Evidence map›Paper›PMID 36750926›Full record

ArticleBMC geriatrics2023

Comparisons on factors affecting residents fulfilling self-determination in ethno-specific and mainstream nursing homes: a qualitative study.

Lily Xiao, Carolyn Gregoric, Sue Gordon, Shahid Ullah, Ian Goodwin-Smith, Eimear Muir-Cochrane, Sara Blunt

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Lily XiaoCollege of Nursing and Health Sciences, Flinders University, Bedford Park, Adelaide, South Australia, 5042, Australia. lily.xiao@flinders.edu.au.ORCID 0000-0002-4631-2443
Carolyn GregoricCollege of Nursing and Health Sciences, Flinders University, Bedford Park, Adelaide, South Australia, 5042, Australia.
Sue GordonFlinders University, Adelaide, Australia.
Shahid UllahCollege of Medicine and Public Health, Flinders University, Adelaide, Australia.
Ian Goodwin-SmithCollege of Business, Government & Law, Flinders University, Adelaide, Australia.
Eimear Muir-CochraneCollege of Nursing and Health Sciences, Flinders University, Bedford Park, Adelaide, South Australia, 5042, Australia.
Sara BluntKalyra Communities, Adelaide, South Australia, Australia.
Flinders University · AU

Funding

Flinders University IPSG2019
6 · The paper itself

Abstract

backgroundStudies revealed that supporting residents fulfilling self-determination is positively associated with their health, wellbeing and quality of life. Cross-cultural care poses significant challenges for nursing home residents to fulfil their self-determination in control of own care and maintaining meaningful connections with others. The aim of the study was to compare factors affecting residents fulfilling self-determination in ethno-specific and mainstream nursing homes.

methodsA qualitative descriptive approach was applied to the study. Culturally competent care and person-centred care were employed as guiding frameworks. Individual interviews or a focus group with residents and family members were conducted to collect data.

resultsIn total, 29 participants participated in the study. Three main themes were identified: communicating needs and preferences; mastering own care; and maintaining meaningful relationships. Each theme includes sub-themes that detail similarities and differences of factors affecting residents fulfilling self-determination in the two type nursing homes. Findings indicate that residents from both types of nursing homes experienced challenges to communicate their care needs and preferences in daily care activities. Moreover, residents or their representatives from both types of nursing homes demonstrated motivation and competence to master residents' care based on their individual preferences, but also perceived that their motivation was not always supported by staff or the nursing home environment. Residents' competence in mastering their care activities in ethno-specific nursing homes was based on the condition that they were given opportunities to use a language of choice in communication and staff and the nursing home demonstrated culturally competent care for them. In addition, ethno-specific nursing homes showed more recourse to support residents to maintain meaningful relationships with peers and others.

conclusionsCulturally competent care created by staff, nursing homes and the aged care system is a basic condition for residents from ethnic minority groups to fulfil self-determination. In addition, person-centred care approach enables residents to optimise self-determination.

Indexed as

EthnicityQuality of LifeAgedHumansMinority GroupsNursing HomesQualitative ResearchAged careCulturally competent careNursing homePerson-centred careSelf-determinationWorkforce issues

Identifiers

PMID36750926
PMCPMC9903278
OpenAlexW4319439089

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.