Multi-Level Factors Associated with Relationship-Centred and Task-Focused Mealtime Practices in Long-Term Care: A Secondary Data Analysis of the Making the Most of Mealtimes Study.

IF 1.7 4区医学 Q3 GERONTOLOGY Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2023-12-01 Epub Date: 2023-06-06 DOI:10.1017/S0714980823000156

Sarah A Wu, Jill M Morrison-Koechl, Carrie McAiney, Laura Middleton, Christina Lengyel, Susan Slaughter, Natalie Carrier, Minn-Nyoung Yoon, Heather H Keller

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引用次数: 1

Abstract

Abstract Mealtimes in long-term care (LTC) can reinforce relationships between staff and residents through relationship-centred care (RCC) practices; however, meals are often task-focused (TF). This cross-sectional study explores multi-level contextual factors that contribute to RCC and TF mealtime practices. Secondary data from residents in 32 Canadian LTC homes were analyzed (n = 634; mean age 86.7 ± 7.8; 31.1% male). Data included resident health record review, standardized mealtime observation tools, and valid questionnaires. A higher average number of RCC (9.6 ± 1.4) than TF (5.6 ± 2.1) practices per meal were observed. Multi-level regression revealed that a significant proportion of variation in the RCC and TF scores was explained at the resident- (intraclass correlation coefficient [ICC]RCC = 0.736; ICCTF = 0.482), dining room- (ICCRCC = 0.210; ICCTF = 0.162), and home- (ICCRCC = 0.054; ICCTF = 0.356) levels. For-profit status and home size modified the associations between functional dependency and practices. Addressing multi-level factors can reinforce RCC practices and reduce TF practices.

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与长期护理中以关系为中心和以任务为中心的用餐时间实践相关的多层次因素:充分利用用餐时间研究的二次数据分析。

长期护理（LTC）可以通过以关系为中心的护理（RCC）实践来加强员工和居民之间的关系；然而，膳食往往是以任务为中心的。这项横断面研究探讨了有助于RCC和TF用餐时间实践的多层次背景因素。对32所加拿大长期护理院的居民的二次数据进行了分析（n=634；平均年龄86.7±7.8；31.1%为男性）。数据包括居民健康记录审查、标准化用餐时间观察工具和有效问卷。观察到每餐RCC的平均数量（9.6±1.4）高于TF（5.6±2.1）。多水平回归显示，RCC和TF评分的显著差异在居民水平（组内相关系数[ICC]RCC=0.736；ICCTF=0.482）、餐厅水平（ICCRCC=0.210；ICCTF=0.162）和家庭水平（ICCRC=0.054；ICCTF=0.356）上得到了解释。对于利润状况和家庭规模，修改了功能依赖性和实践之间的关联。解决多层次因素可以加强RCC实践，减少TF实践。

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来源期刊

Canadian Journal on Aging-Revue Canadienne Du Vieillissement GERONTOLOGY-

CiteScore

3.40

自引率

5.30%

发文量

109

期刊介绍： The Canadian Journal on Aging/La Revue canadienne du vieillissement (CJA/RCV) promotes excellence in research and disseminates the latest work of researchers in the social sciences, humanities, health and biological sciences who study the older population of Canada and other countries; informs policy debates relevant to aging through the publication of the highest quality research; seeks to improve the quality of life for Canada"s older population and for older populations in other parts of the world through the publication of research that focuses on the broad range of relevant issues from income security to family relationships to service delivery and best practices.