Experiences of Multidisciplinary Teams Serving Elders in Nursing Homes: A Phenomenological Descriptive Study

Authors

Keywords:

elderly, multidisciplinary team, nursing home, service

Abstract

Elders need friendly, competent, and responsive staff and an organized, clean and welcoming environment. However, preliminary interviews with multidisciplinary teams in nursing homes showed they sometimes felt bored. This study aimed to understand the multidisciplinary teams’ experiences of caring for elders in nursing homes. This is descriptive qualitative research used semi-structured interviews, forum group discussions (FGDs) with 64 participants in Jakarta provincial government-owned nursing homes, document analysis, and observations. The data were collected from September 2022 to July 2023 and analyzed using Colaizzi's measures. The results showed the elders at the nursing homes experienced physical, psychological, behavioral and social changes, where some of them came from poverty or neglect background. Their needs included biological, psychological, social, and spiritual aspects. The multidisciplinary teams felt a variety of emotions when serving the elders, such as happiness, sadness, and sometimes annoyance. Some also felt “reframing,” a feeling of being forced due to no other choice. Therefore, cultivating characters such as empathy, compassion, patience, and sincerity in providing the care is important. Changes in elders with different backgrounds require integrated support. Nursing home management should provide periodic training to the multidisciplinary teams; thus, the service quality can be improved.

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References

Amsalu, E. T., Messele, T. A., & Adane, M. (2021). Exploring the effect of professional experience on knowledge towards geriatric care among nurses working in adult care units. BMC Geriatrics, 21(1), 1–9. https://doi.org/10.1186/s12877-021-02156-3

Ariesti et al. (2018). Phenomenology Study: Caregiver Experience In Nursing Elderly With Self-Care Deficit At Panti Werdha Panti Pangesti Lawang. Jurnal Ilmu Keperawatan.

Ariska, F., & Pratisti, W. D. (2022). Kebahagiaan Lansia yang Tinggal di Panti Wreda. Cross-Border, 5(2), 1023–1038.

Arlotto, S., Blin, A., & Durand, A. (2022). Caregiver Burden Is Reduced by Social Support Services for Non-Dependent Elderly Persons : Pre-Post Study of 569 Caregivers.

Badan Pusat Statistik. (2020). Statistik Penduduk Lanjut Usia. 148, 148–162.

Chairil, & Rambe, I. W. U. (2022). Tingkat Kepuasan Lansia Tentang Pelayanan Kesehatan di Panti Khusnul Khotimah Pekanbaru. Photon: Jurnal Sain Dan Kesehatan, 12(2), 76–84. https://doi.org/10.37859/jp.v12i2.3446

CIOMS, W. (2016). International Ethical Guidelines for Health-related Research Involving Humans. Biomedical Research, 1–119. http://www.sciencedirect.com/science/article/B6VC6-45F5X02-9C/2/e44bc37a6e392634b1cf436105978f01

Cipriani, G., Danti, S., Picchi, L., Nuti, A., & Fiorino, M. Di. (2020). Daily functioning and dementia. 14(2), 93–102.

Cresswell, J. W. (2009). Research Design Qualitative, Quantitative and Mixed Methods approaches. In Sage Publications (Vol. 3). https://doi.org/10.1080/14675980902922143

Creswell, J. W. (2009). Research design: Qualitative, quantitative, and mixed methods approaches. In SAGE Publications Ltd. (Vol. 20, Issue 2). https://doi.org/10.1080/14675980902922143

Dahlberg, L., Mckee, K. J., Frank, A., Naseer, M., Dahlberg, L., Mckee, K. J., Frank, A., & Naseer, M. (2022). A systematic review of longitudinal risk factors for loneliness in older adults. Aging & Mental Health, 26(2), 225–249. https://doi.org/10.1080/13607863.2021.1876638

Eyowas, F. A., Schneider, M., Alemu, S., & Getahun, F. A. (2023). Experience of living with multimorbidity and health workers perspectives on the organization of health services for people living with multiple chronic conditions in Bahir Dar , northwest Ethiopia : a qualitative study. 1–16.

Kalankova et al. (2021). Unmet care needs of older people : A scoping review. 28(2), 149–178. https://doi.org/10.1177/0969733020948112

Mardiono, S., Alkhusari, & Saputra, A. U. (2022). Hubungan Pengetahuan Dan Sikap Perawat Terhadap Pencegahan Resiko Jatuh Pada Pasien. Indonesian Journal Of Health and Medical, 2(1), 22–32. http://ijohm.rcipublisher.org/index.php/ijohm

Mursyid dan Rahman. (2020). Hubungan Kesehatan Mental dan Fungsi Kognitif dengan Kemandirian Lansia di Panti Sosial Tresna Werdha Nirwana Puri Samarinda. Borneo Student Research, 1(3), 1619–1624.

