What Matters Most to Nursing Home Elders: Quality of Life in the Nursing Home

Burack, Orah R.; Weiner, Audrey S.; Reinhardt, Joann P.; Annunziato, Rachel A.

doi:10.1016/j.jamda.2010.08.002

Cited by 106 publications

(106 citation statements)

References 14 publications

Supporting

Mentioning

100

Contrasting

Unclassified

Order By: Relevance

“…They are the largest work group in hospitals that facilitate health care (7). The professional responsibility of nurses, as one of the most important members of the healthcare team, is to maintain and improve the quality of healthcare within standard limits (9). Nurses are among individuals, who have close contact with other medical staff and the patients.…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Quality of Work Life and Burnout: A Linear Regression Structural-Equation Modeling

et al. 2018

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

The Relationship Between Quality of Work Life and Burnout: A Linear Regression Structural-Equation Modeling

et al. 2018

View full text Add to dashboard Cite

show abstract

“…15 Assessment-Specific areas for focus should be solicited through input from all residents on an individual level. Similar to Promoting residents' voices, the objectives for this domain often require management and leadership education and training, as well as changes in facility systems and structures, to promote and support improvements in resident quality of life at the front lines.…”

Section: Improving Residents' Quality Of Lifementioning

confidence: 99%

A conceptual model for culture change evaluation in nursing homes

et al. 2013

View full text Add to dashboard Cite

This article describes the development and particulars of a new, comprehensive model of nursing home culture change, the Nursing Home Integrated Model for Producing and Assessing Cultural Transformation (Nursing Home IMPACT). This model is structured into four categories, "meta constructs," "care practices," "workplace practices," and "environment of care," with multiple domains under each. It includes detailed, triangulated assessment methods capturing various stakeholder perspectives for each of the model's domains. It is hoped that this model will serve two functions: first, to help practitioners guide improvements in resident care by identifying particular areas in which culture change is having positive effects, as well as areas that could benefit from modification; and second, to emphasize the importance in culture change of the innumerable perspectives of residents, family members, staff, management, and leadership. KeywordsCulture change; Individualized care; Nursing homes; Quality of care The case for a comprehensive modelOver the past decade, a growing number of nursing homes have adopted resident-centered care paradigms under the "culture change" rubric. 1,2 The ultimate vision of culture change is to improve resident and staff lives by centering facilities' philosophies, organizational Supplementary materialSupplementary material associated with this article can be found, in the online version, at http://dx.doi.org/10.1016/j.gerinurse. 2013.05.008. U.S. Department of Veterans AffairsPublic Access Author manuscript VA Author ManuscriptVA Author Manuscript VA Author Manuscript structures, environmental designs, and care and workplace practices around residents' needs and preferences. 1,3 Culture change efforts of varying designs have been implemented, and numerous models of culture change have been developed. 4,5 But there is a need for rigorous culture change process and resident outcomes evaluation with the continuing expansion of the movement. 5,6 However, culture change interventions cannot be adequately evaluated for their impact on specific resident populations and staff, improvements to interventions cannot be directed, and a clear understanding of what works when and how cannot be reached without a clear and specific conceptual framework to guide culture change assessment at the resident, facility, community, and national levels.The numerous culture change models that currently exist lack the specificity to aid in outcomes evaluation. In the US, practitioners and researchers have access to information about Well-spring, Eden Alternative, Household (i.e., Action Pact), and Green House models of care, as well as theoretical models such as the Holistic Approach to Transformational Change (HATCh) for example. [7][8][9][10][11][12] Each of these models outlines general principles of culture change. Some, such as the Household and Green House models, have the basic frameworks available publicly but require contracting with a parent organization to receive comprehensive training. All have be...

show abstract

“…The changes implicit in the aging process, whether physiological, psychological or social, are apt to generate a greater degree of dependence (5)(6) in the elderly, which, in turn imply a series of needs which beg attention (7) . The institutionalisation of an elderly person, which is to say when they are admitted to a nursing home, is also related to a rise in the degree of dependence (8)(9) and, according to several studies (10)(11)(12)(13)(14) this loss of autonomy is associated to a lower quality of life.…”

Section: Introductionmentioning

confidence: 99%

The influence of institutionalization on the perception of autonomy and quality of life in old people

Sarabia‐Cobo

2014

Rev. esc. enferm. USP

View full text Add to dashboard Cite

RESUMENObjetivo: Evaluar la influencia de la institucionalización en la autonomía y la calidad de vida percibida entre ancianos institucionalizados. Método: Estudio casiexperimental (serie temporal interrumpida) y longitudinal. La muestra estuvo compuesta de 104 añosos de tres centros residenciales de Santander, España. A fin de evaluar la calidad de vida y la dependencia fueron utilizadas dos escalas: el Índice de Barthel y el Índice de Lawton. Resultados: Se observó una relación significativa entre la autonomía y la independencia y su declinio en virtud de la institucionalización, como los aspectos físicos y sociales. Conclusión: La dependencia de las personas mayores es un fenómeno complejo, que demanda distintos tipos de intervención, incluyéndose las acciones de apoyo común, que tienden a cubrir la ausencia de autonomía en la vida cuotidiana, sin recurrir a la institucionalización. Observou-se uma relação significativa entre autonomia e independência e seu declínio devido à institucionalização, como os aspectos físicos e sociais. Conclusão: A dependência dos idosos é um fenômeno complexo, que demanda vários tipos de intervenção, incluindo as ações de apoio comum, que tendem a cobrir a ausência de autonomia na vida cotidiana, sem recorrer a institucionalização. DESCRIPTORES

show abstract

What Matters Most to Nursing Home Elders: Quality of Life in the Nursing Home

Cited by 106 publications

References 14 publications

The Relationship Between Quality of Work Life and Burnout: A Linear Regression Structural-Equation Modeling

The Relationship Between Quality of Work Life and Burnout: A Linear Regression Structural-Equation Modeling

A conceptual model for culture change evaluation in nursing homes

The influence of institutionalization on the perception of autonomy and quality of life in old people

Contact Info

Product

Resources

About