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Batt-Rawden, Kari Bjerke, and Kristi Stedje. "Singing as a health-promoting activity in elderly care: a qualitative, longitudinal study in Norway." Journal of Research in Nursing 25, no. 5 (June 8, 2020): 404–18. http://dx.doi.org/10.1177/1744987120917430.
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Background The current standards of care of the older person recommend employing non-pharmacological approaches to challenges, including safe approaches to managing pain and stress, enhancing symptom relief, and fostering independent lifestyles with the highest quality of life possible. More research is needed to enable nurses and other medical staff to use singing and music-based interventions, to access singing-based programmes, and promote a greater use of choirs in nursing homes. A solid basis of positive experiences and feedback through evidence in practice is required to help promote support for such activities. Aims To identify, explore and describe experiences, attitudes, beliefs, issues, processes and changes among nurses, carers and leaders in reference to implementation of the educational programme ‘Singing Nursing Homes’, Norway. To increase knowledge and understanding of how an educational song programme could become an integral part of nursing practice and quality of care in nursing and care homes, and identify why this would be constructive. Since its inception in 2015, ‘Singing Norway’ wanted to offer a professional, evidence-based programme for nursing homes throughout the country. Methods A longitudinal, qualitative and explorative approach. In-depth interviews and focus group interviews of female employees ( n = 19) from three nursing homes in Norway, 2018. Results Nursing home employees perceived singing to have potential benefits for their patients, such as reducing uneasiness, increased comfort, well-being and joy, improved sleep, and believed singing had the potential to reduce the need for medication and prevent accidents among their patients. By facilitating opportunities for learning and practice, staff in nursing homes were able to use singing as part of their ‘art of caring’, enhancing environmental care for the older person. Singing was found to have positive effects for the patients, their relatives and the staff, which improved the psychosocial working climate overall. Conclusions Singing interventions could be a vital component for the enhancement of health, well-being and quality of life for the patients and staff in nursing homes.
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Batt-Rawden, Kari, and Marit Storlien. "Systematic Use of Music as an Environmental Intervention and Quality of Care in Nursing Homes: A Qualitative Case Study in Norway." Medicines 6, no. 1 (January 18, 2019): 12. http://dx.doi.org/10.3390/medicines6010012.
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Background: The systematic use of music as an environmental intervention in nursing homes shows beneficial effects on patients’ health, safety, and quality of life in a care-related perspective. A county in Norway and a Nursing Education Department in a region of Norway collaborated on the project “systematic use of music as environmental intervention and quality of care in nursing homes” for nursing students. Methods: This study from Norway (2017) had a qualitative and explorative approach. The sample (n = 33) was strategically and conveniently selected. Seven different focus group interviews consisted of nursing students, practice counselors, teachers, and project leaders, representing three nursing homes and healthcare centers. Passive observation lasting two days in each of the six departments was executed in order to observe environmental treatment in practice. Results: The beneficial aspects of using music as an environmental intervention in nursing homes increased among the students, and contributed to improved interaction, communication, and development of care with the patients. Students who participated actively in musical interaction such as improvisation, singing, and music listening with the patients were committed and motivated. The staff and management showed varied enthusiasm for the project. Conclusions: If the systematic use of music as environmental therapy and quality of care in elderly care is to be successful, it seems vital to include this theme early in nursing education. By creating early involvement among nurses, it might influence, inspire, and encourage involvement among employees and management.
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Bužgová, Radka, and Kateřina Ivanová. "Violation of ethical principles in institutional care for older people." Nursing Ethics 18, no. 1 (January 2011): 64–78. http://dx.doi.org/10.1177/0969733010385529.
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This study focuses on issues of elder abuse in residential settings. Violation of ethical principles is shown in the results of this quantitative study aimed at defining the extent, nature and causes of such abuse by employees’ unethical conduct towards clients in senior homes (i.e. residential nursing homes) in the Moravian-Silesian region of the Czech Republic. The research sample comprised 454 employees and 488 clients from 12 residential homes for older people. The data were collected from interviews with clients, who also received a questionnaire concerning their satisfaction with the institution. Two questionnaires were administered to the employees, one based on a pilot qualitative study and a second to investigate burnout. Outcomes were assessed according to the extent and form of elder abuse, the causes of elder abuse and the violation of basic ethical principles. The responses, in particular those of employees, revealed both psychological and physical abuse of older clients, and thus violation of two basic principles: respect for the person and non-maleficence. The group at risk of elder abuse comprised aggressive and dissatisfied clients, as well as those with mental problems and dementia. The employees most at risk of being abusers were those who had been employed in institutional care for more than five years, had inadequate knowledge about social services and suffered from burnout. The prevention of elder abuse is recommended to be through education focused on ethical principles, increasing employees’ satisfaction by promoting a friendly and safe organizational culture, and providing adequate working conditions.
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Галкин, К. А. "FEATURES OF THE FORMATION OF CARE FOR THE OLDERLY IN NON-STATE RESIDENTIAL HOMES." Успехи геронтологии, no. 5 (January 22, 2021): 870–78. http://dx.doi.org/10.34922/ae.2020.33.5.006.
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В статье рассматриваются особенности заботы и ухода за пожилыми людьми в двух кейсах, которые представляют собой частные дома-интернаты для людей старше 60 лет. В частности, рассматривается создание заботы в условиях альтернативных возможностей, организация альтернативной заботы о пожилых людях в таких учреждениях и особенности формирования подобной заботы. В исследовании рассмотрены вопросы о соотношении формальных (институциональных) норм заботы о пожилых людях и неформальных правил, которые создаются сотрудниками частных домов-интернатов для пожилых людей, имеющих ограниченную профессионализацию в сфере работы с людьми старше 60 лет. Роль неформальных правил в рамках создания заботы о пожилых людях важна с точки зрения расширения агентности пожилых людей и их инклюзии в социум. В исследовании проанализировано сочетание особенностей формальных и неформальных правил по осуществлению заботы. На примере двух кейсов, полуструктурированных интервью с сотрудниками и администрацией, волонтёрами частных домовинтернатов ( n =30) автор показывает, что забота, которая формируется в частных домах-интернатах для пожилых людей, может достаточно сильно отличаться в зависимости от расположения учреждения, особенностей сотрудников и их профессионализации. Для более глобального пространства крупного города регионального значения забота о пожилых людях оказывается чётко регламентированной различными нормами и стандартами. Особенности заботы частного дома-интерната в сельской местности заключаются в персонифицированной заботе и создании больших возможностей для активности пожилых людей. The article discusses the features of care and care for the older in two cases, which are private nursing homes for people over sixty years of age. In particular, is the creation of concern in terms of great opportunities, the organization of alternative care for older people in such institutions and how such concerns. The study examines the relationship between formal (institutional) norms of social care for the older and informal rules that are created by employees of private nursing homes for the older who have limited professionalization in the field of work with people over sixty years of age. The role of informal rules in creating care for older people is important in terms of including the agency of older people and their inclusion in society. The study analyzes the combination of features of formal and informal rules for the implementation of care. Using the example of two cases, semi-structured interviews with employees and administration, volunteers of private nursing homes ( n =30), the author shows that the care that is formed in private nursing homes for the older can differ quite significantly depending on the location of the institution, the characteristics of employees and their professionalization For a more global space of a large city of regional significance care for the elderly is clearly regulated by various norms and standards. Features of care of a private nursing homes in rural areas consist in personalized care and creating greater opportunities for the activities of older people.
