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Ways That Families Engage with Staff in Long-Term Care Facilities*

  • James W. Gladstone (a1), Sherry L. Dupuis (a2) and Evelyn Wexler (a3)

Abstract

The purpose of this qualitative study was to explore styles of engagement used by families with staff in long-term care facilities. Data were gathered through personal interviews with 35 family members. Five styles of engagement were identified: positive, negative, peremptory, cautious, and limited. Factors associated with these different styles were also identified. Implications for practice are discussed.

Le but de cette étude qualitative était d'analyser les styles d'engagement auxquels les familles ont recours avec le personnel des établissements de soins prolongés. Des données ont été recueillies lors d'entrevues personnelles avec 35 membres de familles. Cinq styles d'engagement ont été dégagés: positif, négatif, péremptoire, prudent et limité. Les facteurs associés à ces divers styles ont aussi été déterminés. Les possibilités de leur mise en pratique font l'objet de discussion.

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Corresponding author

Requests for offprints should be sent to: / Les demandes de tirés-à-part doivent être adressées à : Professor James W. Gladstone, School of Social Work, KTH-319, McMaster University, 1280 Main Street West, Hamilton, ON L8S 4M4. (jwgladstone@rogers.com)

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*

The authors would like to thank the Alzheimer Society of Canada, Grant #00–5, for their generous support for conducting this research.

