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Wei A, Bell J, Locke J, Roach A, Rogers A, Plys E, Zaguri-Greener D, Zisberg A, Lopez RP. Family Involvement in the Care of Nursing Home Residents With Dementia: A Scoping Review. J Appl Gerontol 2024:7334648241255534. [PMID: 39032173 DOI: 10.1177/07334648241255534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/22/2024] Open
Abstract
Family members are involved in the lives of older adults with dementia in complex ways. This scoping review synthesizes existing research on family involvement in the care of nursing home residents with advanced dementia. Using the Arksey and O'Malley scoping review framework, electronic searches of PubMed, EBSCO's CINAHL Complete, and APA PsychInfo on the Ovid platform were conducted. Twenty-eight studies met inclusion criteria. Emergent themes and definitions of involvement were obtained through thematic analysis, including: (1) contact (through visitation, calling, or writing letters); (2) engagement in care activities (instrumental/activities of daily living); (3) planning and monitoring care (being aware of health and treatment changes, partnership with care staff, ensuring adequate care, and decision-making); and (4) supporting the resident (advocacy, socioemotional support, and financial support). Moreover, limited psychometrically sound instruments exist to measure family involvement. These limitations stall the progression of research targeting family involvement.
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Affiliation(s)
- Andrea Wei
- MGH Institute of Health Professions, Boston, MA, USA
| | - Jessica Bell
- MGH Institute of Health Professions, Boston, MA, USA
| | - Jenna Locke
- MGH Institute of Health Professions, Boston, MA, USA
| | - Ashley Roach
- School of Nursing, Oregon Health & Science University, Portland, OR USA
| | - Anita Rogers
- Department of Nursing, University of Tennessee, Martin, TN, USA
| | - Evan Plys
- Center for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, MA, USA
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA
| | - Dalit Zaguri-Greener
- The Cheryl Spencer Department of Nursing, University of Haifa, Haifa, Israel
- The Center of Research & Study of Aging Faculty of Social Welfare and Health Science, University of Haifa, Haifa, Israel
- Department of Nursing Sciences, Ruppin Academic Center, Emek- Hefer, Israel
| | - Anna Zisberg
- The Cheryl Spencer Department of Nursing, University of Haifa, Haifa, Israel
- The Center of Research & Study of Aging Faculty of Social Welfare and Health Science, University of Haifa, Haifa, Israel
| | - Ruth P Lopez
- Center for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, MA, USA
- The Cheryl Spencer Department of Nursing, University of Haifa, Haifa, Israel
- The Center of Research & Study of Aging Faculty of Social Welfare and Health Science, University of Haifa, Haifa, Israel
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Carpenter JG, Kinder D, Smith D, Ersek M, Wachterman M, Thorpe J, Sullivan DR, Bailey J, Shreve S, Kutney-Lee A. Nursing Home Star Ratings and End-Of-Life Care Quality: Lessons Learned From the Veterans Health Administration. J Am Med Dir Assoc 2024; 25:105121. [PMID: 38950589 DOI: 10.1016/j.jamda.2024.105121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2024] [Revised: 04/17/2024] [Accepted: 05/24/2024] [Indexed: 07/03/2024]
Abstract
OBJECTIVES More than 25% of deaths among older adults occur in nursing homes. Thus, assessments of nursing home quality, including the widely used 5-star rating systems, should reflect quality of end-of-life (EOL) care. Our objective was to examine the associations between Veterans Affairs (VA) nursing home star ratings and quality of EOL care as measured by the VA's Bereaved Family Survey (BFS). DESIGN National, retrospective observational study. SETTING AND PARTICIPANTS VA nursing homes, known as Community Living Centers (CLCs). All veterans who died in a CLC from October 2018 to September 2019 whose next of kin completed a BFS. METHODS Using linked VA data sources, we examined the BFS-Performance Measure (BFS-PM) (ie, the % of BFS respondents who provided an "excellent" overall rating) by the Overall Star Rating and domain star ratings (unannounced survey, staffing, and quality) for the 133 CLCs in our sample. Logistic and linear regression was used to examine the associations between CLC Overall Star Rating and individual-level BFS outcomes. Outcomes included the BFS-PM (primary), the 3 BFS factor scores of Respectful Care and Communication, Emotional and Spiritual Support, and Death Benefits, and 2 symptom management items. RESULTS Differences in the BFS-PM by CLC star rating were small to none and not statistically significant across all star rating domains. The relationship between a higher CLC Overall Star Rating and odds of an "excellent" BFS global rating was not statistically significant. Similarly, no significant associations were observed between a higher CLC Overall Star Rating and scores on the BFS factor scores and symptom management items. CONCLUSIONS AND IMPLICATIONS Our findings suggest that the current CLC star rating system is not sufficient to assess the quality of EOL care. BFS scores, or a comparative EOL quality of care measure, should be integrated into CLC quality rating systems.
