Assessing quality-of-life in older people in care homes

Hall, Sue; Opio, Diana; Dodd, Rachael H; Higginson, Irene J

doi:10.1093/ageing/afr027

Cited by 45 publications

(30 citation statements)

References 15 publications

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“…However, they tried to accept and adapt to life in an NH. These findings are largely consistent with previously published research (Bradshaw, Playford, & Riazi, ; Chang, ; Hall, Opio, Dodd, & Higginson, ; Hjaltadottir & Gustafsdottir, ; Kwong, Lai, & Liu, ; Murphy, Cooney, & Casey, ; Robichaud, Durand, Bedard, & Ouellet, ; Schenk, Meyer, Behr, Kuhlmey, & Holzhausen, ).…”

Section: Discussionsupporting

confidence: 92%

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Older Adult Residents' Perceptions of Daily Lives in Nursing Homes

Cho

Kim

et al. 2017

J of Nursing Scholarship

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Purpose: This study aimed to explore older adults' perceptions of their daily lives in South Korean nursing homes. Design: We employed a qualitative descriptive study using semistructured interviews. Methods: We conducted individual, semistructured interviews with 21 older adult residents from five nursing homes in South Korea and analyzed the data using thematic analysis. Findings: Five themes related to older adults' perceptions of their daily lives in nursing homes emerged: enhanced comfort, aspiring to maintain physical and cognitive functions as human beings, desire for meaningful interpersonal relationships, feelings of confinement and limited autonomy, and acceptance of and adaptation to life in a facility. These themes indicated the positive and negative aspects of nursing home residence, and facilitators and challenges to enhancing older adult residents' quality of life (QOL). Conclusions: Policy, practice, and research endeavors are required to improve older adult residents' QOL, such as adequate professional nursing care for physical and psychological comfort and residents' health and functional status, sufficient activity programs and meaningful relationships, person-centered care to enhance residents' autonomy, and homelike environments. Clinical Relevance: This study demonstrates that healthcare providers, researchers, and policymakers should consider nursing home residents' QOL to examine the quality of care within the setting and facilitate the development of appropriate strategies to improve QOL among this population.

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Section: Discussionsupporting

confidence: 92%

“…Hall et al. () and Schenk et al. () identified health status as one of the key dimensions of residents' QOL.…”

Section: Discussionmentioning

confidence: 99%

Older Adult Residents' Perceptions of Daily Lives in Nursing Homes

Cho

Kim

et al. 2017

J of Nursing Scholarship

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“…However, there is a need to further explore factors and activities that can influence well-being in nursing homes and how prevalent these are in nursing homes to date. Everyday activities have in previous studies been described by nursing home residents as important for their QoL across contexts and countries (Cooney et al 2009, Hall et al 2011, Schenk et al 2013. Engagement in social activities have been described as essential to the health and well-being of residents (Bergman-Evans 2004, Drageset 2004) and residents themselves have narrated that they primarily engage in activities to be socially connected (Thomas et al 2013, Tak et al 2015.…”

Section: Introductionmentioning

confidence: 99%

“…Engagement in everyday activities is recognized as positively influencing the quality of life (QoL) of residents in nursing homes internationally (Cooney et al 2009, Hall et al 2011, Schenk et al 2013. However, studies across countries have shown that the amount of activities offered in nursing homes is limited (Kjøs & Havig 2016) and that residents often are inactive and lonely (Harper Ice 2002, Slettebø 2008, den Ouden et al 2015.…”

Section: Introductionmentioning

confidence: 99%

Residents’ engagement in everyday activities and its association with thriving in nursing homes

Björk

Lindkvist

Wimo

et al. 2017

Journal of Advanced Nursing

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“…12 Difficulties in the administration and interpretation of outcome measures have been reported. [43][44][45] These issues present particular challenges for designing studies and powering trials and respondent burden.…”

Section: Discussionmentioning

confidence: 99%

Mixed Methods Research in the Development and Evaluation of Complex Interventions in Palliative and End-of-Life Care: Report on the MORECare Consensus Exercise

Farquhar

Preston

Evans

et al. 2013

Journal of Palliative Medicine

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Background: Complex interventions are common in palliative and end-of-life care. Mixed methods approaches sit well within the multiphase model of complex intervention development and evaluation. Generic mixed methods guidance is useful but additional challenges in the research design and operationalization within palliative and end-of-life care may have an impact on the use of mixed methods. Objective: The objective of the study was to develop guidance on the best methods for combining quantitative and qualitative methods for health and social care intervention development and evaluation in palliative and end-of-life care. Methods: A one-day workshop was held where experts participated in facilitated groups using Transparent Expert Consultation to generate items for potential recommendations. Agreement and consensus were then sought on nine draft recommendations (DRs) in a follow-up exercise. Results: There was at least moderate agreement with most of the DRs, although consensus was low. Strongest agreement was with DR1 (usefulness of mixed methods to palliative and end-of-life care) and DR5 (importance of attention to respondent burden), and least agreement was with DR2 (use of theoretical perspectives) and DR6 (therapeutic effects of research interviews). Narrative comments enabled recommendation refinement. Two fully endorsed, five partially endorsed, and two refined DRs emerged. The relationship of these nine to six key challenges of palliative and end-of-life care research was analyzed. Conclusions: There is a need for further discussion of these recommendations and their contribution to methodology. The recommendations should be considered when designing and operationalizing mixed methods studies of complex interventions in palliative care, and because they may have wider relevance, should be considered for other applications.

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Assessing quality-of-life in older people in care homes

Abstract: to fully understand residents' QoL, detailed interview-based instruments, administered by an experienced interviewer are needed. To measure current QoL, for example, as an outcome measure, a simple single rating scale may suffice.

Cited by 45 publications

References 15 publications

Older Adult Residents' Perceptions of Daily Lives in Nursing Homes

Older Adult Residents' Perceptions of Daily Lives in Nursing Homes

Residents’ engagement in everyday activities and its association with thriving in nursing homes

Mixed Methods Research in the Development and Evaluation of Complex Interventions in Palliative and End-of-Life Care: Report on the MORECare Consensus Exercise

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