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Group and single‐subject evaluation of a programme to promote self‐care in elderly nursing home residents
Author(s) -
Blair Charles E,
Lewis Robert,
Vieweg Victor,
Tucker Robin
Publication year - 1996
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/j.1365-2648.1996.tb01027.x
Subject(s) - nursing , psychological intervention , nursing homes , medicine , test (biology) , nursing staff , psychology , paleontology , biology
Residents and staff of a nursing home in a metropolitan area were randomly assigned to three conditions to (a) test whether staff's use of operant behavioural management strategies (Condition 1) would cause a greater increase in residents' self‐care behaviour than staff's use of mutual goal setting (Condition 2) or routine nursing care (Condition 3), and (b) examine how useful group scores were, compared to individual scores, in determining change in individual residents' behaviour due to treatment In‐service training was provided to staff in Conditions 1 and 2 but not in Condition 3 Over a period of 22 weeks, nursing staff encouraged subjects to perform targeted self‐care tasks independently Data analysis indicated significantly greater change in self‐care behaviours for subjects in Condition 1 than for subjects in Conditions 2 and 3 However, visual inspection of data for each case revealed that individual scores were more useful than averages and differences between groups for determining the effectiveness of the clinical interventions