Ohura T, Higashi T, Ishizaki T, Nakayama T. Occupation-based differences in shared perceptions of older resident needs within multidisciplinary care teams: a cross-sectional study of care workers, nurses, and therapists linked to older residents.
J Phys Ther Sci 2018;
30:866-873. [PMID:
29950782 PMCID:
PMC6016288 DOI:
10.1589/jpts.30.866]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2018] [Accepted: 03/27/2018] [Indexed: 11/24/2022] Open
Abstract
[Purpose] To examine whether the needs of older individuals are commonly understood by
multidisciplinary team members at elderly care facilities. [Subjects and Methods] A
questionnaire survey with care workers, nurses, and therapists linked to residents and
structured interviews with residents were conducted at eight facilities in Japan. The
questionnaire comprised 25 items regarding basic activities of daily living, instrumental
activities of daily living (IADL), environment and lifestyle (EL), and emotion. [Results]
The data of 88 residents (83.0% female, 86.4% aged ≥75 years) and 125 staff members (63
care workers, 36 nurses, and 26 therapists) were analyzed. Perceptions regarding the
subjective needs of residents differed significantly by occupation with regard to pace of
eating, pace of dressing, and freedom to brush at any time; shaving or putting on make-up;
personal space, role performance, and health exercises; and feeling good. All three
occupations underestimated the subjective needs of residents for household chores.
[Conclusion] Staff members had insufficient understanding of the subjective needs of
residents, with a tendency to underestimate IADL and EL needs. Perceived subjective needs
also differed by occupation. Sharing the understanding of subjective needs of older
individuals within multidisciplinary care teams is desired.
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