encourage residents frequently to perform activities independently, although many also indicated to take over tasks habitually. Nurses seemed to show sufficient awareness, reflected by adequate knowledge of what encouraging residents entailed and insight in the risks of not encouraging residents. Nurses' motivation to encourage residents seemed high, reflected by expressing multiple advantageous and few disadvantageous beliefs and a high willingness to encourage residents. Managerial support was perceived ambiguous. Self‐efficacy was perceived high, although little time, staffing shortages and resistance of residents reduced self‐efficacy. Nurses were often unable to anticipate such situations and expressed the need of skills, e.g. patience.

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          Most cited references40

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          Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.

          Qualitative research explores complex phenomena encountered by clinicians, health care providers, policy makers and consumers. Although partial checklists are available, no consolidated reporting framework exists for any type of qualitative design. To develop a checklist for explicit and comprehensive reporting of qualitative studies (in depth interviews and focus groups). We performed a comprehensive search in Cochrane and Campbell Protocols, Medline, CINAHL, systematic reviews of qualitative studies, author or reviewer guidelines of major medical journals and reference lists of relevant publications for existing checklists used to assess qualitative studies. Seventy-six items from 22 checklists were compiled into a comprehensive list. All items were grouped into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. Duplicate items and those that were ambiguous, too broadly defined and impractical to assess were removed. Items most frequently included in the checklists related to sampling method, setting for data collection, method of data collection, respondent validation of findings, method of recording data, description of the derivation of themes and inclusion of supporting quotations. We grouped all items into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. The criteria included in COREQ, a 32-item checklist, can help researchers to report important aspects of the research team, study methods, context of the study, findings, analysis and interpretations.
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            The theory of planned behavior

            Icek Ajzen (1991)
            Organizational Behavior and Human Decision Processes, 50(2), 179-211
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              The Health Belief Model: a decade later.

              Since the last comprehensive review in 1974, the Health Belief Model (HBM) has continued to be the focus of considerable theoretical and research attention. This article presents a critical review of 29 HBM-related investigations published during the period of 1974-1984, tabulates the findings from 17 studies conducted prior to 1974, and provides a summary of the total 46 HBM studies (18 prospective, 28 retrospective). Twenty-four studies examined preventive-health behaviors (PHB), 19 explored sick-role behaviors (SRB), and three addressed clinic utilization. A "significance ratio" was constructed which divides the number of positive, statistically-significant findings for an HBM dimension by the total number of studies reporting significance levels for that dimension. Summary results provide substantial empirical support for the HBM, with findings from prospective studies at least as favorable as those obtained from retrospective research. "Perceived barriers" proved to be the most powerful of the HBM dimensions across the various study designs and behaviors. While both were important overall, "perceived susceptibility" was a stronger contributor to understanding PHB than SRB, while the reverse was true for "perceived benefits." "Perceived severity" produced the lowest overall significance ratios; however, while only weakly associated with PHB, this dimension was strongly related to SRB. On the basis of the evidence compiled, it is recommended that consideration of HBM dimensions be a part of health education programming. Suggestions are offered for further research.
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                Author and article information

                Contributors
                stan.vluggen@maastrichtuniversity.nl
                Journal
                Nurs Open
                Nurs Open
                10.1002/(ISSN)2054-1058
                NOP2
                Nursing Open
                John Wiley and Sons Inc. (Hoboken )
                2054-1058
                17 November 2022
                April 2023
                : 10
                : 4 ( doiID: 10.1002/nop2.v10.4 )
                : 2229-2239
                Affiliations
                [ 1 ] Department of Health Services Research Care and Public Health Research Institute Maastricht University Maastricht The Netherlands
                [ 2 ] Living Lab in Aging and Long‐Term Care Maastricht The Netherlands
                Author notes
                [*] [* ] Correspondence

                Stan Vluggen, PhD, Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, Duboisdomein 30, 6229 GT, Maastricht, The Netherlands.

                Email: stan.vluggen@ 123456maastrichtuniversity.nl

                Author information
                https://orcid.org/0000-0001-6870-5347
                Article
                NOP21473 NOP-2022-May-0807.R1
                10.1002/nop2.1473
                10006583
                36397286
                ac3d59e7-3afa-48d2-8f18-ce3b26fbf748
                © 2022 The Authors. Nursing Open published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 14 October 2022
                : 19 May 2022
                : 22 October 2022
                Page count
                Figures: 1, Tables: 1, Pages: 11, Words: 8299
                Categories
                Empirical Research Qualitative
                Empirical Research Qualitative
                Custom metadata
                2.0
                April 2023
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.2.6 mode:remove_FC converted:11.03.2023

                action,awareness,daily activities,function‐focused care,habit,motivation,nursing home residents,nursing staff,personal beliefs,psychogeriatric

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