Quality mobility care in nursing homes: A model of moderating and mediating factors to guide intervention development

Janice Taylor, Jane Sims, Terry P. Haines

Research output: Contribution to journalArticleResearchpeer-review

2 Citations (Scopus)

Abstract

The current qualitative study aimed to understand factors in mobility care to inform practice improvements. Data were collected at three nursing homes in Melbourne, Australia, via interviews with 10 senior staff and 15 residents, focus groups with 18 direct care staff, and observations of 46 mobility events. Thematic and content analysis of data occurred. Findings included factors (a) intrinsic to residents, (b) intrinsic to staff, and (c) extrinsic to residents and staff, such as equipment and organizational factors. A model describing associations between factors and their roles as moderators and mediators of resident mobility was generated. Staff assistance, residents’ mobility eff ort, and equipment used during mobility were posited as complete or partial mediators of resident mobility outcomes. Barriers that may compromise the quality of mobility care in nursing homes emerged. The model provides direction for improvements in mobility care that integrate safety, mobility optimization, and person- and relationship-centered care.

Original languageEnglish
Pages (from-to)284-291
Number of pages8
JournalResearch In Gerontological Nursing
Volume7
Issue number6
DOIs
Publication statusPublished - 1 Nov 2014

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