Evidence map›Paper›PMID 39231738›Full record

ArticleJournal of advanced nursing2025

Fostering a Trusting Relationship With Family in Dementia Special Care Units: A Participatory Action Research Project.

Nina Hovenga, Elleke Landeweer, Ivonne Lesman-Leegte, Sacha Van Twillert, Floor Vinckers, Sytse Zuidema, Carlo Leget

Abstract read
In one paragraph

Article in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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.

Nina HovengaDepartment of Primary- and Long-Term Care, University of Groningen, Faculty of Medical Sciences, University Medical Center Groningen, Groningen, The Netherlands.ORCID https://orcid.org/0000-0002-9352-7789
Elleke LandeweerDepartment of Primary- and Long-Term Care, University of Groningen, Faculty of Medical Sciences, University Medical Center Groningen, Groningen, The Netherlands.
Ivonne Lesman-LeegteDepartment of Primary- and Long-Term Care, University of Groningen, Faculty of Medical Sciences, University Medical Center Groningen, Groningen, The Netherlands.
Sacha Van TwillertUMC Staff Policy and Management Support, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Floor VinckersDepartment of Primary- and Long-Term Care, University of Groningen, Faculty of Medical Sciences, University Medical Center Groningen, Groningen, The Netherlands.ORCID https://orcid.org/0009-0005-5304-129X
Sytse ZuidemaDepartment of Primary- and Long-Term Care, University of Groningen, Faculty of Medical Sciences, University Medical Center Groningen, Groningen, The Netherlands.
Carlo LegetDepartment of Care Ethics, University of Humanistic Studies, Utrecht, The Netherlands.

Funding

ZonMw 854011002
6 · The paper itself

Abstract

aimTo explore experiences of nursing home staff in implementing self-designed interventions to foster trusting relationships with family in practice.

designThis qualitative study used a Participatory Action Research approach.

methodsData collection included focus groups (n = 15), interviews (n = 28) and observations (n = 5). A holistic narrative approach was used for data analysis, resulting in co-constructed narratives representing experiences of nursing home staff in implementing four different interventions in five Dutch dementia special care units in nursing homes. The data collection period began in August 2021 and ended in April 2022.

resultsNursing home staff implemented self-designed interventions to foster trusting relationships with family, including initiating informal conversations, sharing residents' 'happy' moments, discussing mutual expectations, and being more aware of families' emotional burdens. Identified facilitators emphasise the importance of reciprocity, familiarity, transparency, realistic goal setting and empathy. Identified barriers are related to moral uncertainty in balancing competing demands, conflicting social norms, prioritising hands-on care tasks over family contact and lack of courage to act.

conclusionNursing home staff conclude that their interventions contribute positively to building and maintaining a trusting relationship with families. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Sharing the narratives of nursing home staff with peers would support them in implementing interventions to foster trust. Regular Moral Case Deliberations can be used to address moral uncertainty. Collective dialogue among nursing home staff can be useful in establishing new social norms that prioritise family involvement. Conversation skills training can empower nursing home staff. IMPACT: Trust between nursing home staff and families can be improved by implementing the conducted interventions. REPORTING

methodThis report adheres to the standards for reporting qualitative research (COREQ). PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

Indexed as

DementiaFamilyNursing HomesProfessional-Family RelationsTrustAdultAgedFemaleFocus GroupsHumansMaleMiddle AgedNetherlandsQualitative Researchdementia special care unitfamily involvementnarrative analysisnursesnursing home staffparticipatory action researchtrust

Identifiers

PMID39231738
PMCPMC11896835

What OpenQuestion holds

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LicenceCC BY
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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.