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Jiang, Lin, Fei Sun, Robin Bonifas, and David Hodge. "Management challenges faced by administrators at dementia care nursing homes in China." Innovation in Aging 5, Supplement_1 (December 1, 2021): 944–45. http://dx.doi.org/10.1093/geroni/igab046.3413.
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Abstract Currently, more than 10 million Chinese older adults have been diagnosed with dementia, a number that is expected to increase as the population in China rapidly ages. Yet, little research exists on dementia care in Chinese long-term care facilities. Our research addresses this gap in the knowledge-base by examining the challenges nursing home directors encounter as well as the coping strategies they employ to deal with these challenges. Twenty-one facility directors employed by faith-based nursing homes across 14 provinces in China participated in this study. Semi-structured interviews were conducted in respondents’ native language via phone or in person. Most respondents reported a religious affiliation, and about half were female and had been facility directors for more than four years. Two researchers fluent in Mandarin and English coded interview transcripts; thematic analysis was conducted to identify patterns in the data. The results indicated four primary challenges, which pertained to recruiting and retaining nursing staff, funding, lacking support from the government, and conflicts with family members. The coping strategies included obtaining and using external resources such as volunteer visitors, operationalizing personal spiritual beliefs, and providing training to improve skills and empathy among employees. This study contributes to nursing home practice by expanding our knowledge of culturally relevant dementia management strategies in China. Suggestions to address management challenges from a policy and practical perspective include clear and sustainable financial support from the government, staff training, and staff-resident ratio regulations, seeking external resources, and integrating spiritual strategies into problem management and service quality improvement.
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Benders, Jos, Michiel Bal, and Lander Vermeerbergen. "Structure Please; Continuous Improvement and Employee Consequences in a Dynamic Task Environment." Sustainability 11, no. 20 (October 10, 2019): 5564. http://dx.doi.org/10.3390/su11205564.
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Whilst continuous improvement (CI) programs have had an enduring appeal for several decades, their sustainability has been a concern for almost as long. Sustaining a CI program requires permanent support of all its stakeholders, particularly of the most important ones—employees. Some authors argue that continuous improvement programs are beneficial for employee wellbeing, while others contest this. We contribute to the small empirical basis for such claims by presenting results from research among care workers in Flemish nursing homes. Questionnaires from 553 care workers in a nursing home applying continuous improvement and in a reference group of nine comparable homes were analyzed to study differences in job demands, job resources, burnout risk, and work engagement. In addition, we have drawn on interviews, site visits, and other qualitative data to assess the extent to which the differences found may be attributed to the CI program used. Overall, the care workers in the nursing home with the CI program evaluated their jobs as better than their colleagues in the reference group. These differences are at least partly caused by the continuous improvement program. We argue that the main effect is that over time, daily work processes become more structured. The work pressure decreases as work becomes less hectic.
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C. Bezboruah, Karabi, Darla Paulson, and Jason Smith. "Management attitudes and technology adoption in long-term care facilities." Journal of Health Organization and Management 28, no. 3 (June 10, 2014): 344–65. http://dx.doi.org/10.1108/jhom-11-2011-0118.
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Purpose – The purpose of this paper is to explore the attitudes of nursing home administrators and key managerial staff toward health information technology (health IT). Design/methodology/approach – This research is exploratory in nature, and applies qualitative case-study methodology to further understand health IT adoption by nursing homes through multiple in-depth semi-structured interviews of management, and direct observations of employee behavior at each participating facility. A modified Technology Acceptance Model is used to examine the attitudes and perceptions of administrators. Findings – This study finds that there are differences in the level of health IT adoption by nursing homes. While some administrators are aware of health IT and are implementing or updating their IT systems in a gradual but haphazard manner, others exhibited a lack of interest in implementing change. Overall, there is a lack of systematic planning and decision-making toward health IT adoption. Adoption is not evidence-based, instead driven primarily by real and perceived regulatory requirements combined with a lack of information about, or consideration of, the real costs and benefits of implementing health IT. Research limitations/implications – Including six in-depth case studies, the sample for this study is small for generalizing the findings. Yet, it contributes to the literature on the slow process of health IT adoption by nursing homes. Moreover, the findings provide guidelines for future research. Practical implications – This study demonstrates that nursing home administrators must systematically plan the adoption of health IT, and such decision making should be evidenced-based and participatory so that employees can voice their opinions that could prevent future resistance. Originality/value – This study is original and advances knowledge on the reasons for the slow adoption of health IT in nursing homes. It finds that lack of adequate information regarding the utility and benefits of health IT in management adoption decisions can result in haphazard implementation or no adoption at all. This finding has significant value for policy makers’ practitioners for improving accessibility of information regarding the use of health IT in nursing homes that could address the health IT adoption challenge in this industry.
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DePasquale, Nicole, Tori Crain, Orfeu M. Buxton, Steven H. Zarit, and David M. Almeida. "Tonight’s Sleep Predicts Tomorrow’s Fatigue: A Daily Diary Study of Long-Term Care Employees With Nonwork Caregiving Roles." Gerontologist 59, no. 6 (January 18, 2019): 1065–77. http://dx.doi.org/10.1093/geront/gny176.