Nakrem, S., Stensvik, G., Skjong, R. J., & Ostaszkiewicz, J. (2019). Staff experiences with implementing a case conferencing care model in nursing homes : a focus group study. 0(7491), 1–12.

Putri, S. T., Fitriana, L. A., & Ningrum, A. (2015). Studi Komparatif : Kualitas Hidup Lansia Yang Tinggal Bersama Keluarga Dan Panti. Jurnal Pendidikan Keperawatan Indonesia, 1(1), 1. https://doi.org/10.17509/jpki.v1i1.1178

Radcliffe, E., Servin, R., Cox, N., Lim, S., Tan, Q. Y., Howard, C., Sheikh, C., Rutter, P., Latter, S., Lown, M., Brad, L., Fraser, S. D. S., Bradbury, K., Roberts, H. C., Saucedo, A. R., & Ibrahim, K. (2023). What makes a multidisciplinary medication review and deprescribing intervention for older people work well in primary care? A realist review and synthesis. BMC Geriatrics, 23(1). https://doi.org/10.1186/s12877-023-04256-8

Rekawati, E., Sahar, J., Widyatuti, Abas, I., & Chaidir. (2018). The experience of older people living in nursing home (Panti Wredha) in DKI Jakarta, Indonesia. Enfermeria Clinica, 28, 347–352. https://doi.org/10.1016/S1130-8621(18)30183-9

Rivaldo, Y., & Nabella, S. D. (2023). Employee Performance: Education, Training, Experience and Work Discipline. Quality - Access to Success, 24(193), 182–188. https://doi.org/10.47750/QAS/24.193.20

Rommersbach, N., Wirth, R., Lueg, G., Klimek, C., Schnatmann, M., Liermann, D., Janssen, G., Müller, M. J., & Pourhassan, M. (2020). The impact of disease-related immobilization on thigh muscle mass and strength in older hospitalized patients. BMC Geriatrics, 20(1), 1–10. https://doi.org/10.1186/s12877-020-01873-5

Setiati, S., Laksmi, P. W., Aryana, I. G. P. S., Sunarti, S., Widajanti, N., Dwipa, L., Seto, E., Istanti, R., Ardian, L. J., & Chotimah, S. C. (2019). Frailty state among Indonesian elderly: Prevalence, associated factors, and frailty state transition. BMC Geriatrics, 19(1), 1–11. https://doi.org/10.1186/s12877-019-1198-8

Sigalingging et al. (2020). Karakteristik Lanjut Usia yang mengalami Gangguan Memori. Jurnal Darma Agung Husada, 7(April), 33–44.

Sugiyono. (2019). Metode Penelitian Kuantitatif Kualitatif dan R&D.

Thompson, J., Cook, G., & Duschinsky, R. (2016). Experiences and views of nursing home nurses in England regarding occupational role and status. Social Theory & Health, 14(3), 372–392. https://doi.org/10.1057/sth.2016.3

Uno, M., Tsujimoto, T., & Inoue, T. (2017). Perceptions of nurses in Japan toward their patients’ expectations of care: A qualitative study. International Journal of Nursing Sciences, 4(1), 58–62. https://doi.org/10.1016/j.ijnss.2016.12.005

Yoon, J. Y. (2018). Relationships among person-centered care, nursing home adjustment, and life satisfaction: A cross-sectional survey study. International Psychogeriatrics, 30(10), 1519–1530. https://doi.org/10.1017/S1041610218000194

Yuniati, F., & Kamso, S. (2021). Assessing the Quality of Life Among Productive Age in the General Population: A Cross-Sectional Study of Family Life Survey in Indonesia. Asia-Pacific Journal of Public Health, 33(1), 53–59. https://doi.org/10.1177/1010539520956411

Published

2025-04-29

How to Cite

Royani, R., Hamid, A. Y. S., Rekawati, E., & Darmawan, E. S. (2025). Experiences of Multidisciplinary Teams Serving Elders in Nursing Homes: A Phenomenological Descriptive Study. Faletehan Health Journal, 12(01), 98–115. Retrieved from https://journal.lppm-stikesfa.ac.id/index.php/FHJ/article/view/783