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Evaluation of the Restorative Care Education and Training Program for Nursing Homes*

Published online by Cambridge University Press:  31 March 2010

C. Shanthi Jacob Johnson ,
Anita M. Myers ,
Gareth R. Jones ,
Clara Fitzgerald ,
Darien-Alexis Lazowski ,
Paul Stolee ,
J.B. Orange ,
Nicole Segall  and
Nancy A. Ecclestone
C. Shanthi Jacob Johnson
Affiliation:
Canadian Centre for Activity and Aging School of Nutrition and Dietetics, Acadia University
Anita M. Myers
Affiliation:
Canadian Centre for Activity and Aging Department of Health Studies and Gerontology, University of Waterloo
Gareth R. Jones*
Affiliation:
Canadian Centre for Activity and Aging
Clara Fitzgerald
Affiliation:
Canadian Centre for Activity and Aging
Darien-Alexis Lazowski
Affiliation:
Canadian Centre for Activity and Aging Department of Health Studies and Gerontology, University of Waterloo
Paul Stolee
Affiliation:
Department of Health Studies and Gerontology, University of Waterloo Southwestern Ontario Regional Geriatric Program
J.B. Orange
Affiliation:
Canadian Centre for Activity and Aging School of Communication Science and Disorders, University of Western Ontario
Nicole Segall
Affiliation:
Canadian Centre for Activity and Aging
Nancy A. Ecclestone
Affiliation:
Canadian Centre for Activity and Aging
*
Requests for offprints should be sent to: / Les demandes de tirés-à-part doivent être addressées à : Gareth R. Jones, Canadian Centre for Activity and Aging, University of Western Ontario, London, ON, Canada. (ccaa@uwo.ca), www.ccaa-outreach.com, www.uwo.ca/actage
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Abstract

Restorative care attempts to break the cycle of dependency and functional decline in nursing homes by addressing individual resident needs. The Restorative Care Education and Training (RCET) Program consists of a five-week workshop and resource manual for both supervisory and direct care staff. This paper describes the RCET approach and presents the implementation, process, and quasi-experimental outcome evaluation findings with 42 residents from six intervention sites and six “wait-list” facilities who received usual care. Baseline data supported the fact that staff primarily targeted residents with substantial functional impairments. Over four months, residents who received restorative care improved significantly on several functional outcome indicators, while the comparison sample declined in several areas of functioning. Interviews with facility directors and participating staff provided direction for modifying the RCET and insight regarding opportunities and challenges when implementing restorative care activities in nursing homes.

Résumé

Les soins de rétablissement visent à rompre le cycle de la dépendance et du déclin fonctionnel dans les maisons de soins infirmiers en répondant aux besoins particuliers des divers résidents. Le programme RCET (Restorative Care Education and Training) comprend un atelier de cinq semaines ainsi qu'un manuel d'information destiné autant aux superviseurs qu'aux prestataires de soins directs. Ce document décrit l'approche du programme RCET et présente la mise en oeuvre, les procédés et les résultats d'une évaluation quasi-expérimentale portant sur 42 résidents qui ont reçu des soins réguliers dans six lieux d'intervention différents et six établissements de « liste d'attente ». Les données de base ont permis de confirmer que le personnel mettait surtout l'accent sur les résidents qui souffraient de handicaps fonctionnels substantiels. En quatre mois, les résidents qui ont reçu des soins de rétablissement ont vu plusieurs de leurs indicateurs relatifs aux résultats fonctionnels s'améliorer de façon considérable, tandis que dans le groupe de contrôle, les sujets voyaient plusieurs de leurs fonctions décliner. Les entrevues menées auprès de la direction de l'établissement et du personnel ayant participé à l'étude ont permis de dégager certaines orientations visant à modifier le programme RCET, ainsi que certaines perspectives relatives aux possibilités et aux défis à relever afin de mettre en oeuvre des activités de soins de rétablissement dans des maisons de soins infirmiers.

Keywords

restorative carenursing homesagingsoins de rétablissementcentre de soins infirmiers
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 24 , Issue 2 , Summer/Été 2005 , pp. 115 - 126
Copyright
Copyright © Canadian Association on Gerontology 2005

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Footnotes

*

This work was supported by the Ministry of Health, Long-term Care Division. This work has been reported, in part, at annual meetings of the Canadian Association of Gerontology and the Gerontology Society of America. The contributions of the Southwestern Ontario Regional Geriatric Program, the Alzheimer's Society of London and Middlesex, Fanshaw College, the project steering committee, and all the administrators, staff, and residents who took part are gratefully acknowledged.

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