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Abstract Background and Objectives Long-term care employees and employees with nonwork caregiving roles are at high risk for sleep problems and fatigue. Little is known, however, about relationships between sleep and fatigue among long-term care employees who occupy nonwork caregiving roles. This study examined whether longer sleep duration and better sleep quality reduce fatigue occurrence and severity within and between long-term care employees with nonwork caregiving roles, and investigated nonwork caregiving role occupancy as a moderator of these relationships. Research Design and Methods The sample comprised 166 women working in U.S.-based nursing homes. All women had children aged 9–17 years and some also had nonwork caregiving responsibilities for adult relatives. Sleep (duration and quality) and fatigue (occurrence and severity) were assessed via telephone interviews for eight consecutive evenings. Multilevel modeling was used to examine within-person and between-person associations. Results At the within-person level, nights characterized by longer-than-usual sleep duration or better-than-usual sleep quality were followed by days with lower odds of reporting fatigue; these same sleep characteristics predicted less severe next-day fatigue. At the between-person level, employees with better average sleep quality, but not longer sleep duration, had lower odds of experiencing fatigue. Relationships between sleep and fatigue were generally similar regardless of nonwork caregiving responsibilities for children or for both children and adults. Discussion and Implications Findings suggest that tonight’s sleep predicts tomorrow’s fatigue. Given the serious and wide-ranging consequences of fatigue, sleep constitutes a worthwhile intervention target with potential benefits for employees, care recipients, and organizations.
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Ree, Eline, Terese Johannessen, and Siri Wiig. "How do contextual factors influence quality and safety work in the Norwegian home care and nursing home settings? A qualitative study about managers’ experiences." BMJ Open 9, no. 7 (July 2019): e025197. http://dx.doi.org/10.1136/bmjopen-2018-025197.
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ObjectiveAlthough many contextual factors can facilitate or impede primary care managers’ work with quality and safety, research on how these factors influences the managers’ continuous improvement efforts is scarce. This study explored how primary care managers experience the impact of a variety of contextual factors on their daily quality and safety work.DesignThe study has a qualitative design. Nine semistructured qualitative interviews were conducted at the participants’ workplaces. Systematic text condensation was used for analysis.SettingFive nursing homes and three home care services in Norway.ParticipantsFemale primary care managers at different levels, working in different units and municipalities varying in size and location.ResultsThe participants cited the lack of time and money as a significant impediment to quality and safety, and these resources had to be carefully allocated. They emphasised the importance of networks and competence for their quality and safety work. Delegation of responsibility among employees helped create engagement, improved competence and ensured that new knowledge reached all employees. External guidelines and demands helped them to systematise their work and explain the necessity of quality and safety work to their employees, if they were compliant with daily clinical practice in the organisation.ConclusionsNumerous contextual factors influence the managers by determining the leeway that they have in quality and safety work, by setting the budgetary constraints and defining available competence, networks and regulation. At first glance, these factors appear fixed, but our findings underscore the importance of primary care managers acting on and negotiating the environment in which they conduct their daily quality and safety work. More research is needed to understand how these managers strategise to overcome the impediments to quality and safety.
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Indarwati, Retno, Rista Fauziningtyas, Gilang Dwi Kuncahyo, Rr Dian Tristiana, Chong Mei Chan, and Graeme D. Smith. "Palliative and end-of-life care’s barriers for older adults." Working with Older People 24, no. 1 (September 20, 2019): 72–80. http://dx.doi.org/10.1108/wwop-08-2019-0021.
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Purpose A nursing home is a place that is familiar with death, since many older adults will spend the latter part of their lives in such a setting. However, research on this topic is still limited, especially in Indonesia. The purpose of this paper is to explore the barriers to successful palliative and, more generally, end-of-life care (EOLC) for older adults in nursing homes and to explore nurses’ views on the subject. Design/methodology/approach The study is of a qualitative nature and it employs a phenomenological approach. In-depth interviews with 15 nurses who taken care of older adults in a nursing home were conducted. The data were analysed using thematic content analysis. Findings Barriers to effective EOLC include lack of knowledge, ineffectual communication and insufficient resources. Research limitations/implications Better policies are needed, especially in training related to palliative/EOLC subjects and equitable distribution of professional health workers to overcome the barriers. The government should also encourage collaboration involving hospitals, Puskesmas (Health Centre Services), community and resident care settings in sharing knowledge and skills, especially for nurses. Originality/value The barriers identified in palliative and EOLC have been found to be almost identical to those encountered in other health services.
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Jakobsen, Lena, Rose Mari Olsen, Berit Støre Brinchmann, and Siri Andreassen Devik. "Developing and Testing Digital Ethical Reflection in Long-Term Care: Nurses’ Experiences." SAGE Open Nursing 9 (January 2023): 237796082211507. http://dx.doi.org/10.1177/23779608221150725.
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Introduction Nurses working in municipal long-term care face ethical challenges that can lead to moral distress and discomfort for the nurse and affect the quality of patient care. Tools and methods that contribute to increased ethical awareness and support for nurses dealing with moral issues are lacking. Technological innovations may be suitable for ethics work, but little research has been conducted on how such solutions could be designed or their potential benefit. Therefore, this study contributes knowledge about the development and testing of a digital tool for ethics support among nurses. Objective To investigate how digital ethical reflection can support ethics work among nurses working in long-term care. Methods A digital ethical reflection tool was designed and tested in nursing homes and home nursing care in collaboration with two Norwegian municipalities. The study used sequential explanatory mixed-methods design. Over a 6-week period, at the end of each shift, nurses digitally reported the ethical challenges they had experienced. Their responses and experiences were described using descriptive statistics. Additionally, focus group interviews were conducted and analyzed using reflexive thematic analysis (TA). Results During the study period, 17 nurses reported a total of 223 registrations, with 24.8% stating that they had been in an ethically difficult situation. The digital reporting was perceived as practically applicable and helped to increase nurses’ awareness of morally charged situations. The value of the registrations was found to depend on manager participation and the application of the obtained information. The participating nurses become aware that they lacked an arena for meaningful dialogue with and recognition from their manager. Conclusions Information obtained through digital reflection can form the basis for ethical reflections at the departmental level. Digital reflection has the potential to become a tool for managers in their support for employees facing ethical challenges when providing long-term care.
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Boryczko, Marcin, and Anna Dunajska. "Remote social work during a pandemic. The example of Poland." Praca Socjalna 36, no. 1 (February 28, 2021): 45–69. http://dx.doi.org/10.5604/01.3001.0014.7775.
