An exploration of the face validity and feasibility of the translated ZELF training guide to home care. A qualitative study

Abstract

Background: Nurses tend to take over tasks and need to change their behaviour to support older people in physical activity. In the Netherlands, a generic Function Focused Care-intervention for long-term care was initially developed for a nursing home to encourage nursing staff to engage older people to preserve and optimize physical activity. One part of this intervention consists of multiple trainings led by a training guide. Aim: To explore the face validity and feasibility of the translated training guide to home care. Method: A qualitative generic descriptive study was conducted. A working group translated the training guide to home care. Two expert panels participated in focus groups as well as semi-structured interviews to explore the face validity and feasibility of the draft training guide. Data were analysed using deductive content analysis. Results: The draft version of the translated training guide to home care included three meetings. Analysis yielded five themes applicable to face validity and feasibility. Themes were: General expectation of new training, impression of the training guide, training guide contents, missing items and conditions for implementation. Conclusion: The training guide has the right order and looks relevant for clinical practice. It makes nurses more aware of the current situation. Findings show the composition and content of the training guide needs to be reviewed and further developed to eventually achieve a behavioural change in clinical practice. Recommendations: To ensure the feasibility and generalization of the training guide, it should be pilot tested into a wider population of home care nurses from different home care organizations.