P-439: Expectations and needs of close relatives when entering nursing homes: a phenomenological study

摘要

Introduction: Disagreements between families and nursing homes are frequent and constitute a real difficulty for managers, healthcare professionals, and residents living in these institutions. These conflicts form a potential source of behavioral problems and depression for residents and burnout for caregivers. The aim of this study was to understand expectations and needs of residents' relatives when entering a nursing home. Method: This is a phenomenological study. Voluntary close relatives from 6 French nursing homes were interviewed between February 13, 2017, and April 4, 2017. To assess regularities in the responses, the recorded interviews were conducted until the data were saturated. Each interview was entirely transcribed and analyzed manually and through a software. Results: 43 interviews were conducted. Relatives expect the nursing home to take care of their loved one in a manner that respects them in their "humanity". This study highlighted expectations rarely described, namely, the desire to be accompanied psychologically when entering the nursing home and to collaborate. Close relatives also want to learn about the health of their loved one and receive help finding a new place with their loved one. Key conclusions: Close relatives are waiting for Strengh-Based nursing [1] and a collaborative partnership, offering encouraging prospects for improving the quality of care for relatives upon entering the nursing home. In particular, they would like to see entry in several stages, psychological support and a training to understand Alzheimer disease.