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Affiliation(s)
- Joan G Carpenter
- Department of Organizational Systems and Adult Health, University of Maryland School of Nursing, Baltimore, MD, USA; Veteran Experience Center, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
| | - Daniel Kinder
- Veteran Experience Center, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA
| | - Dawn Smith
- Veteran Experience Center, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA
| | - Mary Ersek
- Veteran Experience Center, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA; Center for Health Equity Research and Promotion, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA; Department of Biobehavioral Health Sciences, University of Pennsylvania School of Nursing, Philadelphia, PA, USA
| | - Melissa Wachterman
- Veterans Affairs Boston Health Care System, Section of General Internal Medicine, Boston, MA, USA; Dana Farber Cancer Institute, Department of Psychosocial Oncology and Palliative Care, Boston, MA, USA
| | - Joshua Thorpe
- Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA; UNC Eshelman School of Pharmacy, University of North Carolina, Chapel Hill, NC, USA
| | - Donald R Sullivan
- Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR, USA; Division of Pulmonary, Allergy, and Critical Care Medicine, Oregon Health and Science University, Portland, OR, USA
| | - Jennifer Bailey
- Office of Geriatrics and Extended Care, Department of Veterans Affairs, Seattle, WA, USA
| | - Scott Shreve
- Palliative and Hospice Care Program, Department of Veterans Affairs, Seattle, WA, USA; Penn State College of Medicine, Hershey, PA, USA
| | - Ann Kutney-Lee
- Veteran Experience Center, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA; Center for Health Equity Research and Promotion, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA; Department of Biobehavioral Health Sciences, University of Pennsylvania School of Nursing, Philadelphia, PA, USA
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Piersol CV, Martínez J, Chew F, Perry B, Leland NE. Understanding the Experiences of Family Caregivers of Nursing Home Residents With Dementia: A Grounded Theory Study. THE GERONTOLOGIST 2024; 64:gnad102. [PMID: 37501632 DOI: 10.1093/geront/gnad102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Indexed: 07/29/2023] Open
Abstract
BACKGROUND AND OBJECTIVES Alzheimer's disease and related dementias progress over time and result in cognitive decline, loss of independence, and behavioral and psychiatric symptoms of dementia that can lead to nursing home placement. Research has focused on examining the effects of nursing home placement on the family caregiver; however, their experiences are less understood. We sought to investigate the experiences and perceptions of family caregivers of nursing home residents with dementia. The objective was to create a conceptual model that explains the complex nature of the family caregiver experience. RESEARCH DESIGN AND METHODS This study is part of a larger randomized controlled trial. Following a grounded theory approach, we completed 30 in-depth, one-on-one interviews with family caregivers of nursing home residents with dementia. Data analysis followed an iterative process that employed open, axial, and selective coding. RESULTS Our conceptual model depicts the interrelationship between contributing factors that interrelate and impact family caregiver satisfaction with nursing home care. Six factors contribute to family caregiver satisfaction: family caregiver interactions with nursing home staff; staff management of resident behavioral symptoms; nursing home context; family caregiver knowledge of dementia; family caregiver strain; and the resident experience. DISCUSSION AND IMPLICATIONS Our findings revealed family caregiver experiences that are unique to the institutional nursing home setting and not reflected in prior work focusing on experiences within community-based settings. Understanding family caregiver experiences and the contributors to how satisfaction in care is perceived, may foster collaboration and teamwork among families and staff.
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Affiliation(s)
- Catherine Verrier Piersol
- Department of Occupational Therapy, Jefferson College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
| | - Jenny Martínez
- Department of Occupational Therapy, Jefferson College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
| | - Felicia Chew
- Department of Occupational Therapy, Jefferson College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
| | - Bonnie Perry
- Wharton Communication Program, The Wharton School, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Natalie E Leland
- Department of Occupational Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
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Kwon JH, Qiu X, Abbott KM, Straker JK, Applebaum R. Associations between Complaints and Organizational Characteristics among Ohio Nursing Homes. J Am Med Dir Assoc 2024; 25:585-590. [PMID: 37579926 DOI: 10.1016/j.jamda.2023.07.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2023] [Revised: 07/05/2023] [Accepted: 07/05/2023] [Indexed: 08/16/2023]
Abstract
OBJECTIVES In recent years, Ohio nursing homes (NHs) have received an increasing number of complaints. The current study aims to gain a better understanding of the relationship between NH organizational characteristics and the number of complaints. DESIGN Secondary data analysis was used. SETTING AND PARTICIPANTS Four data sources on Ohio NHs were merged. Ohio NH complaints data reported in 2018 and 2019 was linked with the 2017 Ohio Biennial Survey of Long-Term Care Facilities, 2017 Ohio Nursing Home Resident Satisfaction Survey, and 2018 Ohio Nursing Home Family Satisfaction Survey. METHODS Descriptive analysis, bivariate tests (ie, analysis of variance and χ2 test), and multinomial logistic regression analyses were conducted. RESULTS Findings included that urban location, NH administrator (NHA) and director of nursing (DON) turnover in the previous 3 years, NH size, occupancy rate, certified nursing assistant (CNA) retention, and overall family satisfaction were significantly associated with total complaints. NHA and DON turnover, NH size, CNA retention, and overall family satisfaction were found to be significantly associated with substantiated complaints. CONCLUSIONS AND IMPLICATIONS The importance of leadership (ie, NHA and DON) turnover, CNA retention, and family satisfaction indicates that specifically targeted efforts to improve in these areas can have a positive impact on NH quality.
