Nursing home quality of life in the Lebanon

Adra, Marina; Hopton, John; Keady, John

doi:10.1108/qaoa-01-2016-0002

Cited by 3 publications

(3 citation statements)

References 28 publications

(37 reference statements)

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“…The processes of care driven by these contexts were not, however, well described. Studies described staff listening to goals and expectations of residents in order to attend to the identity of the whole person rather than a list of diagnostic categories 24. One paper also described collecting family members’ views, using these largely as a source of information during multidisciplinary meetings 34.…”

Section: Resultsmentioning

confidence: 99%

“…We judged that other terms used, including ‘geriatric evaluation’ and ‘multidisciplinary geriatric assessment’ returned articles much more cogent to the research question and made it unlikely that we would experience significant omissions by not including this term. From an initial reading of the articles retrieved (figure 1), four were identified as providing a particularly detailed articulation of the use of CGA in long-term care24–27 and therefore provided a justifiable basis for initial programme theory development. These four articles were supplemented by semi-structured interviews that focused on how CGA was thought to work and what needed to be in place for it to achieve the outcomes of interest.…”

Section: Methodsmentioning

confidence: 99%

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Role of comprehensive geriatric assessment in healthcare of older people in UK care homes: realist review

et al. 2019

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ObjectivesComprehensive geriatric assessment (CGA) may be a way to deliver optimal care for care home residents. We used realist review to develop a theory-driven account of how CGA works in care homes.DesignRealist review.SettingCare homes.MethodsThe review had three stages: first, interviews with expert stakeholders and scoping of the literature to develop programme theories for CGA; second, iterative searches with structured retrieval and extraction of the literature; third, synthesis to refine the programme theory of how CGA works in care homes.We used the following databases: Medline, CINAHL, Scopus, PsychInfo, PubMed, Google Scholar, Greylit, Cochrane Library and Joanna Briggs Institute.Results130 articles informed a programme theory which suggested CGA had three main components: structured comprehensive assessment, developing a care plan and working towards patient-centred goals. Each of these required engagement of a multidisciplinary team (MDT). Most evidence was available around assessment, with tension between structured assessment led by a single professional and less structured assessment involving multiple members of an MDT. Care planning needed to accommodate visiting clinicians and there was evidence that a core MDT often used care planning as a mechanism to seek external specialist support. Goal-setting processes were not always sufficiently patient-centred and did not always accommodate the views of care home staff. Studies reported improved outcomes from CGA affecting resident satisfaction, prescribing, healthcare resource use and objective measures of quality of care.ConclusionThe programme theory described here provides a framework for understanding how CGA could be effective in care homes. It will be of use to teams developing, implementing or auditing CGA in care homes. All three components are required to make CGA work—this may explain why attempts to implement CGA by interventions focused solely on assessment or care planning have failed in some long-term care settings.Trial registration numberCRD42017062601.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Role of comprehensive geriatric assessment in healthcare of older people in UK care homes: realist review

et al. 2019

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“…These factors, combined with the perspectives of various stakeholders, contribute to shaping a tailored definition of QoL within a particular territorial context (Adra et al (2015)). The definition of QoL has evolved through diverse approaches over time, influenced by different stakeholders (Adra et al (2015(Adra et al ( , 2017; Johs-Artisensi et al ( 2020)). Achieving adequate QoL for residents requires aligning the perspectives of different groups.…”

Section: Stakeholders' Views and Perceptions Of Qol And Wbmentioning

confidence: 99%

Quality of Life and Well-Being of Older Adults in Nursing Homes: Systematic Review

et al. 2023

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The Quality of Life (QoL) of older adults in nursing homes depends on multiple factors. It is necessary to discover the dimensions of QoL, and to obtain an integrating model, analyzing their relationships. With this aim, an exhaustive systematic literature review has been conducted in this area over the last decade. The research question has been to obtain the advances on the key factors influencing the QoL and well-being of older adults living in nursing homes in the last decade. Multiple databases such as Scopus, Web of Science, Wiley Online Library, PubMed, ProQuest, EBSCOhost, and Emerald were used. This review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. “Thematic Synthesis Analysis” was used to analyze the studies. The CADIMA web tool was used to conduct the systematic review. The quality of the studies was assessed. The findings were summarized, obtaining a classification of the relevant studies: models or scales for QoL; vision and perception of the QoL of the stakeholders; and determination of QoL through factors (relationship between factors and predictive factors). The results not only evidence the need for further research into this topic, but also the need for an integrative model of QoL, personalized and adapted both to the residents and the nursing home.

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Promoting a Culture of Community in Lebanese Care Homes Through Forging Partnerships: A Constructivist Case Study Approach

Adra,

Abdallah

2024

Int J Older People Nursing

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BackgroundCare homes can create a culture of community where residents, their families and staff are supported to develop positive relationships with one another, to interact and explore ideas together in an informal way. This concept is reported in the literature as a Westernised construct and so far, little is known about its meanings from a Middle Eastern cultural perspective and context.AimThe aim of this study is to contribute to the understanding of how partnership between the three stakeholders may contribute to changing the organisation and focus of care homes, supporting a transition to the development of a community culture.MethodA constructivist case study method is employed following Stake's collective case study model. Two care homes were chosen purposively to capture the experience of residents, families and staff working in different types of care homes. Data collection methods include interviews, focus groups and field observations with triangulation of methods and data. Data collection and data analysis occurred simultaneously.ResultsAnalysis of data resulted in the emergence of four themes: organisational flexibility, a vision of care incorporating fundamental elements such as caring and dignity, connectedness/reciprocity, enhancing job satisfaction and morale of staff. These findings indicate that residents, staff and families are interdependent, and this needs to be considered when fostering a culture of community in care homes as an important value. Findings prove that organisational flexibility and individualised care should be set as priorities over care only directed towards disease and illness.ImplicationsThe findings will have implications for developing policy and practice in care homes to improve experience of older residents thus enhancing quality of life in care homes in Lebanon.

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Nursing home quality of life in the Lebanon

Cited by 3 publications

References 28 publications

Role of comprehensive geriatric assessment in healthcare of older people in UK care homes: realist review

Role of comprehensive geriatric assessment in healthcare of older people in UK care homes: realist review

Quality of Life and Well-Being of Older Adults in Nursing Homes: Systematic Review

Promoting a Culture of Community in Lebanese Care Homes Through Forging Partnerships: A Constructivist Case Study Approach

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