As they see it: A qualitative study of how older residents in nursing homes perceive their care needs

Chuang, Yeu-Hui; Abbey, Jennifer; Yeh, Yueh-Chen; Tseng, Ing Jy; Liu, Megan F.

doi:10.1016/j.colegn.2013.11.001

Cited by 25 publications

(69 citation statements)

References 40 publications

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“…One study was conducted in Sweden (Anderberg & Berglund ), one in Canada (Coughlan & Ward ), two in Taiwan (Chuang et al. ; Hwang et al. ), one in Norway (Nakrem et al.…”

Section: Resultsmentioning

confidence: 99%

“…) and the remaining recognized their methodology to be qualitative descriptive analysis (Chuang et al. ; Hwang et al. ; Nakrem et al.…”

Section: Resultsmentioning

confidence: 99%

“…The older people's experiences were related to ‘care and help in nursing homes’ (Anderberg & Berglund ; Chuang et al. ), ‘quality of care’ (Coughlan & Ward ; Nakrem et al. ; Rodriguez‐Martin et al.…”

Section: Resultsmentioning

confidence: 99%

“…However, organizational demands and the varying nurses' commitments in the workplace conflicted with nursing care required to meet the older people's needs (Anderberg & Berglund ; Chuang et al. ; Hwang et al. ; Nakrem et al.…”

Section: Resultsmentioning

confidence: 99%

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Older people's experiences of care in nursing homes: a meta‐synthesis

Vaismoradi

Wang

Turunen

et al. 2015

International Nursing Review

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Aim To integrate the current international knowledge and enhance our understanding of the experiences of older people of being cared for in nursing homes. Background There is a lack of integrated knowledge to help face the challenge of providing care to older people in nursing homes. Understanding the experiences of older people regarding their own care leads to interventions for reducing older people's suffering, while living in nursing homes. Methods Keywords describing the experiences of being cared for in nursing homes were used to systematically search electronic databases for qualitative research articles. A meta‐synthesis study employing the interpretative meta‐ethnography approach devised by Noblit and Hare was carried out to analyse seven qualitative articles identified during the search process. Findings Seven studies included in this meta‐synthesis were published between 2007 and 2015. The experiences of older people of being cared for in nursing homes were expressed by the metaphor ‘retaining the meaning of being alive’. Older people wished for a homelike place where they would be delivered care with the consideration of all its humanistic aspects. While conflict between their expectations and organizational demands damaged this sought ideal, adjustment to life conditions and taking an active role led to a feeling of being alive. Discussion This meta‐synthesis integrates our knowledge on organizational and administrative demands, and personal factors influencing the provision of individualized care in nursing homes. Limitations The mental functionality of older people that suffer from dementia might impact on their ability to be involved in research and have a ‘voice’ in terms of their experience of being cared for in nursing homes. Conclusion and Implications for Nursing The institutional character of the nursing home restricts older people's decision‐making. The challenge in nursing home care is to balance the tensions between the individual needs and the collective dimensions of care. Implications for Nursing Policy Nurse policymakers need to consider the ambience in nursing homes, develop a caring culture for the provision of a holistic care to older people and make the nursing home as close to a home as possible.

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“…One study was conducted in Sweden (Anderberg & Berglund ), one in Canada (Coughlan & Ward ), two in Taiwan (Chuang et al. ; Hwang et al. ), one in Norway (Nakrem et al.…”

Section: Resultsmentioning

confidence: 99%

“…) and the remaining recognized their methodology to be qualitative descriptive analysis (Chuang et al. ; Hwang et al. ; Nakrem et al.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Older people's experiences of care in nursing homes: a meta‐synthesis

Vaismoradi

Wang

Turunen

et al. 2015

International Nursing Review

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“…Personal interactions between residents and care workers have been described as necessary for the resident's perception of a quality experience (Donabedian & Bashshur, 2003), as well as influential to nursing home residents' quality of life (Abrahamson et al, 2013;Kane et al, 2003;Robichaud, Durand, Bédard, & Ouellet, 2006). Other qualitative studies have identified staff attitudes (Chuang, Abbey, Yeh, Tseng, & Liu, 2015) and interpersonal communication skills (Tappen, 2016) as vital to the resident experience. It is notable that these studies were based on the perspective of the care recipient and did not gather data from direct care nursing staff.…”

Section: Introductionmentioning

confidence: 99%

Nursing assistants' perceptions of their role in the resident experience

Abrahamson

Fox

Roundtree

et al. 2019

Nursing & Health Sciences

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The aim of this study was to examine nursing assistants' perspectives of their role in the nursing home resident experience. Recent efforts to improve nursing home quality are focused on providing person‐centered care and improving the resident experience. However, the literature on nursing home quality lacks the perspective and experiences of nursing assistants themselves, despite their crucial role in the resident experience. Semistructured interviews were conducted with 25 nursing assistants from 17 organizations and seven states. Data were analyzed using an interpretive approach that identified relevant codes and themes. Respondents perceived that they play a pivotal role in the resident experience by providing choices, communicating important information, comforting, and living within the daily reality of cognitively impaired residents. Nursing assistants' challenges included using non‐verbal communication, balancing personal care while maintaining boundaries, and dealing with a perceived lack of trust. Nursing assistants are integral to interpersonal engagement with residents and relationship‐based activities, such as communication, caring, and protecting. Increased nursing assistant input into programs and policies to improve the resident experience is warranted. Quality assessment should incorporate direct input from residents and nursing assistants regarding person‐centered care.

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Quality of Life in Long-Term Care Facilities

Boggatz

2019

Quality of Life and Person-Centered Care for Older People

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As they see it: A qualitative study of how older residents in nursing homes perceive their care needs

Cited by 25 publications

References 40 publications

Older people's experiences of care in nursing homes: a meta‐synthesis

Older people's experiences of care in nursing homes: a meta‐synthesis

Nursing assistants' perceptions of their role in the resident experience

Quality of Life in Long-Term Care Facilities

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