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Employees of social work centres and nursing homes have to deal with the consequences of the ever-increasing coronavirus pandemic. The problems faced by social workers during the pandemic became the subject of this study. The research aim was to identify the difficulties faced by social workers in their professional work during the coronavirus pandemic which began on 20 March 2020 in Poland. The method of the study was a computer-assisted survey and the tool applied was the electronic questionnaire as well asindividual in-depth interviews . The study concerned three areas: diagnosis of difficulties occurring in the professional work of employees in the area of work organisation; diagnosis of difficulties occurring in the area of work with the client or environment; collecting opinions on possible remote work carried out by social workers in the future. The survey was conducted in late August and early September 2020 and covered 432 respondents. The data gathering was based on purposive sample where the adopted criterion was employment in a social work centre or a specialist institution connected to social work. The most important problems indicated by the respondents were: lack of appropriate tools, place, as well as procedures and instructions for remote work, lack of support of superiors, increase in the scope of administrative and office duties, and strongly limited cooperation with other services and institutions. We also formulated a set of recommendations in the following areas: equipment, work organisation, support in the area of relations with the client, coordination of social services and institutions.
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Purnomo, Hari, Ayudyah Eka Apsari, and Anindya Agripina Hadyanawati. "Quality of life, health and environment in older adults." International journal of social sciences and humanities 3, no. 1 (April 22, 2019): 134–42. http://dx.doi.org/10.29332/ijssh.v3n1.272.
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There are 20.24 million elderly in Indonesia or 8.03% of the total population. Increasing age will cause a decline in psychic, physical abilities and suffer from various diseases. The speed of the aging process depends on heredity and external factors that damage the fitness and health of the body. Some perceptions assume that the age of the elderly is the age of labile moments indicated by perceptions that include hope, feeling control and emotional responses. Based on these elderly problems. The subjects and objects of this study were elderly who lived in nursing homes in Central Java and Yogyakarta with an age range of 60-90 years. The research data was obtained participatory by distributing questionnaires and open interviews conducted to caregivers, administrators, and the elderly themselves. The results showed that the environmental conditions, health conditions, and quality of life of the elderly had a significant influence on stress aging. But different things happen when viewed from each variable. The quality of life of the elderly has a significant effect on the significance value of 0.001. Environmental conditions and health conditions do not affect the level of stress with the significance value of 0.203 and 0.813.
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Devik, Siri Andreassen, Hilde Munkeby, Monica Finnanger, and Aud Moe. "Nurse managers’ perspectives on working with everyday ethics in long-term care." Nursing Ethics 27, no. 8 (July 15, 2020): 1669–80. http://dx.doi.org/10.1177/0969733020935958.
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Background: Nurse managers are expected to continuously ensure that ethical standards are met and to support healthcare workers’ ethical competence. Several studies have concluded that nurses across various healthcare settings lack the support needed to provide safe, compassionate and competent ethical care. Objective: The aim of this study was to explore and understand how nurse managers perceive their role in supporting their staff in conducting ethically sound care in nursing homes and home nursing care. Design and participants: Qualitative individual interviews were performed with 10 nurse managers with human resources responsibilities for healthcare workers in four nursing home wards and six home nursing care districts. Content analysis was used to analyse the data. Ethical considerations: The Norwegian Centre for Research Data granted permission for this study. Findings: The analysis resulted in seven subcategories that were grouped into three main categories: managers’ perception of the importance of the role, managers’ experiences of exercising the role and managers’ opportunities to fulfil the role. Challenges with conceptualizing ethics were highlighted, as well as lack of applicable tools or time and varying motivation among employees. Discussion: The leaders tended to perceive ethics as a ‘personal matter’ and that the need for and benefit of ethical support (e.g., ethics reflection) depended on individuals’ vulnerability, attitudes, commitment and previous experiences. The managers did not seem to distinguish between their own responsibility to support ethical competence and the responsibility of the individual employee to provide ethical care. Conclusions: Our findings suggest that nurse managers need support themselves, both to understand and to carry out their responsibilities to foster their staffs’ ethical conduct. Supporting staff in conducting ethically sound care requires more than organizing meeting places for ethical reflection; it also requires greater awareness and understanding of what ethical leadership means.
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Allison, Theresa A., Rafael T. Balbino, and Kenneth E. Covinsky. "Caring community and relationship centred care on an end-stage dementia special care unit." Age and Ageing 48, no. 5 (April 9, 2019): 727–34. http://dx.doi.org/10.1093/ageing/afz030.
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AbstractBackgroundof the estimated 1.4 million residents of US nursing homes, over half have dementia. In the final stages of dementia, caregiving is complicated by the inability of care recipients to speak intelligibly or express their needs.Aimto examine the ways in which a nursing home end-stage dementia special care unit (SCU) functioned as a caring community for people near the end of life.Research design and methodsa qualitative, ethnographic case study was conducted in a highly-regarded SCU. Over 175 hours of scheduled activity observations were completed over 2 years, bolstered by 30 hours of caregiving observations on the end-stage dementia unit and 19 interviews with SCU carers. Inductive coding was completed independently by two researchers, emerging themes reconciled by consensus, and qualitative analysis conducted iteratively until the endpoint of thematic saturation.Findingson the SCU, employees and volunteers fostered relationships based upon a model of family. They formed a caring community that included professionals, volunteers, friends and family. Relationships were supported through (1) the use of reminiscence to evoke intact long-term memories, (2) the use of verbal communication long after care-recipients could no longer speak and (3) the use of intentional nonverbal communication, including daily music, pet visits, and sensory stimulation.Conclusionsthrough detailed examination of daily life, this study identified articulated beliefs and observable behaviour through which to develop relationship-centred care in the context of end-stage dementia. The caring community offers primary source data for the development of mid-level theory and the generation of new hypotheses.
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Byon, Ha Do, Xiaoyue Liu, Mary Crandall, and Jane Lipscomb. "Understanding Reporting of Type II Workplace Violence Among Home Health Care Nurses." Workplace Health & Safety 68, no. 9 (April 16, 2020): 415–21. http://dx.doi.org/10.1177/2165079920910758.
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Background: Home health care nurses (HHNs) work alone in patients’ homes. They experience high rates of Type II (client/patient-on-worker) workplace violence (WPV); however, little is known about the extent and factors of their reporting. Methods: A convenience sample of employees aged 18 years and older and working as an HHN or management staff were recruited from a U.S. nonprofit home health care agency. To describe the extent of reporting of WPV events, an HHN survey was conducted. To identify the barriers and facilitators to reporting, two HHN focus groups were conducted, and management key informant interviews were employed. Findings: We recruited 18 HHNs and five management staff into the study. Almost all HHNs reported to management the most serious forms of violence they experienced, and that HHNs reported WPV when they perceived that reporting was beneficial (alerting other nurses and management) and supported by management staff. However, they were unwilling to report when it was perceived as disadvantageous (reliving the trauma), discouraged (by a norm that experiencing violence is a part of the job), unachievable (unstandardized reporting process), and ambiguous (uncertain of what is reportable). Management staff perceived a lack of standardized reporting processes as a barrier when responding to HHNs’ reporting. Conclusion/Application to Practice: High reporting was related to strong support from management. Policies and procedures should clearly define WPV, the threshold for reporting, how to report, and how management will respond to the reports.
