Hearing and vision care provided to older people residing in care homes: a cross-sectional survey of care home staff

Abstract Background Hearing and vision loss in older people has been proven to affect physical and mental health and increase the speed of cognitive decline. Studies have demonstrated that certain practices and improved staff knowledge increase the effective care of residents’ ears and eyes, yet it...

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Main Authors: Wendy Andrusjak, Ana Barbosa, Gail Mountain
Format: Article
Language:English
Published: BMC 2021-01-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-020-01959-0
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author Wendy Andrusjak
Ana Barbosa
Gail Mountain
author_facet Wendy Andrusjak
Ana Barbosa
Gail Mountain
author_sort Wendy Andrusjak
collection DOAJ
description Abstract Background Hearing and vision loss in older people has been proven to affect physical and mental health and increase the speed of cognitive decline. Studies have demonstrated that certain practices and improved staff knowledge increase the effective care of residents’ ears and eyes, yet it is not known which practices are being implemented in care homes. This study aimed to identify the gaps in staff knowledge regarding hearing and vision difficulties in older residents, and which practices known to improve ear and eye care in older care home residents are not commonly implemented in care homes in England. Methods This study used a cross-sectional survey design. Survey questions were informed by the existing literature and were focused on practices, staff knowledge, and other aspects that have shown to affect residents’ hearing and vision care. A convenience sample of care home staff were recruited from care homes across England between November 2018 and February 2019 via email and in paper format. Descriptive statistics and Chi-Square analysis were applied to identify the factors influencing the care being provided to care home residents. Results A total of 400 care home staff responded from 74 care homes. The results revealed that less than half of staff respondents reported to use screening tools to identify hearing (46%) and vision impairments (43.8%); that care homes rarely have access to other assistive devices for hearing (16%) and vision loss (23.8%), and that audiology services do not regularly assess care home residents (46.8%). A majority of staff who responded were not confident in ear and eye care. Responses were found to be influenced by the respondents’ job role, length of time working in care homes and also the care home type. Findings confirmed a lack of standardised practice and the importance of shared communication for promulgation of best practice. Conclusion This study has identified that some practices known to facilitate ear and eye care are not commonly applied in a sample of English care homes. It has also shown that care home staff knowledge of ear and eye care is inconsistent. The information derived from this survey can be used to inform guidelines for best practice and inform needs for future research.
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spelling doaj.art-1ca847d3c5aa44969dae8e76607356ec2022-12-21T22:10:25ZengBMCBMC Geriatrics1471-23182021-01-0121111310.1186/s12877-020-01959-0Hearing and vision care provided to older people residing in care homes: a cross-sectional survey of care home staffWendy Andrusjak0Ana Barbosa1Gail Mountain2Centre for Applied Dementia Studies, Faculty of Health Studies, University of Bradford, DementiaCentre for Applied Dementia Studies, Faculty of Health Studies, University of Bradford, DementiaCentre for Applied Dementia Studies, Faculty of Health Studies, University of Bradford, DementiaAbstract Background Hearing and vision loss in older people has been proven to affect physical and mental health and increase the speed of cognitive decline. Studies have demonstrated that certain practices and improved staff knowledge increase the effective care of residents’ ears and eyes, yet it is not known which practices are being implemented in care homes. This study aimed to identify the gaps in staff knowledge regarding hearing and vision difficulties in older residents, and which practices known to improve ear and eye care in older care home residents are not commonly implemented in care homes in England. Methods This study used a cross-sectional survey design. Survey questions were informed by the existing literature and were focused on practices, staff knowledge, and other aspects that have shown to affect residents’ hearing and vision care. A convenience sample of care home staff were recruited from care homes across England between November 2018 and February 2019 via email and in paper format. Descriptive statistics and Chi-Square analysis were applied to identify the factors influencing the care being provided to care home residents. Results A total of 400 care home staff responded from 74 care homes. The results revealed that less than half of staff respondents reported to use screening tools to identify hearing (46%) and vision impairments (43.8%); that care homes rarely have access to other assistive devices for hearing (16%) and vision loss (23.8%), and that audiology services do not regularly assess care home residents (46.8%). A majority of staff who responded were not confident in ear and eye care. Responses were found to be influenced by the respondents’ job role, length of time working in care homes and also the care home type. Findings confirmed a lack of standardised practice and the importance of shared communication for promulgation of best practice. Conclusion This study has identified that some practices known to facilitate ear and eye care are not commonly applied in a sample of English care homes. It has also shown that care home staff knowledge of ear and eye care is inconsistent. The information derived from this survey can be used to inform guidelines for best practice and inform needs for future research.https://doi.org/10.1186/s12877-020-01959-0NursingCare homeHearingVisionSensoryNursing home
spellingShingle Wendy Andrusjak
Ana Barbosa
Gail Mountain
Hearing and vision care provided to older people residing in care homes: a cross-sectional survey of care home staff
BMC Geriatrics
Nursing
Care home
Hearing
Vision
Sensory
Nursing home
title Hearing and vision care provided to older people residing in care homes: a cross-sectional survey of care home staff
title_full Hearing and vision care provided to older people residing in care homes: a cross-sectional survey of care home staff
title_fullStr Hearing and vision care provided to older people residing in care homes: a cross-sectional survey of care home staff
title_full_unstemmed Hearing and vision care provided to older people residing in care homes: a cross-sectional survey of care home staff
title_short Hearing and vision care provided to older people residing in care homes: a cross-sectional survey of care home staff
title_sort hearing and vision care provided to older people residing in care homes a cross sectional survey of care home staff
topic Nursing
Care home
Hearing
Vision
Sensory
Nursing home
url https://doi.org/10.1186/s12877-020-01959-0
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