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Affiliation(s)
- Jenny H Kwon
- Department of Sociology and Gerontology, Miami University, Oxford, OH, USA.
| | - Xiao Qiu
- Department of Sociology and Gerontology, Miami University, Oxford, OH, USA
| | - Katherine M Abbott
- Department of Sociology and Gerontology, Miami University, Oxford, OH, USA; Scripps Gerontology Center, Miami University, Oxford, OH, USA
| | - Jane K Straker
- Scripps Gerontology Center, Miami University, Oxford, OH, USA
| | - Robert Applebaum
- Department of Sociology and Gerontology, Miami University, Oxford, OH, USA; Scripps Gerontology Center, Miami University, Oxford, OH, USA
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Keefe JM, Taylor D, Irwin P, Hande MJ, Hubley E. Do Residential Long-Term Care Policies Support Family Involvement in Residents' Quality of Life in Four Canadian Provinces? J Aging Soc Policy 2024; 36:43-68. [PMID: 36367098 DOI: 10.1080/08959420.2022.2138066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Accepted: 04/25/2022] [Indexed: 11/13/2022]
Abstract
Family members are essential contributors to the quality of life (QoL) of persons living in residential long-term care (RLTC). This paper analyzes how the system enables or inhibits family involvement with residents in RLTC. Our analysis of 21 policies that regulate long-term care in four Canadian Provinces reveal differences in their portrayal of residents' families. Family roles are characterized procedurally (task-oriented) or relationally (interactive). Operational standards linked to licensing of RLTC homes employ more formal terminology, while RLTC program guidelines, use facilitative language to engage families and build relationships. Examples of orientation procedures, care protocols, living at risk, and end-of-life care reveal inter-provincial variations. We argue that there are opportunities to further engage families within the current regulatory framework and improve their continued contributions in the post-pandemic era.
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Affiliation(s)
- Janice M Keefe
- Department Family Studies and Gerontology, Mount Saint Vincent University, Halifax, Nova Scotia, Canada
- Nova Scotia Centre on Aging, Mount Saint Vincent University, Halifax, Nova Scotia, Canada
| | - Deanne Taylor
- Interior Health Authority, Kelowna, British Columbia, Canada
- Rural Coordination Centre of British Columbia
| | - Pamela Irwin
- Nova Scotia Centre on Aging, Mount Saint Vincent University, Halifax, Nova Scotia, Canada
| | - Mary Jean Hande
- Nova Scotia Centre on Aging, Mount Saint Vincent University, Halifax, Nova Scotia, Canada
- Department of Sociology Trent University
| | - Emily Hubley
- Nova Scotia Centre on Aging, Mount Saint Vincent University, Halifax, Nova Scotia, Canada
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Yaxley A, Pankhurst M, Morgillo S, Miller M. A world-first food service satisfaction questionnaire for use with family members of nursing home residents: expanding the toolkit of valid and reliable aged care food service satisfaction questionnaires. J Nutr Health Aging 2024; 28:100015. [PMID: 38267157 DOI: 10.1016/j.jnha.2023.100015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Revised: 12/05/2023] [Accepted: 12/17/2023] [Indexed: 01/26/2024]
Abstract
OBJECTIVES This study aimed to develop a valid and reliable food service satisfaction questionnaire for use by family members of residents in nursing homes. DESIGN Questionnaire development and validation study conducted using COSMIN® benchmarks for excellence. SETTING Nursing homes. PARTICIPANTS Family members of residents in nursing homes. MEASUREMENTS Content validity was established based on a review of the literature, qualitative interviews with family members (n = 9) and expert review (n = 10). Face validity was established in pilot testing with family members (n = 5). A 40-item questionnaire was developed for psychometric testing. Data from 414 family members was used to establish construct validity (Principal Components Analysis), with data from 101 of those family members used to evaluate reliability (internal consistency (Cronbach's alpha [α]) and temporal stability [weighted Kappa]). RESULTS A two factor 24-item scale resulted, with excellent internal consistency (factor one: 11 items related to food and meals (α = 0.960); factor two: 13 items related to the mealtime experience (α = 0.907)). Temporal stability was moderate to near perfect (weighted Kappa: 0.461-0.875; p < 0.001). CONCLUSION This world-first, valid and reliable, food service satisfaction questionnaire for use with family members of nursing home residents meets COSMIN® standards for excellence and complements the Flinders University resident and workforce food service satisfaction questionnaires also available for use in nursing homes.