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Szilagyi, S. Jean. "Staff Training and Stress in Long Term Care Facilities Special Care Units for Alzheimer's Elders." Magyar Gerontológia 13 (December 29, 2021): 43–44. http://dx.doi.org/10.47225/mg/13/kulonszam/10582.
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Objective:Special Care Units (SCU) in long term care health facilities are named to indicate "unique to diagnosis" or a level of care. The purpose of this study was to explore perceptions among caregivers and licensed nurses in selected nursing homes in Ohio and Pennsylvania and New York, as they pertained to the differences in care to Alzheimer's elders in SCUs. It examined the education and experience of staff and the satisfaction of this staff as it pertained to stress and wages.
Background:Long-term caregivers often experience stress, resulting in "burn-out" as a consequence of limited training, levels of care required, cognitive decline of elders and family expectations. The caregivers, on SCUs, environmentally designed for the elders with cognitive decline, need specialized training in the physical and mental dimensions of the various forms of dementia, Alzheimer's type.
Methods:The study used a qualitative research design with a survey questionnaire and one-on-one interviews with administrators and human resource directors. A pilot study of SCUs in Ohio and Pennsylvania and New York was initiated. The population was the employees of these SCU. The levels of employees questioned included: Executive director/Administrator, nurses, nurse aides, housekeepers and activities staff, laundry and social service workers. The procedure was standardized to enhance the reliability of the data. The respondents were notified in advance of the specific application of their answers and were afforded the opportunity to receive a monetary donation to the SCU of their respective facilities.An Eden Alternative Home, with a program of goals and missions characterizing enhancement of an elder's life, a home-like environment and family-centered staff and care, in a very rural area of Pennsylvania, was also engaged to contrast and compare the hypotheses of the study.
Results:On the SCU, less than 5 percent of the staff had received training specific to the care of the Alzheimer's elders. In the Eden Home, 100 percent of the staff had received training specific to the care of the Alzheimer's elders. On the SCU, less than 18 percent were satisfied with the quality and quantity of specialized and extensive training. In the Eden Home, 100 percent of the staff was satisfied with their specific training. On the SCU, using a Leiken scale, more than 55 percent felt that they should receive higher wages. In the Eden home, the results were the same. However, the longevity of the employees was 13.5 years as opposed to only 3.25 years in the SCU in other homes.
Conclusion:These findings suggest there is a need to examine, expand and intensify the training of all caregivers on a special unit for the elders afflicted with dementia, Alzheimer's type.
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Ellström, Eva, and Per-Erik Ellström. "Two modes of learning-oriented leadership: a study of first-line managers." Journal of Workplace Learning 30, no. 7 (September 10, 2018): 545–61. http://dx.doi.org/10.1108/jwl-03-2018-0056.
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Purpose The purpose of this study was to explore what learning-oriented leadership could mean in practice and to identify possible sources of variability in this leadership between first-line managers (FLMs). The empirical basis of the study comprised FLMs in nursing homes for elderly care. Design/methodology/approach The study was carried out using a sequential mixed-method design based on interviews, observations and documentary analysis. Findings The study contributes an in-depth analysis of two modes of learning-oriented leadership: development-oriented and production-oriented. The two orientations represent an open and enabling pattern versus a constraining and controlling pattern of leading and organizing employee learning and development. The observed differences in learning-oriented leadership between the FLMs were interpreted in terms of the demands–constraints–choices model proposed by Stewart (1982; 1989). Research limitations/implications Future research should include data from employees to analyze how the mode of learning-oriented leadership shapes the conditions and opportunities for learning at work. Practical implications Employee learning and development issues should be clearly linked to business strategies, and it is imperative that senior managers actively support and follow up on FLMs’ work with these issues. Furthermore, there is a strong need for training and development of FLMs – formal and informal – to improve their knowledge of and skills in leading and organizing workplace learning. Originality/value The study adds to previous research by elaborating what learning-oriented leadership could mean in practice and how it can be theoretically understood.
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Suyanto. "Job Shift of The Indonesian International Return Migrant in Central Java Province." E3S Web of Conferences 202 (2020): 07036. http://dx.doi.org/10.1051/e3sconf/202020207036.
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This study aims to explain: (i) shift jobs in Indonesian International Return Migrant (IIRM) between before and after becoming a international migrant; (ii) migrant jobs in the destination country and after returning to Indonesia; and (iii) duration of time as IIRM and number of countries of work. This study uses a theoretical framework of needs and stress theory. This study uses survey design and case studies and selected the location of studies in the Central Java. The determination of the sample size of this study uses the Krejcie and Morgan techniques. Based on the calculation results, the number of respondents in this study was 313 respondents. The number of informants for this study was 60 people. Data collection uses structured interview methods, in-depth interviews, and focus group discussions. Data analysis uses descriptive statistical analysis and qualitative descriptive analysis. The analysis showed that a significant shift in migrant worker occurred in the employment of labor who switched to trade, before working abroad as much as 22.7% to 9.3% and the trade sector from 4.8% to 20.4%, in addition to the agricultural sector (8.6% to 11.8%) and services (2.9% to 6.1%). The duration of time for migrants working abroad for more than 4 years is 50.8%. The main objective of international migration for Indonesian migrants is Southeast Asia, 38% and second, East Asia, which is almost 29%. The employment sector that absorbs the most labor in various destination countries is domestic work (69%), which includes 60% of domestic work (household work) and 8% in nursing homes. In addition, migrants work in the plantation sector, which is 6.5%. These three jobs are known as smelly, heavy and dangerous (S.H.D) or in Indonesia as bau, berat, bahaya (3B), which are usually a relatively for work force segment of low education.
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Setiaman, Sobur, Yuly Peristiowati, Rahmania Ambarika, and Yenny Puspitasari. "Work Motivation and Performance among Indonesia Nurses during Pandemic COVID-19 at Qatar." Saudi Journal of Nursing and Health Care 5, no. 7 (July 12, 2022): 130–40. http://dx.doi.org/10.36348/sjnhc.2022.v05i07.001.
