Table 2 List of final themes and subthemes according to resident or staff interview data
RESIDENTS were interviewed at baseline (n = 32) and 6 months (n = 22) | FINAL THEMES | STAFF (n = 13) | ||
|---|---|---|---|---|
Main Themes | Sub Themes | Main Themes | Sub Themes | |
Life before coming to the nursing home | • Living in different accommodations (e.g. shelters, boarding houses, hostels) • Professional life • Living in Social housing • Living a homeless life • Living in different nursing homes | THEME 1 Challenges in providing care for older people subject to homelessness with high care needs | Challenges in the job | • Resident behaviour: o Additional roles needed o Additional resources needed o Good support received within the organisation • English as second language - Barrier for in depth conversations |
Events that could have determined the shift to homelessness | • Drinking problems • Break up in the family • Let down by the system • Reasons why people choose to live a homeless life • Suggestions to end homelessness | |||
Family and social connections | • Family link • Social links with friends | |||
Paths of referral to the nursing home | • Reasons behind their referral: health deteriorated • Who helped with the transfer to the nursing home • Path of referral - from hospital [to respite] to a nursing home | THEME 2 Defining an aged care service that supports older people subject to homelessness with high care needs | Referral mechanisms | • How are the admission criteria supporting homeless people • Finding the right match between new residents and current residents • No appropriate referrals from homelessness agencies • How are the residents assessed before being accepted • The main feeder is the hospital • Admission criteria have been tweaked since the opening • The aim is to target high care and palliative care needs • Relations with external services (hospital, agencies) |
Themes that have been discussed but still need to be clarified | • Defining the aims of this service within the organisation • Debate within the organisation about the service offered and its targets | |||
Life after coming to the nursing home | • Positive comments about living at the home - after 6 months • Life after coming to the nursing home - expectations not met • Interaction with other residents • Activities in the home • Health improved • Expectation met • Financial issues • Sense of purpose | THEME 3 Perception of the impact of living and working in a nursing home after 6 and 12 months (respectively) since its opening | Reward, motivation, satisfaction | • Rewarding aspect of the job • Motivations to stay in the job • Satisfaction with the job |
Interactions with staff | • Positive views of staff • Negative views of staff • Cultural differences of staff | Supporting the residents | • Supporting the residents’ sense of purpose • Spiritual care | |
Living in a nursing home - perspectives | • Different perspectives around food • Comments about living in a nursing home - expectation and reality • Residents’ personal goals • Suggestions for improvement | Working with homeless residents - what makes a good carer | • Personal quality needed in the job • Additional training identified • Training vs. no training received • Prior experience vs. no prior experience | |