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Affiliation(s)
- Alison Yaxley
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.
| | - Morgan Pankhurst
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
| | - Stephanie Morgillo
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
| | - Michelle Miller
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
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Esmaeili M, Dehghan Nayeri N, Bahramnezhad F, fattah Ghazi S, Asgari P. Can addressing family education improve outcomes of patients under home invasive mechanical ventilation? A randomized controlled clinical trial. Home Health Care Serv Q 2023. [DOI: 10.1080/01621424.2023.2177223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
Affiliation(s)
- Maryam Esmaeili
- Department of Critical Care Nursing, Nursing and Midwifery Care Research Center, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Nahid Dehghan Nayeri
- Department of Nursing Management, Nursing and Midwifery Care Research Center, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Fatemeh Bahramnezhad
- Department of Critical Care Nursing, Nursing and Midwifery Care Research Center, Spiritual Health Group, Research Center of Quran, Hadith and Medicine, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - samrand fattah Ghazi
- Department of Critical Care Medicine, Imam Khomeini hospital complex, Tehran University of Medical Sciences, Tehran, Iran
| | - Parvaneh Asgari
- Department of Critical Care Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
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Moon S, Oh J, You SY. What information about choosing a nursing home is available on YouTube? Geriatr Nurs 2022; 48:320-326. [PMID: 36371879 DOI: 10.1016/j.gerinurse.2022.10.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Revised: 10/26/2022] [Accepted: 10/27/2022] [Indexed: 11/13/2022]
Abstract
This study aimed to identify YouTube videos focused on choosing a nursing home. The contents of the videos were analyzed using 19 items from the guidelines proposed by the Donabedian model. An analysis of 57 videos showed that informal presentations for format (54.39%), laypersons for speaker (36.84%), and personal channel for uploader (61.40%) exhibited the highest frequency. According to the analysis of video content, most videos included the environment (49.12%), programs (38.63%), and cost (35.09%). However, fewer videos focused on care protocols (5.26%), participation (5.26%) and health outcomes (5.26%). More informal presentations, laypersons, and personal channels than health providers, professional groups, and mass media were included in videos focused on choosing nursing homes. It is necessary to provide information regarding the philosophy, care, and health outcomes of residents in addition to the information regarding environment and cost provided by reliable suppliers, such as health professionals, the government, and mass media.
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Affiliation(s)
- SeolHwa Moon
- Research Institute of Nursing Science, Hanyang University, 222, Wangsimni-ro, Seongdong-gu, Seoul, 04763, Republic of Korea
| | - Juyeon Oh
- College of Nursing, Dankook University, 119, Dandae-ro, Dongnam-gu, Cheonan-si, Chungcheongnam-do, 31116, Republic of Korea
| | - Sun Young You
- Department of Nursing, Gangseo University, 47, Kkachisan-ro 24-gil, Gangseo-gu, Seoul, 07661, Republic of Korea.
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Sebastiano A, Restelli U, Astolfo R, Giangreco A. Health, care or shelter? An exploratory analysis of the factors affecting overall satisfaction with services of residents' relatives in nursing homes. Health Serv Manage Res 2022:9514848221113520. [PMID: 35793705 DOI: 10.1177/09514848221113520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Residents' relatives are regularly solicited to evaluate the hotel, social- and health-care services that nursing homes provide to the aged in order to preserve their residual cognitive, physical, and social capabilities. In this study we argue that, due to the services' different technical and functional elements, residents' relatives find it easier to assess the quality of the hotel services instead of the other types of services. Based on 2012 responses from residents' relatives in 38 nursing homes in the Northern part of Italy, our results show that satisfaction with hotel services partially mediates the impact of satisfaction with social- and health-care services, above and beyond their direct effect on the overall satisfaction with all services. We conclude by discussing theoretical contributions and managerial implications.
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Affiliation(s)
| | | | | | - Antonio Giangreco
- IESEG School of Management - Univ. Lille, CNRS, UMR 9221 - LEM - Lille Economie Management, Lille, France
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Momeni P, Ewertzon M, Årestedt K, Winnberg E. Family Members’ Experiences with the Healthcare Professionals in Nursing Homes – A Survey Study. NURSING: RESEARCH AND REVIEWS 2022. [DOI: 10.2147/nrr.s345452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Harper AE, Terhorst L, Moscirella M, Turner RL, Piersol CV, Leland NE. The experiences, priorities, and perceptions of informal caregivers of people with dementia in nursing homes: A scoping review. DEMENTIA 2021; 20:2746-2765. [PMID: 33899537 DOI: 10.1177/14713012211012606] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Person-centered care has been shown to increase desired outcomes for people with dementia, yet informal caregivers' dissatisfaction with care is often reported. For those living in a nursing home, informal caregivers are uniquely situated to provide key insights into the individual's care. However, little is known of the informal caregivers' perspective, which hinders efforts to improve their satisfaction with person-centered nursing home care. Thus, we examined the comprehensive experiences, priorities, and perceptions of informal caregivers of nursing home residents with dementia. METHODS In collaboration with stakeholders, a scoping review of Medline (Ovid), EMBASE.com, CINAHL (EBSCO), the Cochrane Library (Wiley), and PsycINFO (Ovid) databases from January 2000 to July 2020 was conducted. Data were extracted reflecting the experiences, priorities, and preferences of caregivers of people with dementia residing in nursing homes. RESULTS We identified 114 articles that revealed nine themes: (1) communication, (2) transition to nursing home, (3) quality of care, (4) quality of life, (5) informal caregiver role, (6) knowledge of dementia, (7) end-of-life preferences, (8) medication use to manage neuropsychiatric behaviors, and (9) finances. CONCLUSION Informal caregivers described aspects of care that led to both positive and negative experiences with and perceptions of nursing home care. The shortcomings in communication were discussed most frequently, indicating a high priority area. While researchers define the identified themes individually, informal caregivers perceive them to be interwoven as they relate to person-centered care delivery. Although we did not assess the quality of included articles, by identifying themes relevant to caregivers' perspectives of nursing home care, our findings may help to inform efforts to optimize caregivers' satisfaction with nursing home care for residents with dementia.
