Barriers and benefits to implementing a restorative care intervention in nursing homes.

2008 
Objectives This study considered the factors that facilitated or prevented nursing assistants (NAs) from engaging in restorative care activities. Design This was a qualitative study using a focus group methodology. Setting Study participants were recruited from 6 nursing homes. Participants Participants were nursing assistants (NAs) from a study testing the implementation of a restorative care intervention (Res-Care) study. Of the 244 NAs recruited from the 6 treatment sites, 179 were available at 12 months and 93 (52%) participated in the study. Measurement An interview guide was used during each of the focus groups. Data analysis was done using basic content analysis. Results Sixty-one codes were identified and reduced to 4 themes: facilitators of restorative care; barriers to restorative care; benefits of restorative care; and sustaining restorative care. Conclusion The findings provide an important NA perspective with regard to implementation of a restorative philosophy of care and provide recommendations for future work in this area.
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