Characteristics Associated with Relationship-Centred and Task-Focused Mealtime Practices in Older Adult Care Settings
Publication: Canadian Journal of Dietetic Practice and Research
4 April 2024
Abstract
Purpose: To assess care home and staff characteristics associated with task-focused (TF) and relationship-centred care (RCC) mealtime practices prior to the COVID-19 pandemic.
Methods: Staff working in Canadian and American care homes were invited to complete a 23-item online survey assessing their perceptions of mealtime care, with one item assessing 26 potential care practices from the Mealtime Relational Care Checklist (relationship-centred = 15; task-focused = 11) reported to occur in the home prior to the pandemic. Multivariate linear regression evaluated staff and care home characteristics associated with mealtime practices.
Results: Six hundred and eighty-six respondents completed all questions used in this analysis. Mean TF and RCC mealtime practices were 4.89 ± 1.99 and 9.69 ± 2.96, respectively. Staff age was associated with TF and RCC practices with those 40–55 years reporting fewer TF and those 18–39 years reporting fewer RCC practices. Those providing direct care were more likely to report TF practices. Dissatisfaction with mealtimes was associated with more TF and fewer RCC practices. Homes that were not making changes to promote RCC pre-pandemic had more TF and fewer RCC practices. Newer care homes were associated with more RCC, while small homes (≤49 beds) had more TF practices.
Conclusions: Mealtime practices are associated with staff and home factors. These factors should be considered in efforts to improve RCC practices in Canadian homes.
Résumé
Objectif. Évaluer les caractéristiques des établissements de soins et du personnel associées aux pratiques de soins centrées sur la tâche (CT) et sur la relation (CR) lors des repas avant la pandémie de COVID-19.
Méthodes. Du personnel travaillant dans des établissements de soins canadiens et américains a été invité à répondre à un sondage en ligne de 23 questions visant à évaluer ses perceptions quant aux soins offerts aux repas. L’une des questions évaluait 26 pratiques de soins potentielles de la Mealtime Relational Care Checklist [Liste de contrôle des soins relationnels aux repas] (CR = 15; CT = 11) rapportées comme ayant eu cours dans l’établissement avant la pandémie. Une régression linéaire multivariée a permis d’évaluer les caractéristiques du personnel et des établissements de soins associées aux pratiques propres aux repas.
Résultats. Six cent quatre-vingt-six répondants ont répondu à toutes les questions utilisées dans cette analyse. Le nombre moyen de pratiques CT et CR aux repas était de 4,89 ± 1,99 et de 9,69 ± 2,96, respectivement. L’âge du personnel était associé aux pratiques CT et CR, les 40-55 ans déclarant moins de pratiques CT et les 18-39 ans, moins pratiques CR. Les personnes qui prodiguaient des soins directs étaient plus susceptibles de rapporter des pratiques CT. L’insatisfaction à l’égard des repas était associée à plus de pratiques CT et à moins de pratiques CR. Les établissements qui n’apportaient pas de changements pour promouvoir les pratiques CR avant la pandémie comptaient plus de pratiques CT et moins de pratiques CR. Les établissements de soins plus récents comptaient plus de pratiques CR, tandis que les petits établissements (≤ 49 lits) comptaient plus de pratiques CT.
Conclusions. Les pratiques aux repas sont associées à des facteurs propres au personnel et à l’établissement. Ces facteurs devraient être pris en compte dans les efforts visant à améliorer les pratiques CR dans les établissements canadiens.
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Financial support: This research was funded by the Social Sciences and Humanities Research Council, file number 892-2020-0044.
Competing interests: The authors declare that they have no competing interests.
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Published In
Canadian Journal of Dietetic Practice and Research
Volume 85 • Number 2 • June 2024
Pages: 66 - 75
Editor: Naomi Cahill
History
Version of record online: 4 April 2024
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© 2024.
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VanessaTrincaMSc, Sarah A.WuPhD, HanaDakkakRD, MScFN, MaryamIraniparastPhD, AllisonCammerRD, PhD, ChristinaLengyelRD, PhD, Hannah M.O’rourkeRN, PhD, NatalieRoweMID, Susan E.SlaughterPhD, NatalieCarrierPhD, SuzanneQuiringRD, RuthHarvieRD, PhD, and HeatherKellerRD, PhD. 2024. Characteristics Associated with Relationship-Centred and Task-Focused Mealtime Practices in Older Adult Care Settings. Canadian Journal of Dietetic Practice and Research.
85(2): 66-75. https://doi.org/10.3148/cjdpr-2023-023
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