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References

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Aneshensel, C.S., Pearlin, L.I., Mullan, J.T., Zarit, S.H., & Whitlatch, C.J. (1995). Profiles in caregiving: The unexpected career. San Diego: Academic Press.
Bauer, M., & Nay, R. (2003). Family and staff partnerships in long-term care: A review of the literature. Journal of Gerontological Nursing, 29, 4653.
Blumer, H. (1969). Symbolic interactionism: Perspective and method. Englewood Cliffs, NJ: Prentice-Hall.
Bowers, B.J. (1988). Family perceptions of care in a nursing home. Gerontologist, 28, 361368.
Christensen, K.A., Stephens, M.A., & Townsend, A.L. (1998). Mastery in women's multiple roles and well-being: Adult daughters providing care to impaired parents. Health Psychology, 17, 163171.
Dearing, R.L., Barrick, C., Dermen, K.H., & Walitzer, K.S. (2005). Indicators of client engagement: Influences on alcohol treatment, satisfaction and outcomes. Psychology of Addictive Behaviors, 19, 7178.
Duncan, M.T., & Morgan, D.L. (1984). Sharing the caring: Family caregivers' views of their relationships with nursing home staff. Gerontologist, 34, 235244.
Dupuis, S.L., & Norris, J.E. (1997). A multidimensional and contextual framework for understanding diverse family members' roles in long-term care facilities. Journal of Aging Studies, 11, 297325.
Fine, G.A. (1992). Agency, structure, and comparative contexts: Toward a synthetic interactionism. Symbolic Interaction, 15, 87107.
Fiorentine, R., & Hillhouse, M.P. (1999). Drug treatment effectiveness and client-counsel or empathy: Exploring the effects of gender and ethnic congruency. Journal of Drug Issues, 29, 5974.
Fiorentine, R., Nakashima, J., & Anglin, M.D. (1999). Client engagement in drug treatment. Journal of Substance Abuse Treatment, 17, 199206.
Friedemann, M-L, Montgomery, R.J., Maiberger, B., & Smith, A.A. (1997). Family involvement in the nursing home: Family-oriented practices and staff-family relationships. Research in Nursing Health, 20, 527537.
Gaugler, J., Leitsch, S.A., Zarit, S.H., & Pearlin, L.I. (2000). Caregiver involvement following institutionalization: Effects of preplacement stress. Research on Aging, 22, 337359.
Gladstone, J.W., Dupuis, S.L., & Wexler, E. (2006). Changes in family involvement following a relative's move to a long-term care facility. Canadian Journal on Aging, 25, 93106.
Gladstone, J.W., & Wexler, E. (2000). A family perspective of family/staff interaction in long-term care facilities. Geriatric Nursing, 21, 1619.
Gladstone, J.W., & Wexler, E. (2002a). Exploring the relationships between families and staff caring for residents in long-term care facilities: Family members' perspectives. Canadian Journal on Aging, 21, 3946.
Gladstone, J.W., & Wexler, E. (2002b). The development of relationships between families and staff in long-term care facilities: Nurses' perspectives. Canadian Journal on Aging, 21, 217228.
Glaser, B.G., & Strauss, A.L. (1967). The discovery of grounded theory. New York: Aldine.
Gubrium, J.F., & Holstein, J.A. (1997). The new language of qualitative method. New York: University of Toronto Press.
Hertzberg, A., & Ekman, S-L (2000). “We, not them and us?” Views on the relationships and interactions between staff and relatives of older people permanently living in nursing homes. Journal of Advanced Nursing, 31, 614622.
Holstein, J.A., & Gubrium, J.F. (1995). The active interview. Thousand Oaks, CA: Sage.
Iwasiw, C., Goldenberg, D., Bol, N., & MacMaster, E. (2003). Resident and family perspectives. The first year in a long-term care facility. Journal of Gerontological Nursing, 29, 4556.
Jack, S., DiCenso, A., & Lohfeld, L. (2002). Opening doors: Factors influencing the establishment of a working relationship between paraprofessional home visitors and at-risk families. Canadian Journal of Nursing Research, 34, 5969.
Jaffe, D.J., Miller, E.M. (1994). Problematising meaning. In Gubrium, J.F., & Sankar, A. (Eds.), Qualitative methods in aging research (pp. 5164). Thousand Oaks, CA: Sage.
Joe, G.W., Simpson, D.D., Greener, J.M., & Rowan-Szal, G.A. (1999). Integrative modeling of client engagement and outcomes during the first 6 months of methadone treatment. Addictive Behaviors, 24, 649659.
Lee, C.D., & Ayon, C. (2004). Is the client–worker relationship associated with better outcomes in mandated child abuse cases? Research on Social Work Practice, 14, 351357.
Lincoln, Y.S., & Guba, E.G. (1985). Naturalistic inquiry. Newbury Park, CA: Sage.
Littell, J.H. (2001). Client participation and outcomes of intensive family preservation services. Social Work Research, 25, 103113.
Littell, J.H., & Tajima, E.A. (2000). A multilevel model of client participation in intensive family preservation services. Social Service Review, 74, 405435.
Luborsky, M.R. (1994). The identification and analysis of themes and patterns. In Gubrium, J.F., & Shankar, A. (Eds.), Qualitative methods in aging research (pp. 189210). Thousand Oaks, CA: Sage.
