Geriatric nursing (New York, N.Y.) · 2026
Pilot testing the feasibility of the fostering positive care interactions for residents with dementia in pain (FPCI) intervention in nursing homes.
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McPherson Rachel, Resnick Barbara, Galik Elizabeth, Kim Haesung
Аннотация
PURPOSE/AIMS: Pain is common in nursing home (NH) residents with dementia, and those in pain are unfortunately more likely to receive more negative interactions from NH staff. The purpose of this study was to pilot test the feasibility of the Fostering Positive Care Interactions for Residents with Dementia in Pain (FPCI) intervention which is focused on engaging NH staff in positively interacting with residents with dementia in pain. A research nurse facilitator implemented the FPCI, which consisted of the following steps: (1) assessments of the nursing home environment and policies around facilitation of pain management and positive staff-resident care interactions; (2) staff education about ways to provide positive care interactions and pain assessment and management; (3) establishing facility goals related to pain management and staff-resident care interactions; and (4) ongoing mentoring, motivating, and role modeling of staff.
METHODS: The FPCI was implemented in one NH community using a single group pre-/post-test design. Delivery, receipt, and enactment of FPCI were assessed for feasibility.
RESULTS: Findings provide some preliminary support for the feasibility of the FPCI intervention. The intervention was delivered as intended, there was receipt based on staff knowledge tests, and enactment based on improvements in the NH environment and policies.
CONCLUSIONS/IMPLICATIONS: Future testing of the FPCI should include a longer timeline. Examining efficacy is needed to determine whether FPCI improves the quality of care interactions residents receive and reduces resident pain.
METHODS: The FPCI was implemented in one NH community using a single group pre-/post-test design. Delivery, receipt, and enactment of FPCI were assessed for feasibility.
RESULTS: Findings provide some preliminary support for the feasibility of the FPCI intervention. The intervention was delivered as intended, there was receipt based on staff knowledge tests, and enactment based on improvements in the NH environment and policies.
CONCLUSIONS/IMPLICATIONS: Future testing of the FPCI should include a longer timeline. Examining efficacy is needed to determine whether FPCI improves the quality of care interactions residents receive and reduces resident pain.