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Affiliation(s)
- Alexandra E Harper
- Department of Occupational Therapy, School of Health and Rehabilitation Sciences, 6614University of Pittsburgh, Pittsburgh, PA, USA
| | - Lauren Terhorst
- Department of Occupational Therapy, School of Health and Rehabilitation Sciences, 6614University of Pittsburgh, Pittsburgh, PA, USA
| | - Marybeth Moscirella
- Department of Occupational Therapy, School of Health and Rehabilitation Sciences, 6614University of Pittsburgh, Pittsburgh, PA, USA
| | - Rose L Turner
- Health Sciences Library System, 499478University of Pittsburgh, Pittsburgh, PA, USA
| | - Catherine V Piersol
- Department of Occupational Therapy, Jefferson College of Rehabilitation Sciences, 6559Thomas Jefferson University, Philadelphia, PA, USA
| | - Natalie E Leland
- Department of Occupational Therapy, School of Health and Rehabilitation Sciences, 6614University of Pittsburgh, Pittsburgh, PA, USA
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12
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Jang HY, Song EO, Ahn JW. Development and validation of the Scale for Staff-Family Partnership in Long-term Care (SSFPLC). Int J Older People Nurs 2021; 17:e12426. [PMID: 34608763 PMCID: PMC9285734 DOI: 10.1111/opn.12426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Revised: 07/19/2021] [Accepted: 09/13/2021] [Indexed: 11/30/2022]
Abstract
Background A partnership between staff and families is crucial to maintain nursing home residents' health and promote quality of care, and currently, there is a need for a measurement tool to assess the partnership. Objectives This study aimed to develop a tool for assessing the partnership between staff and the families of older adult nursing home residents from the perspective of staff members and to verify its reliability and validity. Methods The instrument was developed in the following four stages: (1) generation of an item pool via literature review and focus group interview, (2) experts' content validity analysis of 32 items, (3) a preliminary survey on 30 staff members and (4) validity and reliability tests of the instrument on 346 staff members in nursing homes between July and October 2018. Results The final instrument consists of 17‐items in four categories (family's trust and support, collaborative relationship and communication, encouragement to participate in care and professional care). Each item was rated on a 4‐point Likert scale, and the higher scores indicating better partnership between staff and families of nursing home residents. The reliability of the instrument was 0.90, and the test–retest intra‐class correlation coefficient was 0.96. Conclusion The Scale for Staff–Family Partnership in Long‐term Care (SSFPLC) showed acceptable reliability and validity as an instrument to assess the partnership between nursing home staff and families. Implications for practice This tool can be used for evaluating staff and family partnerships within nursing homes.
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Affiliation(s)
| | - Eun-Ok Song
- School of Nursing, Hanyang University, Seoul, Korea
| | - Jung-Won Ahn
- Red Cross College of Nursing, Chung-Ang University, Seoul, Korea
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Nwakasi C, Mehri N, Parajuli J. Psychometric Analysis of the 2016 Ohio Long-Term Care Facilities Family Satisfaction Scale. Res Aging 2021; 44:426-435. [PMID: 34553618 DOI: 10.1177/01640275211046304] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Although the Ohio Family Satisfaction Survey (OFSS) has been around since 2002 as an important indicator of long-term care facilities' performance, the validity of this scale has not been evaluated. Using the Robust Maximum Likelihood Estimator Method in Mplus, psychometric analysis involving second-order construct validity or hierarchical construct validity was conducted using responses from 1636 facilities including nursing homes and residential care facilities (N = 32,424). The results showed that OFSS retained the 7-factor structure for the 7 domains and the factor loadings for each domain were above 0.5. It is crucial to include families' input regarding quality of long-term care facilities as some older residents, especially those with moderate to severe cognitive impairments may be unable to provide consistent and comprehensive inputs about the quality of care and services they receive. Therefore, validation of the OFSS has an important implication for quality improvement practice.