Macgowan, M.J. (2003). Increasing engagement in groups: A measurement based approach. Social Work with Groups, 26, 527.
Maas, M.L., Reed, D., Park, M., Specht, J.P., Schutte, D., Kelley, L.S., et al. (2004). Outcomes of family involvement in care intervention for caregivers of individuals with dementia. Nursing Research, 53, 7686.
Mathews, S.H. (1995). Gender and the division of filial responsibility between lone sisters and their brothers. Journal of Gerontology: Social Sciences, 50B, S312S320.
Mathews, S.H., & Heidorn, J. (1998). Meeting filial responsibilities in brothers-only sibling groups. Journal of Gerontology: Social Sciences, 53B, S278S286.
Montgomery, R.J.V. (1983). Staff–family relations and institutional care policies. Journal of Gerontological Social Work, 6, 2537.
Mobray, C.T., Cohen, E., & Bybee, D. (1993). The challenge of outcome evaluation in homeless services: Engagement as an intermediate outcome measure. Evaluation and Program Planning, 16, 337346.
Murphy, S.O. (1992). Using multiple forms of family data: Identifying pattern and meaning in sibling–infant relationships. In Gilgun, J.F., Daly, K., & Handel, G. (Eds.), Qualitative methods in family research (pp. 146171). Newbury Park, CA: Sage.
Pearlin, L.I., & Schooler, C. (1978). The structure of coping. Journal of Health and Social Behavior, 19, 221.
Pillemer, K., Hegeman, C.R., Albright, B., & Henderson, C. (1998). Building bridges between families and nursing home staff: The partners in caregiving program. Gerontologist, 38, 499503.
Port, C.L., Gruber-Baldini, A.L., Burton, L., Baumgarten, M., Hebel, J.R., Zimmerman, S.I., et al. (2001). Resident contact with family and friends following nursing home admission. Gerontologist, 41, 589596.
Reisinger, H.S., Bush, T., Colom, M.A., Agar, M., & Battjes, R. (2003). Navigation and engagement: How does one measure success? Journal of Drug Issues, 33(4), 777800.
Ross, M.M., Rosenthal, C.J., & Dawson, P.G. (1997). Spousal caregiving in the institutional setting: Task performance. Canadian Journal on Aging, 16, 5169.
Ryan, A. (2002). Transitions in care: Family carers' experiences of nursing home placement. Focus, 7, 324334.
Sandberg, J., Nolan, M.R., & Lundh, U. (2002). Entering a new world: Empathic awareness as the key to positive family/staff relationships in care homes. International Journal of Nursing Studies, 39, 507515.
Schwartz, A.N., & Vogel, M.E. (1990). Nursing home staff and residents' families role expectations. Gerontologist, 30, 4953.
Shuttlesworth, G., Rubin, A., & Duffy, M. (1982). Families versus institutions: Incongruent role expectations in the nursing home. Gerontologist, 22, 200208.
Simpson, D.D., Joe, G.W., Rowan-Szal, G., & Greener, J. (1995). Client engagement and change during drug abuse treatment. Journal of Substance Abuse, 7, 117134.
Spratt, T., & Callan, J. (2004). Parents' views on social work interventions in child welfare cases. British Journal of Social Work, 34, 199224.
Strauss, A., Corbin, J. (1994). Grounded theory methodology: An overview. In Denzin, N.K., & Lincoln, Y.S. (Eds.), Handbook of qualitative research (pp. 273285). Thousand Oaks, CA: Sage.
Strauss, A., & Corbin, J. (1998). Basics of qualitative research. Newbury Park, CA: Sage.
Turner, R.H. (1962). Role-taking: Process versus conformity. In Rose, A.M. (Ed.), Human behavior and social processes: An interactionist approach (pp. 2040). Boston: Houghton Mifflin.
Turner, R.H. (1968). Social roles: Sociological aspects. In Sills, D.L. (Ed.), International encyclopedia of the social sciences (pp. 552557). New York: Macmillan and Free Press.
Ward-Griffin, C. (2001). Negotiating care of frail elders: Relationships between community nurses and family caregivers. Canadian Journal of Nursing Research, 33, 6381.
Ward-Griffin, C. (2002). Boundaries and connections between formal and informal caregivers. Canadian Journal on Aging, 21, 205216.
Ward-Griffin, C., Bol, N., Hay, K., & Dashnay, I. (2003). Relationships between families and registered nurses in long-term-care facilities: A critical analysis. Canadian Journal of Nursing Research, 35, 150174.
Ward-Griffin, C., & McKeever, P. (2000). Relationships between nurses and family caregivers: Partners in care? Advances in Nursing Science, 22, 89103.
Whitlatch, C.J., Schur, D., Noelker, L.S., Ejaz, F.K., & Looman, W.J. (2001). The stress process of family caregiving in institutional settings. Gerontologist, 41, 462473.
Yatchmenoff, D.K. (2005). Measuring client engagement from the client's perspective in nonvoluntary child protective services. Research on Social Work Practice, 15, 8496.

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Ways That Families Engage with Staff in Long-Term Care Facilities*

  • James W. Gladstone (a1), Sherry L. Dupuis (a2) and Evelyn Wexler (a3)

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