Comprehensive quality of elderly rehabilitation nursing staff in medical and health care institutions in Liaoning Province, China: a cross-sectional study

Zhou, Yunru; Sun, Liqing; Liang, Yingying; Mao, Guoju; Xu, Peng

doi:10.1186/s12877-022-03092-6

Cited by 6 publications

(5 citation statements)

References 9 publications

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“…Therefore, there is a need to individually set up spiritual support according to the elderly’s characteristics to expand their relationships and improve emotional support. However, there is an overall low quality of nursing staff, a lack of personnel, and an unbalanced ratio of older people and nursing staff in Chinese elderly care institutions [ 22 ], which leads to an urgent need for middle-aged and older people to improve the service quality of elderly care institutions, but a relatively low pursuit of a very high level of service quality.…”

Section: Discussionmentioning

confidence: 99%

“…Secondly, most elderly care institutions only provide general life care or are only equipped with simple medical facilities, which cannot meet the medical care requirements of the elderly [ 20 – 21 ]. In terms of service quality, there is a lack of professional nursing personnel and a severe imbalance in the ratio of nursing personnel to the elderly [ 22 – 23 ]. Related studies also found that the quality of nursing personnel in some elderly care institutions is generally low, and the service attitudes need to be improved [ 24 – 25 ].…”

Section: Introductionmentioning

confidence: 99%

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Middle-aged and older people’s preference for medical-elderly care integrated institutions in China: a discrete choice experiment study

Jiang,

Xiao,

Zhang

et al. 2024

BMC Nurs

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Background With the continuing impact of the aging population, medical-elderly care integrated institutions, as a way to bear the pressure of medical and elderly care, effectively ensure the quality of life of the elderly in their later years. Objectives To explore the preferences of medical-elderly care integrated institutions among Chinese middle-aged and older people and to provide a reference for establishing elderly-oriented development of medical-elderly care integrated institutions. Methods In this study, a discrete choice experiment (DCE) was used to investigate the preferences of people aged 45 years and older in medical-elderly care integrated institutions in China from October 20, 2022, to November 10, 2022. A mixed logit regression model was used to analyze the DCE data. Participants’ willingness to pay for each attribute was also calculated. Results Data from 420 participants who provided valid responses were included in the analysis. In terms of the choice preference, moderate service quality (vs. poor service quality: β = 1.707, p < 0.001, 95% CI 1.343 ~ 2.071) and high medical technology level (vs. low medical technology level: β = 1.535, p < 0.001, 95% CI 1.240 ~ 1.830) were the most important attributes to middle-aged and older people, followed by monthly cost, environmental facilities, the convenience of transportation, and entertainment activities. Regarding the willingness to pay, participants were more willing to pay for service quality and medical technology level than for other attributes. They were willing to pay $3156 and $2838 more for “poor service quality” and “low medical technology level,” respectively, to receive “moderate service quality " (p = 0.007, 95% CI 963 ~ 5349) and “high medical technology level” (p = 0.005, 95% CI 852 ~ 4824). Conclusions The state should attach great importance to the development of medical-elderly care integrated services industry, actively optimize the model of the medical-elderly care integrated service, improve the facilities, and create a healthy environment. At the same time, give full play to the role of medical insurance, long-term care insurance, and commercial insurance, so as to improve the comprehensive quality of life of the elderly. Public contribution The design of the experimental selection was guided by 10 experts in the field, 5 Chinese government officials, and interviews and focus group discussions, without whose participation this study would not have been possible.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Middle-aged and older people’s preference for medical-elderly care integrated institutions in China: a discrete choice experiment study

Jiang,

Xiao,

Zhang

et al. 2024

BMC Nurs

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“…The shortage of healthcare personnel and the imperfect talent training system in China pose a serious challenge to the integrated medical and nursing institutions [25], an issue that was also raised by the operational managers of the institutions participating in this study. According to some participants, this limits the highly e cient development of medical and nursing integration to a certain extent, making it resistant to e cacious improvement in the level of services.…”