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Affiliation(s)
- Candidus Nwakasi
- Department of Health Policy and Management, 6753Providence College, Providence, RI, USA
| | - Nader Mehri
- Aging Studies Institute, 2029Syracuse University, Syracuse, NY, USA
| | - Jyotsana Parajuli
- School of Nursing, 14727University of North Carolina, Charlotte, NC, USA
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Booi L, Sixsmith J, Chaudhury H, O'Connor D, Young M, Sixsmith A. 'I wouldn't choose this work again': Perspectives and experiences of care aides in long-term residential care. J Adv Nurs 2021; 77:3842-3852. [PMID: 34235778 DOI: 10.1111/jan.14948] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Revised: 05/17/2021] [Accepted: 05/28/2021] [Indexed: 11/28/2022]
Abstract
AIMS To provide insight into the everyday realities facing care aides working in long-term residential care (LTRC), and how they perceive their role in society. DESIGN A qualitative ethnographic case study. METHODS Data were collected over. 10 months of fieldwork at one LTRC setting [September 2015 to June 2016] in Western Canada; semi-structured interviews (70 h) with 31 care aides; and naturalistic observation (170 h). Data were analysed using reflexive thematic analysis. RESULTS The findings in this work highlight the underpinned ageism of society, the gendered work of body care, and the tension between the need for relational connections - which requires time and economic profit. Four themes were identified, each relating to the lack of training, support, and appreciation care aides felt about their role in LTRC. CONCLUSION Care aides remain an unsupported workforce that is essential to the provision of high-quality care in LTRC. To support the care aide role, suggestions include: (i) regulate and improve care aide training; (ii) strengthen care aides autonomy of their care delivery; and (iii) reduce stigma by increasing awareness of the care aide role. IMPACT What problem did the study address? The unsupportive working conditions care aides experience in LTRC and the subsequent poor quality of care often seen delivered in LTRC settings. What were the main findings? Although care aides express strong affection for the residents they care for, they experience insurmountable systemic and institutional barriers preventing them from delivering care. Where and on whom will the research have impact? Care aides, care aide educators, care aide supervisors and managers in LTRC, retirement communities, and home care settings.
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Affiliation(s)
- Laura Booi
- Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, UK
| | - Judith Sixsmith
- School of Nursing and Health Sciences, University of Dundee, Dundee, UK
| | - Habib Chaudhury
- Department of Gerontology, Simon Fraser University, Vancouver, Canada
| | | | - Melanie Young
- Origin Longwood Retirement Communities, Vancouver, Canada
| | - Andrew Sixsmith
- Department of Gerontology, Simon Fraser University, Vancouver, Canada
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15
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Duan Y, Mueller CA, Yu F, Talley KM, Shippee TP. The Relationships of Nursing Home Culture Change Practices With Resident Quality of Life and Family Satisfaction: Toward a More Nuanced Understanding. Res Aging 2021; 44:174-185. [PMID: 33973498 PMCID: PMC9126004 DOI: 10.1177/01640275211012652] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Transforming nursing homes (NHs) from restrictive institutions to person-centered homes, referred to as NH culture change, is complex and multifaceted. This study, based on a survey of administrators in Minnesota NHs (n = 102), tested the domain-specific relationships of culture change practices with resident quality of life (QOL) and family satisfaction, and examined the moderating effect of small-home or household models on these relationships. The findings revealed that culture change operationalized through physical environment transformation, staff empowerment, staff leadership, and end-of-life care was positively associated with at least one domain of resident QOL and family satisfaction, while staff empowerment had the most extensive effects. Implementing small-home and household models had a buffering effect on the positive relationships between staff empowerment and the outcomes. The findings provide meaningful implications for designing and implementing NH culture change practices that best benefit residents' QOL and improve family satisfaction.
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Affiliation(s)
- Yinfei Duan
- Faculty of Nursing, Edmonton Clinic Health Academy (ECHA), 3158University of Alberta, Edmonton, Alberta, Canada
| | | | - Fang Yu
- Edson College of Nursing and Health Innovation, Arizona State University, AZ, USA
| | - Kristine M Talley
- 16123School of Nursing, University of Minnesota, Minneapolis, MN, USA
| | - Tetyana P Shippee
- Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN, USA
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16
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Gaugler JE, Shippee TP. "It's about a Life Worth Living": Rosalie A. Kane, PhD, Pioneer of Quality of Life Measurement in Long-Term Care. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2021; 64:52-59. [PMID: 33349198 DOI: 10.1080/01634372.2020.1864541] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Revised: 10/27/2020] [Accepted: 11/20/2020] [Indexed: 06/12/2023]
Abstract
This contribution to the special issue celebrating Dr. Kane's legacy in the Journal of Gerontological Social Work highlights her significant scholarly achievements in the measurement of quality of life in long-term care. Following a synthesis of Dr. Kane's groundbreaking work in this area, we summarize how her study of the measurement of quality of life has served as the foundation for significant practice/policy advancements. We conclude that Dr. Kane and her ongoing legacy in the rigorous measurement of quality of life has achieved her ultimate aspiration: the elevation of quality of life as the central concern when selecting, using, delivering, and valuing long-term care.
