Volume 7, Issue 6, December 2018, Page: 296-303
Empowerment Improves Older Adults’ Rehabilitation in Homecare Settings
Britta Hørdam, Department of Nursing Education, University College Diakonissestiftelsen, Frederiksberg, Denmark
Kim Petersen, Department of Nursing Education, University College Diakonissestiftelsen, Frederiksberg, Denmark
Heidi Næsted Stuhaug, Department of Homecare Setting, Municipality of Frederiksberg, Frederiksberg, Denmark
Rikke Volmer Brandsen, Department of Homecare Setting, Municipality of Frederiksberg, Frederiksberg, Denmark
Merete Watt Boolsen, Department of Political Science, University of Copenhagen, Copenhagen, Denmark
Received: Nov. 19, 2018;       Accepted: Dec. 17, 2018;       Published: Jan. 16, 2019
DOI: 10.11648/j.ajns.20180706.23      View  40      Downloads  14
Abstract
Background: A study carried out in a public homecare setting aimed at determining older adults’ satisfaction with, evaluation of and attitudes toward personal hygiene by comparing a traditional bath with soap and water to a bath in which prepacked disposable washcloths were used. Based on the results, the purpose of this subsequent study was to refine our methodology in order to compare and identify older adults’ needs and choice of bathing procedure. Methodology: Twenty older adults completed two questionnaires and were interviewed before and after the bathing procedure just like the nurses. Baseline data regarding age, gender, type of housing, bath facilities, activities of daily living and self-rated health were obtained from one questionnaire and questions regarding the older adults' satisfaction with, evaluation of and attitudes toward personal hygiene from another. Nurses completed a questionnaire regarding their satisfaction with the two types of personal hygiene. Data regarding nurses' preferences and recommendations on traditional bath and prepacked disposable washcloths were obtained from another two questionnaires. On the original questionnaires satisfaction were rated using three possible answers. Questions regarding the number of minutes spent for the individual personal hygiene, description of the conditions under which the bath took place, and an evaluation of the ethical dimension were asked. Two questions clarified the bath recommended by nurses and patients, two questions were used to evaluate skin reactions to soap and water and prepacked disposable washcloths. In the refining process the rating of satisfaction was expanded as well as the evaluation of skin condition, the recommendation of either types of bathing procedure was specified. Ideas from the Most Significant Change model were incorporated into the nurses' questionnaire, and self-determination was incorporated in the revised questionnaire. Outcome: Overall, the older adults preferred to have their own individual choice of daily bathing procedure. The nurses’ choice and recommendation of prepacked washcloths was significant and motivated by concern for the older adults’ efforts, time spent and personal wellbeing. The questionnaires containing baseline data, nurses' preferences and recommendations on traditional bath, and prepacked disposable washcloths were considered sufficient for future studies. Specification of questions, expansions, more balanced scales and incorporation of older adults' self-determination increased the quality of the two questionnaires for future investigations. Conclusion: As this is the first and only study of nurses' and older adults’ attitude and experiences with two types of nurse-assisted baths in a homecare setting improved questionnaires have been prepared for further studies.
Keywords
Older Adults, Personal Hygiene, Prepacked Disposable Washcloths, Questionnaires, Clinical Research
To cite this article
Britta Hørdam, Kim Petersen, Heidi Næsted Stuhaug, Rikke Volmer Brandsen, Merete Watt Boolsen, Empowerment Improves Older Adults’ Rehabilitation in Homecare Settings, American Journal of Nursing Science. Vol. 7, No. 6, 2018, pp. 296-303. doi: 10.11648/j.ajns.20180706.23
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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