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Introduction: Since March 11, 2020, the COVID-19 pandemic has disrupted social and business activities, resulting in many companies going out of business due to limited economic transactions. All health care sectors are required to performed COVID-19 screening before services are carried out and provide COVID-19 vaccination services. Aim: The purpose of this study was to describe the motivational experience and performance of Indonesian nurses working in Qatar during the pandemic COVID-19. Research Methods: This type of research is qualitative, using 15 Indonesian nurses as informants were working in Qatar. In Qatar there are 51 Indonesian nurses who are actively working as registered nurses. The research instruments used were interviews and recordings. Interviews with informants were conducted one by one. The data that has been entered into the Nvivo system, then a qualitative content analysis is carried out to find the matics related to work motivation and performance. Results: The results show that Indonesian nurses still want to work in Qatar until they retire for the following reasons: (1) getting a high salary, (2) being able to live as a family in Qatar, (3) there are opportunities for international standard school children in Qatar with free from the company, (4) get leave tickets for family members every year, and (5) get premium class health insurance for employees and their family members. The themes of work motivation found in Indonesian nurses who worked during the pandemic COVID-19 in Qatar were: (1) good financial support, (2) leadership support, (3) personal protective equipment support, (4) occupational health support, (5) work environment support, (6) family support, (7) work obligations, and (8) professional obligations. The performance of Indonesian nurses during the COVID-19 pandemic was demonstrated by: (1) working comfortably because personal protective equipment facilities were adequate and work facilities were quite comfortable even in the summer, (2) working by carrying out special work procedures in handling COVID-19, (3) work in accordance with working conditions, especially in the use of personal protective equipment, (4) work carefully when dealing with highly virulent infectious diseases, and (5) work professionally in accordance with nursing process standards. Conclusion: Indonesian nurses still want to work in Qatar due of getting a high salary and family living allowances in Qatar, being able to gather with family members and send their children to international school in Qatar. The themes of factors work motivation found in Indonesian nurses who work during the COVID-19 pandemic season in Qatar are: (1) financial support, (2) leadership support, (3) personal protective equipment support, (4) occupational health support, (5) work environment support, (6) family support, (7) work obligations, and (8) professional obligations. The performance of Indonesian nurses during the COVID-19 pandemic was shown by: (1) working in accordance with work procedures to carry out COVID-19 screening, (2) working wearing complete personal protective equipment, especially when dealing with patients with signs and symptoms of COVID-19, (3) work carefully in order to avoid exposure to infectious diseases from patients with COVID-19, (4) work in accordance with working conditions, this causes an additional burden and gets overtime pay if there is additional working hours and professional work in accordance with nursing professional standards.
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Groen-van de Ven, Leontine, Carolien Smits, Fuusje de Graaff, Marijke Span, Jan Eefsting, Jan Jukema, and Myrra Vernooij-Dassen. "Involvement of people with dementia in making decisions about their lives: a qualitative study that appraises shared decision-making concerning daycare." BMJ Open 7, no. 11 (November 2017): e018337. http://dx.doi.org/10.1136/bmjopen-2017-018337.
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ObjectiveTo explore how people with dementia, their informal caregivers and their professionals participate in decision making about daycare and to develop a typology of participation trajectories.DesignA qualitative study with a prospective, multiperspective design, based on 244 semistructured interviews, conducted during three interview rounds over the course of a year. Analysis was by means of content analysis and typology construction.SettingCommunity settings and nursing homes in the Netherlands.Participants19 people with dementia, 36 of their informal caregivers and 38 of their professionals (including nurses, daycare employees and case managers).ResultsThe participants’ responses related to three critical points in the decision-making trajectory about daycare: (1) the initial positive or negative expectations of daycare; (2) negotiation about trying out daycare by promoting, resisting or attuning to others; and (3) trying daycare, which resulted in positive or negative reactions from people with dementia and led to a decision. The ways in which care networks proceeded through these three critical points resulted in a typology of participation trajectories, including (1) working together positively toward daycare, (2) bringing conflicting perspectives together toward trying daycare and (3) not reaching commitment to try daycare.ConclusionShared decision making with people with dementia is possible and requires and adapted process of decision making. Our results show that initial preferences based on information alone may change when people with dementia experience daycare. It is important to have a try-out period so that people with dementia can experience daycare without having to decide whether to continue it. Whereas shared decision making in general aims at moving from initial preferences to informed preferences, professionals should focus more on moving from initial preferences to experienced preferences for people with dementia. Professionals can play a crucial role in facilitating the possibilities for a try-out period.
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Karlina, Desi. "Peran Guru Pendidikan Agama Islam dalam Pembinaan Sikap Spiritual dan Sosial di Sekolah Menengah Pertama." Tadabbur: Jurnal Peradaban Islam 3, no. 2 (October 27, 2021): 358–75. http://dx.doi.org/10.22373/tadabbur.v3i2.215.
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Globalization has resulted in a shift in human morals, marked by the many cases of moral deviations that are rife in various parts of Indonesia so that the application of spiritual attitudes has not been maximized. The attitude of dishonesty is shown by the number of students who cheat on the test, and the attitude of indiscipline is shown by the number of students who are late so that the application of social attitudes does not seem to be visible. The role of PAI teachers is considered quite important for the development of these two attitudes. At SMPN 1 Darussalam, PAI teachers have played a role in fostering spiritual and social attitudes. Big. This research was conducted with a field study using a qualitative descriptive method. Data collection techniques were carried out through interviews and documentation. The results showed the role of PAI teachers in fostering spiritual attitudes by praying before and after lessons, praying in congregation, doing charity activities every Friday, and religious activities. The role of PAI teachers in fostering social attitudes is carried out through social service activities, visiting the Disabled Foundation and nursing homes, getting used to the 3S (smile, greeting, greeting), reporting to the teacher what items are found, punishing students who are late. Factors supporting the role of Islamic Education teachers in fostering spiritual and social attitudes are seen from adequate school facilities in the form of female/male prayer rooms, learning media such as LCD, the use of active methods. While the inhibiting factors include the lack of adequate facilities, especially LCDs, the lack of interest in teachers and knowledge, and the lack of interest in students to improve themselves.
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Asante, Brigitte Lalude, Franziska Zúñiga, and Lauriane Favez. "Quality of care is what we make of it: a qualitative study of managers’ perspectives on quality of care in high-performing nursing homes." BMC Health Services Research 21, no. 1 (October 13, 2021). http://dx.doi.org/10.1186/s12913-021-07113-9.
