Optimising mobility through the sit‐to‐stand activity for older people living in residential care facilities: A qualitative interview study of healthcare aide experiences

摘要

Aims and objectives To explore the experience of HCA s encouraging residents living in residential care to complete the sit‐to‐stand activity and to identify the strategies HCA s used to integrate the activity into their daily work routines. Background Decreased mobility in advanced ageing is further reduced when entering a residential care facility. Interventions such as the sit‐to‐stand activity have been shown to have a positive effect on the mobility of older people. There is evidence to suggest that healthcare aides are able to support residents to complete the sit‐to‐stand activity as part of their daily work routines; however, little is known about how healthcare aides actually do this with residents living in residential care. Design A qualitative interview study included seven purposively sampled HCA s working in residential care facilities. Semistructured interviews were analysed using inductive qualitative content analysis. Results The HCA s’ experience with the sit‐to‐stand activity was represented by the following four categories: Resident participation, Feeling misunderstood and disrespected, Time and workload, and Management involvement. HCA s identified three strategies to help them support residents to complete the sit‐to‐stand activity: Motivating residents, Completing activity in a group and Using time management skills. Conclusions HCA s reported some encouragement from managers and cooperation from residents to complete the sit‐to‐stand activity with residents; however, they also felt constrained by time limitations and workload demands and they felt misunderstood and disrespected. HCA s were able to identify several strategies that helped them to integrate the sit‐to‐stand activity into their daily routines. Implications for practice This study highlights the challenges and supportive factors of implementing the sit‐to‐stand activity into the daily work routine of HCA s. The study also identifies the strategic role of nurse managers when implementing interventions in residential care facilities.