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Affiliation(s)
- Joseph E Gaugler
- Division of Health Policy & Management, School of Public Health, University of Minnesota , Minneapolis, MN, USA
| | - Tetyana P Shippee
- Division of Health Policy & Management, School of Public Health, University of Minnesota , Minneapolis, MN, USA
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17
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Lima S, Garrett C, Machado JC, Vilaça M, Pereira MG. Quality of life in patients with mild Alzheimer disease: the mediator role of mindfulness and spirituality. Aging Ment Health 2020; 24:2103-2110. [PMID: 31411042 DOI: 10.1080/13607863.2019.1650891] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
OBJECTIVES This study examined the mediator role of mindfulness and spirituality in the relationship between psychological morbidity, awareness of the disease, functionality, social support, family satisfaction, and quality of life (QoL) in patients with mild AD. METHOD The sample consisted of 128 patients who answered the Cognitive and Affective Mindfulness Scale-Revised (CAMS-R), the Assessment Scale of Psychosocial Impact of the Diagnosis of Dementia (ASPIDD), the Hospital Anxiety and Depression Scales (HADS), the Satisfaction with Social Support Scale (SSSS), the Family Satisfaction Scale (FSS), the Spiritual and Religious Attitudes in Dealing with Illness (SpREUK), the Index of Barthel, and the Quality of Life-Alzheimer's Disease (QoL-AD). RESULTS Mindfulness and spirituality mediated the relationship between functionality, awareness of the disease, family satisfaction and QoL. Psychological morbidity had a direct negative impact on QoL and was negatively associated with awareness of the disease, family satisfaction and social support. Mindfulness was negatively associated with spirituality and the latter was negatively associated with QoL. More social support was associated with greater awareness of the disease and family satisfaction. More functionality, awareness of the disease and family satisfaction contributed to more QoL and this relationship was mediated by mindfulness and spirituality. CONCLUSION Interventions directed at the promotion of the QoL of patients with mild AD should focus on the promotion of mindfulness skills in AD patients, in addition to the reduction of psychological morbidity and the promotion of functionality, awareness of the disease, family relationships and social support.
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Affiliation(s)
- Sara Lima
- School of Psychology, University of Minho, Braga, Portugal
| | | | - José C Machado
- Institute of Social Sciences, University of Minho, Braga, Portugal
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18
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Aschieri F, Barello S, Durosini I. "Invisible Voices": A Critical Incident Study of Family Caregivers' Experience of Nursing Homes After Their Elder Relative's Death. J Nurs Scholarsh 2020; 53:65-74. [PMID: 33206459 DOI: 10.1111/jnu.12610] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/12/2020] [Indexed: 12/15/2022]
Abstract
PURPOSE The literature provides few examples of family caregivers' retrospective evaluation of nursing home services. This study aimed at analyzing narratives of Italian family caregivers of elders who experienced nursing home placement. DESIGN AND METHODS Data were gathered through in-depth interviews with family members after their relatives' death. The interviews were based on the Critical Incident Technique, which allowed the categorization of the most memorable positive and negative events from the perspective of family members of elders deceased in nursing homes. Interviews were interpreted with a phenomenologically inspired thematic analysis approach. Participants were screened for complicated grief disorder as a confounding variable in relatives' accounts of the treatment. RESULTS Results suggested that positive long-term recollection of the nursing home was associated with different themes emerging from the interviews: medical reliability and expertise, active demonstrations of care that extend beyond the contract with the facility, individualized attention, responsiveness, openness to dialog with family members about routines, management of the first impression, and family engagement. Lack of professionals' expertise and medical failures, lack of care for patients' personal goods, lack of family involvement, lack of individualized attention, lack of responsiveness, poor patient surveillance, and structural limits of the facilities were the themes that were more frequently negatively associated with the nursing home experience. IMPLICATIONS FOR PRACTICE Focusing on the key dimensions connected to the quality of the experience of family members can enrich the quality of existing nursing home services and allow healthcare policymakers and managers to design better facilities for the patients.
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Affiliation(s)
- Filippo Aschieri
- Associate Professor, European Center for Therapeutic Assessment; Department of Psychology, Università Cattolica del Sacro Cuore, Milano, Lombardia, Italy
| | - Serena Barello
- Assistant Professor, EngageMinds Hub, Consumer, Food & Health Engagement Research Center; Department of Psychology, Università Cattolica del Sacro Cuore, Milano, Lombardia, Italy
| | - Ilaria Durosini
- Research fellow, Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy
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19
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Song EO, Jang HY. Predictors of Satisfaction with Care Services among Family Members of Older Adult Residents of Long-Term Care Facilities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17093298. [PMID: 32397383 PMCID: PMC7246666 DOI: 10.3390/ijerph17093298] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/15/2020] [Revised: 04/23/2020] [Accepted: 05/07/2020] [Indexed: 11/16/2022]
Abstract
This study identified predictors of satisfaction with care services among family members of older adults residing in long-term care facilities (LTCFs). In this cross-sectional descriptive study, the participants were 330 family members of older adult residents of LTCFs in Seoul, Gyeonggi, Gangwon, Gyeongbuk, and Chungnam, Korea. Data were collected from July to October 2018 using a structured self-report questionnaire. Data were analyzed using descriptive statistics, independent t-testing, one-way ANOVA, Kruskal-Wallis testing, Pearson's correlation coefficients, and hierarchical multiple regressions. The most important predictors of satisfaction with care services were satisfaction with the physical housing environment (β = 0.49, p < 0.001), caregiving stress (β = -0.30, p < 0.001), the facility's size (β = -0.13, p = 0.001), the number of visits to the facility (β = -0.10, p = 0.024), and the number of family members who participated in the decision to place the relative in a facility (β = 0.09, p = 0.033). This study is significant because it provides fundamental data for qualitatively improving care services in LTCFs. Based on the results, strategies should be developed to relieve caregiving stress among family members and improve satisfaction with the physical housing environment.