Section: Discussionmentioning

confidence: 99%

Medical-elderly care integrated institutions managers' perspectives in China on the operational issues of their facilities: A qualitative study

Zhang,

Wang,

Wang

et al. 2024

Preprint

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Background In China, institutions that medical-elderly care integrated have mushroomed due to the aging population of the nation. Nonetheless, the perspectives of managers at medical-elderly care integrated institutions regarding operational matters are still not fully defined. The aim of this study is to investigate the viewpoints of managers working in medical-elderly care integrated facilities in China concerning the problems and difficulties they encounter on a daily basis. Methods In this paper, the interpretive phenomenological analysis method of qualitative study was used to initiate; face-to-face in-depth interviews were conducted with managers of 29 medical-elderly care integrated institutions in seven cities in Gansu Province applying the semi-structured interview method. Results A total of four main themes were found: (1) Low quality of healthcare services; (2) Scarce workforce of healthcare professionals; (3) Inadequate guarantee of healthcare resources; and (4) Future operation plan and recommendations. Conclusions This study demonstrates the range of difficulties encountered by medical-elderly care integrated institutions in their operations, including poor service delivery, a talent deficit, and inadequate funding. A thorough management and oversight system must be constructed to keep an eye on how institutions are run and guarantee the caliber of services they offer. In addition to increasing financial and policy assistance, the government need to to assume greater accountability for overseeing the administration and operation of medical-elderly care integrated institutions. The problem of population aging and the growth of the elderly care industry demand the contributions and efforts of society as a whole, as does the functioning of medical-elderly care integrated institutions, which require the participation of multiple social forces.

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“…The rapid development of integrated medical and eldercare institutions is a response to this demographic shift. These institutions, as their designation suggests, are equipped with both medical and caregiving capabilities, offering a range of services including psychological comfort, daily life care, palliative care, and medical assistance to the older adult ( 4 ). They mitigate to some extent the societal pressures brought about by population aging.…”

Section: Introductionmentioning

confidence: 99%

The evaluation and enhancement strategies of core competencies for older adult caregivers in integrated medical and older adult care institutions

Rong,

Wu,

et al. 2024

Front. Public Health

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The study aimed to understand the main skills of older adult caregivers and find ways to improve these skills. We selected participants using a method called random cluster sampling, where caregivers from 17 different medical and nursing care facilities across seven districts in Hangzhou were chosen. We collected 492 valid questionnaires and conducted interviews with 150 people. To analyze the data, we used T-tests and Analysis of Variance (ANOVA) to identify what factors affect caregivers’ skills. We also performed multiple regression analysis to explore these factors in more depth. The analysis showed that age (p = 0.041), annual income (p < 0.001), and having a training certificate (p < 0.001) significantly influence the skills of older adult caregivers. Specifically, caregivers’ age and whether they had a training certificate were linked to how competent they were, with income being a very strong factor. The study highlighted a gap between the caregivers’ current skills and the skills needed for high-quality care. This gap shows the need for training programs that are specifically tailored to the caregivers’ diverse needs and cultural backgrounds. Medical and eldercare facilities should adjust their work and educational programs accordingly. It’s also important to look at how caregivers are paid to make sure their salary reflects their skills and the quality of care they provide. Finally, it’s crucial to integrate a comprehensive training program that leads to certification within eldercare organizations.

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Comprehensive quality of elderly rehabilitation nursing staff in medical and health care institutions in Liaoning Province, China: a cross-sectional study

Cited by 6 publications

References 9 publications

Middle-aged and older people’s preference for medical-elderly care integrated institutions in China: a discrete choice experiment study

Middle-aged and older people’s preference for medical-elderly care integrated institutions in China: a discrete choice experiment study

Medical-elderly care integrated institutions managers' perspectives in China on the operational issues of their facilities: A qualitative study

The evaluation and enhancement strategies of core competencies for older adult caregivers in integrated medical and older adult care institutions

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