Care Goal Setting and Associated Factors: Semistructured Interviews with Multidisciplinary Care Providers in Facilities for Elderly People

Background: The purpose of this study was to identify care goals set by care providers, their associated factors, and assess the process of care goal setting in facilities for elderly people. Methods: Semistructured interviews were conducted with care providers (e.g., physicians, nurses, physical th...

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Main Authors: Tomoko Ohura, Akemi Takada, Takeo Nakayama
Format: Article
Language:English
Published: Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM) 2014-03-01
Series:International Journal of Gerontology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1873959814000040
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author Tomoko Ohura
Akemi Takada
Takeo Nakayama
author_facet Tomoko Ohura
Akemi Takada
Takeo Nakayama
author_sort Tomoko Ohura
collection DOAJ
description Background: The purpose of this study was to identify care goals set by care providers, their associated factors, and assess the process of care goal setting in facilities for elderly people. Methods: Semistructured interviews were conducted with care providers (e.g., physicians, nurses, physical therapists, occupational therapists, care managers, caregivers), and responses were qualitatively analyzed and categorized by content. Results: A total of 30 care providers from seven facilities were interviewed. Six themes emerged pertaining to care goals for elderly residents. “Daily care goals” and “long-term care goals” reflected the conditions of residents and their care goals. “Staff awareness of residents and work”, “relationships among care providers”, and “relationships between care providers and families of residents” influenced care goals. The categories “difficulty of setting care goals”, “difficulty of evaluation”, and “hesitancy in getting involved” were reflected in “conflicts and complaints about ideal care and the feasibility of setting goals”. Conclusion: Care providers were conflicted in care goal setting given the coexistence of long- and short-term care goals, both of which were influenced by several factors. In addition to the health conditions of residents, personnel structure and relationships among care providers and families affected the process of care goal setting.
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spelling doaj.art-e1182acc53ce4c44befd7c5c2912270f2022-12-22T00:10:51ZengTaiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)International Journal of Gerontology1873-95982014-03-0181121710.1016/j.ijge.2013.08.003Care Goal Setting and Associated Factors: Semistructured Interviews with Multidisciplinary Care Providers in Facilities for Elderly PeopleTomoko Ohura0Akemi Takada1Takeo Nakayama2Department of Health Informatics, Kyoto University School of Public Health, Kyoto, JapanDepartment of Cognitive and Behavioral Sciences, Graduate School of Human and Environmental Studies, Kyoto University, Kyoto, JapanDepartment of Health Informatics, Kyoto University School of Public Health, Kyoto, JapanBackground: The purpose of this study was to identify care goals set by care providers, their associated factors, and assess the process of care goal setting in facilities for elderly people. Methods: Semistructured interviews were conducted with care providers (e.g., physicians, nurses, physical therapists, occupational therapists, care managers, caregivers), and responses were qualitatively analyzed and categorized by content. Results: A total of 30 care providers from seven facilities were interviewed. Six themes emerged pertaining to care goals for elderly residents. “Daily care goals” and “long-term care goals” reflected the conditions of residents and their care goals. “Staff awareness of residents and work”, “relationships among care providers”, and “relationships between care providers and families of residents” influenced care goals. The categories “difficulty of setting care goals”, “difficulty of evaluation”, and “hesitancy in getting involved” were reflected in “conflicts and complaints about ideal care and the feasibility of setting goals”. Conclusion: Care providers were conflicted in care goal setting given the coexistence of long- and short-term care goals, both of which were influenced by several factors. In addition to the health conditions of residents, personnel structure and relationships among care providers and families affected the process of care goal setting.http://www.sciencedirect.com/science/article/pii/S1873959814000040care goalhealth care providersnursing home carequalitative analysisresidents
spellingShingle Tomoko Ohura
Akemi Takada
Takeo Nakayama
Care Goal Setting and Associated Factors: Semistructured Interviews with Multidisciplinary Care Providers in Facilities for Elderly People
International Journal of Gerontology
care goal
health care providers
nursing home care
qualitative analysis
residents
title Care Goal Setting and Associated Factors: Semistructured Interviews with Multidisciplinary Care Providers in Facilities for Elderly People
title_full Care Goal Setting and Associated Factors: Semistructured Interviews with Multidisciplinary Care Providers in Facilities for Elderly People
title_fullStr Care Goal Setting and Associated Factors: Semistructured Interviews with Multidisciplinary Care Providers in Facilities for Elderly People
title_full_unstemmed Care Goal Setting and Associated Factors: Semistructured Interviews with Multidisciplinary Care Providers in Facilities for Elderly People
title_short Care Goal Setting and Associated Factors: Semistructured Interviews with Multidisciplinary Care Providers in Facilities for Elderly People
title_sort care goal setting and associated factors semistructured interviews with multidisciplinary care providers in facilities for elderly people
topic care goal
health care providers
nursing home care
qualitative analysis
residents
url http://www.sciencedirect.com/science/article/pii/S1873959814000040
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AT takeonakayama caregoalsettingandassociatedfactorssemistructuredinterviewswithmultidisciplinarycareprovidersinfacilitiesforelderlypeople