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20
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Shippee TP, Ng W, Roberts AR, Bowblis JR. Family Satisfaction With Nursing Home Care: Findings and Implications From Two State Comparison. J Appl Gerontol 2020; 39:385-392. [PMID: 30117352 PMCID: PMC9154313 DOI: 10.1177/0733464818790381] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Family satisfaction, while recognized as important, is frequently missing from validated measures of long-term care quality. This is the first study to compare family satisfaction across two states using validated measures and to compare the organizational and structural factors associated with higher family satisfaction with nursing home care. Data sources are family satisfaction surveys from Minnesota (MN) and Ohio (OH), linked to facility characteristics from Certification and Survey Provider Enhanced Reports (CASPER) for both states (N = 378 facilities for MN; N = 926 facilities for OH). Activities and food were among lowest rated items in both states. Relationships with staff were the highest rated domain. Higher occupancy rates, smaller facility size, and non-profit ownership consistently predicted better satisfaction in both states. Our findings show consistent organizational factors associated with family satisfaction and provide further evidence to the validity of family satisfaction as a person-centered measure of quality. This lays the foundation for tool development on the national level.
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Affiliation(s)
| | - Weiwen Ng
- University of Minnesota, Minneapolis, USA
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21
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Sion KYJ, Verbeek H, de Boer B, Zwakhalen SMG, Odekerken-Schröder G, Schols JMGA, Hamers JPH. How to assess experienced quality of care in nursing homes from the client's perspective: results of a qualitative study. BMC Geriatr 2020; 20:67. [PMID: 32066382 PMCID: PMC7026989 DOI: 10.1186/s12877-020-1466-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2019] [Accepted: 02/07/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The culture shift in nursing homes from task-oriented to person-centered care has created a need to assess clients' experienced quality of care (QoC), as this corresponds best with what matters to them. This study aimed to gain insight into how to assess experienced QoC in nursing homes from the client's perspective. METHOD A qualitative study was performed consisting of a focus group with client representatives (n = 10), a focus group with nursing home staff (n = 9) and a world café with client representatives and staff recruited from the Living Lab in Ageing & Long-Term Care (n = 24). Three questions about assessing experienced QoC from the client's perspective were addressed during data collection: 1) What content needs to be assessed? 2) What assessment procedures are needed? and, 3) Who needs to be involved in the assessment? Semi-structured questions, photo elicitation and creative writing were used to answer these questions. Conventional content analysis was used to analyze the data. RESULTS Participants indicated that experienced QoC mostly occurs within the interactions between clients, family and staff, highlighting the impact of relationships. They suggested assessments should focus on three aspects: 1) knowledge about the client, 2) a responsive approach, and 3) a caring environment. These can be assessed by having conversations with clients, their families and staff, and additionally observing the clients in their living environments. Sufficient time and resources are prerequisites for this. Additionally, the person performing the quality assessments needs to possess certain communication and empathy skills. CONCLUSION It is important to include the perspectives of the client, family and staff when assessing experienced QoC, in line with the principles underlying relationship-centered care. In order to be feasible, it is recommended to incorporate quality assessments into the nursing homes' daily routines. Further research with clients, family and staff in nursing homes is needed to develop a feasible, reliable and valid method that assesses experienced QoC from the client's perspective.
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Affiliation(s)
- Katya Y J Sion
- Department of Health Services Research, CAPHRI Care and Public Health Research Institute, Faculty of Health Medicine and Life Sciences, Maastricht University, Duboisdomein 30, 6229, GT, Maastricht, The Netherlands.
| | - Hilde Verbeek
- Department of Health Services Research, CAPHRI Care and Public Health Research Institute, Faculty of Health Medicine and Life Sciences, Maastricht University, Duboisdomein 30, 6229, GT, Maastricht, The Netherlands
| | - Bram de Boer
- Department of Health Services Research, CAPHRI Care and Public Health Research Institute, Faculty of Health Medicine and Life Sciences, Maastricht University, Duboisdomein 30, 6229, GT, Maastricht, The Netherlands
| | - Sandra M G Zwakhalen
- Department of Health Services Research, CAPHRI Care and Public Health Research Institute, Faculty of Health Medicine and Life Sciences, Maastricht University, Duboisdomein 30, 6229, GT, Maastricht, The Netherlands
| | - Gaby Odekerken-Schröder
- Department of Marketing and Supply Chain Management, SBE School of Business and Economics, Maastricht University, Tongersestraat 53, 6221, LM, Maastricht, The Netherlands
| | - Jos M G A Schols
- Department of Health Services Research, CAPHRI Care and Public Health Research Institute, Faculty of Health Medicine and Life Sciences, Maastricht University, Duboisdomein 30, 6229, GT, Maastricht, The Netherlands
| | - Jan P H Hamers
- Department of Health Services Research, CAPHRI Care and Public Health Research Institute, Faculty of Health Medicine and Life Sciences, Maastricht University, Duboisdomein 30, 6229, GT, Maastricht, The Netherlands
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22
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Zysberg L, Band-Winterstein T, Doron I, Shulyaev K, Siegel EO, