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Title: Understanding the factors that influence the provision of 1:1 care in residential homes for older adults : an application of the theory of planned behaviour
Author: Rollinson, Rebecca
ISNI:       0000 0001 3534 1516
Awarding Body: Open University
Current Institution: Open University
Date of Award: 2001
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Objectives To use the theory of planned behaviour to explore the factors affecting the decision of professional carers to provide 1:1 care in residential homes for older adults. Design A cross sectional survey design was used to assess 102 carers in 17 residential homes. A small sample returned a repeat assessment allowing a longitudinal examination of the relationship between intention and actual behaviour. Methods A questionnaire was written in accordance with the theory of planned behaviour guidelines and developed through interviews with carers. Standardised questionnaires were used to assess resident ability, perceived involvement in decision making and the extent to which the homes were resident or institution focused. Results On average, carers intended to spend 27 to 45 minutes per shift providing 1:1 care. Perceived behavioural control was the strongest predictor of intention (accounting for 34% of the variance). Low resident ability level correlated with low perceived behavioural control and predicted a lower intention to provide 1:1 care. Perceived involvement correlated with perceived behavioural control but was not predictive of intention. Past behaviour retained predictive ability once the theory of planned behaviour components were accounted for. Conclusions Residential carers perceive factors within the resident and the organisation as barriers to 1:1 care. Carers may be less likely to provide 1:1 care to residents with lower ability levels, although methodological limitations restrict the conclusions that can be drawn. Future research could usefully consider the potentially habitual nature of 1:1 care.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
Keywords: Professional carers