Quality of Life of Older Homecare Clients

Vaarama, Marja; Tiit, Ene‐Margit

doi:10.1007/978-0-387-72169-9_8

Cited by 9 publications

(13 citation statements)

References 9 publications

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“…). This study includes older adults with NH residence of 6 months or longer; NH services and nursing care have tended to ignore the psychosocial needs (Haugan Hovdenes , Vaarama & Tiit ) essential to ST. Moving to a NH results from numerous losses, illnesses and functional impairments, all of which increase an individual's vulnerability. The NH life is institutionalized, representing loss of social relationships, privacy, self‐determination and connectedness.…”

Section: Discussionmentioning

confidence: 99%

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Self‐transcendence in cognitively intact nursing‐home patients: a resource for well‐being

Haugan¹,

Rannestad²,

Hammervold

et al. 2012

Journal of Advanced Nursing

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Section: Discussionmentioning

confidence: 99%

“…). NH care increasingly targets those older people with the greatest needs in terms of personal daily activities, whereas services supporting their psychosocial and spiritual needs tend to be ignored (Vaarama & Tiit ). Consequently, a multidimensional approach to NH patients’ well‐being seems necessary.…”

Section: Introductionmentioning

confidence: 99%

Self‐transcendence in cognitively intact nursing‐home patients: a resource for well‐being

Haugan¹,

Rannestad²,

Hammervold

et al. 2012

Journal of Advanced Nursing

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“…15–21, 23, 40] provide lessons for practice. For example, homecare sufficiency was evaluated most critically in this and in some other studies [e.g.…”

Section: Discussionmentioning

confidence: 99%

What happens to quality in integrated homecare? A 15-year follow-up study

et al. 2011

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ObjectivesTo explore the impact of structural integration on homecare quality.MethodsA case study in an organisation comprising a before–after comparison with baseline and four follow-up measurements during 1994–2009, using interviews with clients (n=66–84) and postal inquiries to relatives (n=73–78) and staff (n=68–136).ResultsDespite the organisational reform involving extensive mergers of health and social care organisations and cuts in staff and service provision, homecare quality remained at almost the same level throughout the 15-year follow-up. According to the clients, it even slightly improved in some homecare areas.ConclusionsThe results show that despite the structural integration and cuts in staff and service provision, the quality of homecare remained at a good level. Assuming that the potential confounders did have inhibiting effects, the results suggest that structural integration had a positive impact on homecare quality. To obtain firmer evidence to support this tentative conclusion, further research with a randomised comparison design is needed.

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“…NH care is supposed to address people's spiritual, mental, social and emotional well‐being, as well as the basic physical needs. Nevertheless, services supporting their psychosocial and spiritual needs tend to be ignored . Although many NH patients suffer chronic illnesses and physical impairments, cognitively intact nursing home patients’ mind and spirit might be sound, providing essential resources to well‐being and life satisfaction.…”

Section: Introductionmentioning

confidence: 99%