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Abstract Background Leadership has a vital role regarding quality of care in nursing homes. However, few studies have explored upper-level managers’ views on how to assure that residents receive high quality of care. Therefore, this study’s aim was to examine how managers of top-quality nursing homes define, develop and maintain high-quality of care. Method We used interpretive description, an inductive, qualitative approach. Our research included 13 semi-structured interviews with 19 managers. We analyzed their input using reflexive thematic analysis, which is an iterative approach. Results Quality development and maintenance are cyclic processes. Managers in high-performing nursing homes lead with high commitment towards a person-centred quality of care, creating appropriate working conditions and continuously co-creating a vision and the realization of quality of care together with employees. Conclusions This study confirms that, in high-performing nursing homes, a person-centered approach—one where both residents and employees are at the center—is essential for quality development and maintenance. The most effective managers exemplify “person centeredness”: they lead by example and promote quality-focused working conditions. Such strategies motivate employees to provide person-centered care. As this means focusing on residents’ needs, it results in high care quality.
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Aase, Ingunn, Eline Ree, Terese Johannessen, Torunn Strømme, Berit Ullebust, Elisabeth Holen-Rabbersvik, Line Hurup Thomsen, Lene Schibevaag, Hester van de Bovenkamp, and Siri Wiig. "Talking about quality: how ‘quality’ is conceptualized in nursing homes and homecare." BMC Health Services Research 21, no. 1 (January 30, 2021). http://dx.doi.org/10.1186/s12913-021-06104-0.
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Abstract Background The delivery of high-quality service in nursing homes and homecare requires collaboration and shared understanding among managers, employees, users and policy makers from across the healthcare system. However, conceptualizing healthcare professionals’ perception of quality beyond hospital settings (e.g., its perspectives, defining attributes, quality dimensions, contextual factors, dilemmas) has rarely been done. This study therefore explores the meaning of “quality” among healthcare managers and staff in nursing homes and homecare. Methods The study applies a cross-sectional qualitative design with focus groups and individual interviews, to capture both depth and breadth of conceptualization of quality from healthcare professionals in nursing homes and homecare. We draw our data from 65 managers and staff in nursing homes and homecare services in Norway and the Netherlands. The participants worked as managers (n = 40), registered nurses (RNs) or assistant nurses (n = 25). Results The analysis identified the two categories and four sub-categories: “Professional issues: more than firefighting” (subcategories “professional pride” and “competence”) and “patient-centered approach: more than covering basic needs” (subcategories “dignity” and “continuity”). Quality in nursing homes and homecare is conceptualized as an ongoing process based on having the “right competence,” good cooperation across professional groups, and patient-centered care, in line with professional pride and dignity for the patients. Conclusion Based on the understanding of quality among the healthcare professionals in our study, quality should encompass the softer dimensions of professional pride and competence, as well as a patient-centered approach to care. These dimensions should be factors in improvement activities and in daily practice.
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André, Beate, Kjersti Grønning, Frode F. Jacobsen, and Gørill Haugan. "“Joy of life” in nursing homes. Healthcare personnel experiences of the implementation of the national strategy. A qualitative study with content analysis of interviews." BMC Health Services Research 21, no. 1 (August 4, 2021). http://dx.doi.org/10.1186/s12913-021-06801-w.
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Abstract Background Nursing homes are under strong pressure to provide good care to the residents. In Norway, municipalities have applied the ‘Joy-of-Life-Nursing-Home’ strategy to increase a health-promoting perception that focuses on the older persons` resources. Implementations represent introducing changes to the healthcare personnel; however, changing one’s working approaches, routines and working culture may be demanding. On this background, we explored how the ‘Joy-of-Life-Nursing-Home’ strategy is perceived by the employees in retrospective, over a period after the implementation and which challenges the employees experience with this implementation. Method We used a qualitative approach and interviewed 14 healthcare personnel working in nursing homes in one Norwegian municipality, which had implemented the ‘Joy-of-Life-Nursing-Home’ strategy. The analysis was conducted following Kvale’s approach to qualitative content analysis. Results The main categories were: (a) the characteristics of care activities before implementations of ‘Joy-of-Life-Nursing-Home’, (b) how ‘Joy-of-Life-Nursing-Home’ influenced the care activities, and (c) challenges with the implementation of ‘Joy-of-Life-Nursing-Home’. Some of the informants spoke well about the implementation concerning the care quality stating “to see the joy in the eyes of the resident then I feel we have succeeded”. For informants who experienced resistance toward the implementation, they felt it was too much to document, it was too complicated, and the requirements were too many. Conclusions Quality of care seems to have increased after the implementation, as perceived by the informants. Nevertheless, the fact that the informants seemed to be divided into two different groups related to their main perspective of the implementation is concerning. One group has positive experiences with the implementations process and the benefits of it, while the other group focuses on lack of benefits and problems with the implementation process. To understand what facilitates and hinders the implementation, research on contextual factors like work environment and leadership is recommended.
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Totcheva, Catherina Øverås, Janikke Solstad Vedeler, and Åshild Slettebø. "Forutsetninger for vellykket sosial innovasjon i sykehjem: ledernes perspektiv – en kvalitativ intervjustudie." Nordisk tidsskrift for helseforskning 15, no. 1 (March 4, 2019). http://dx.doi.org/10.7557/14.4645.
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Preconditions for successful social innovation in nursing homes: Managers' perspectives - a qualitative interview studyIn this article, we investigate preconditions for social innovation in institution-based elderly care in Norway and Denmark. The article draws on two semi-structured interviews and one focus-group interview. The interviewees are managers in elderly-care facilities that are known to be proficient with regards to innovation. The analysis point to three principles managers describe as being pertinent to successful social innovation. Firstly, an overall theme across the interviews was that the managers underscored the importance of eagerness and willingness to change as a prerequisite for innovation. Secondly, the managers claimed that another crucial condition to facilitate innovation is to involve the employees in both the negotiation and the implementation of innovation. Thirdly, the managers reported that they strive to create a learning environment, arguing that learning and social innovation are interrelated terms and should be treated as such.
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Hamzah, Amir. "The development of Sijangkrik (Sistem Informasi Jenjang Karir Perawat Klinik) in Supporting the Implementation of a Nurse Career Path System at Islamic Hospital Assyifa, Sukabumi." KnE Life Sciences, March 15, 2021, 584–93. http://dx.doi.org/10.18502/kls.v6i1.8654.
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The application of the Ministry of Health Regulation No. 40 regarding nursing career paths will significantly impact the nursing service system in Indonesia, helping to improve performance and professionalism in this sector. The career path system provides benefits to both the organization and the employees. However, there are at present obstaclessuch as a lack of supporting infrastructure, poor preparation, and a lot of technical work that needs to be carried out in implementing the career path system. This study proposes that an information system would help the application of a career path system to be more efficient and effective.The development of sijangkrik started with data collection using qualitative research to obtain data with the focus group discussion technique, interviews and documentation studies, followed by the information system development stage with the research and development (R and D) approach, of the 10 stages of the R and D process, researchers only until the 3rd stage, this is due to the limited time and resources the researcher has. Phase 3 is executed with the FAST method. In developing this system the researcher is assisted by a programmer.
Keywords: Research and Development, career path systems, employment information systems.
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Lindheim, Tone. "Ambiguous practices and conflicting interests: why immigrants end up in uncertain employment." Equality, Diversity and Inclusion: An International Journal ahead-of-print, ahead-of-print (January 5, 2021). http://dx.doi.org/10.1108/edi-02-2020-0046.
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PurposeThe aim of this study is to investigate why many immigrants end up in uncertain employment.Design/methodology/approachThe paper describes a qualitative case study of three nursing homes in Oslo (Norway), which investigates immigrant employment and recruitment-related practices. Practice theory is used as the theoretical and methodological framework. The study takes an ethnographic approach and combines participant observation, semi-structured shadowing, qualitative interviews and document review.FindingsThe recruitment practice, as it is accomplished, is different from the practice that is prescribed in the formal recruitment policy. The configuration of the recruitment-related practices locks in the recruitment practice and reproduces the social order. The net effect of the recruitment-related practices is that immigrant employees remain in uncertain employment.Research limitations/implicationsA practice-theoretical approach, analyzing organizational practices as they are accomplished in space and time and not as isolated activities defined by their purpose, provides a richer understanding of the complexity and connectedness of organizational practices. Combining practice theory and institutional perspectives, the paper demonstrates how normative and regulative mediators order and align related practices. The study demonstrates the importance of examining the configuration of practices to understand how the net effect of related practices affects those who dwell in them, in this case immigrants pursuing secure and stable employment.Originality/valueThis study contributes to the field of diversity management by using practice theory to explain why measures for enhancing immigrant employment may not have the intended effect because they are interwoven in a nexus of practices with conflicting interests that (un)intentionally undermine the measures.
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Muhammad Hendroyono, Farraas, and Neni Yulianita. "Manajemen Krisis Hotel Aston Kartika Grogol." Bandung Conference Series: Public Relations 2, no. 1 (January 20, 2022). http://dx.doi.org/10.29313/bcspr.v2i1.696.
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Abstract. This research discusses the crisis management of Aston Kartika Grogol Hotel, especially the role of Public Relations of Aston Kartika Grogol Hotel in dealing with the decrease in the number of visitors during the ‘New Normal’ Covid-19 period. As is well known, the Covid-19 pandemic began to plague Indonesia since March 2020. Based on direct directions from the Government of Republic Indonesia regarding breaking the covid-19 chain, which is increasingly spreading day after day, it is determined that every citizen to stay in their respective homes and carry out self quarantine. In order to comply with these government regulations, Aston Kartika Grogol Hotel is commited to carrying out a temporary closure of operations starting from April 1, 2020 until re-opening in June 2020. With the enactment of government regulations regarding the temporary closure of activities, the hotel business is one of the sectors affected by the crisis, many activities were canceled and had to lay off a number of employees. Hotel business people are required to rack their brains so that somehow the business continues to run even in the midst of the Covid-19 pandemic crisis. This study uses a qualitative research method with a descriptive analytical approach. Data collection methods used include interviews, observation and literature study. The purpose of this research is to study and analyze the role of Public Relations at Aston Kartika Grogol Hotel, crisis management strategies, and the role of media relations. By using analysis techniques and source triangulation. The results of this study found that the PR Manager carried out the operational stages of PR including, fact finding, planning and programming, taking action and communicating, and evaluating the program. In increasing public trust the PR Manager designed and enforced a fairly strict health protocol. Then do the exposure one of them through social media. Media Relations Hotel Aston Kartika Grogol plays a role in increasing visitor interest, so that publicity activities regarding news programs that are being implemented and require the dissemination of information widely to the public are carried out.
Abstrak. Penelitian ini membahas mengenai manajemen krisis Hotel Aston Kartika Grogol khususnya peran Public Relations Hotel Aston Kartika Grogol dalam menangani penurunan jumlah pengunjung di masa ‘New Normal’ Covid-19. Seperti yang diketahui, pandemi Covid-19 mulai mewabah di Indonesia sejak bulan Maret 2020. Berdasarkan arahan langsung dari Pemerintahan Republik Indonesia terkait memutus mata rantai covid-19 yang semakin hari penyebarannya semakin tinggi maka ditetapkan agar setiap warga negara untuk tetap tinggal dirumah masing-masing dan melakukan karantina mandiri. Demi menaati peraturan pemerintah tersebut, Hotel Aston Kartika Grogol berkomitmen untuk melakukan penutupan operasional sementara terhitung dari tanggal 1 April 2020 sampai kembali dibuka pada bulan Juni 2020. Dengan diberlakukannya peraturan pemerintah mengenai penutupan aktivitas sementara tersebut membuat bisnis perhotelan menjadi salah satu sektor yang terdampak krisis karena banyaknya kegiatan yang dibatalkan hingga harus merumahkan sejumlah karyawannya. Para pelaku bisnis hotel dituntut untuk memutar otak agar bagaimana pun caranya bisnis tetap berjalan meskipun ditengah krisis pandemi covid-19. Penelitian ini menggunakan metode penelitian kualitatif dengan pendekatan deskriptif analitis. Metode pengumpulan data yang digunakan meliputi wawancara, observasi, dan studi pustaka. Tujuan dari penelitian ini yaitu untuk mengkaji dan menganalisa peran Public Relations Hotel Aston Kartika Grogol, strategi manajemen krisis, dan peran media relations. Dengan menggunakan teknik analisis dan triangulasi sumber. Hasil penelitian ini ditemukan bahwa PR Manager melakukan tahapan operasional PR meliputi, fact finding, planning and programming, taking action and communicating, dan evaluating the program. Dalam meningkatkan kepercayaan publik PR Manager merancang dan memberlakukan protokol kesehatan yang cukup ketat. Kemudian dilakukannya exposure salahsatunya melalui media sosial. Media Relations Hotel Aston Kartika Grogol berperan dalam meningkatkan minat pengunjung, Sehingga aktivitas publisitas mengenai pemberitaan program yang sedang dilaksanakan dan membutuhkan penyebaran informasi secara luas kepada publik terjalankan.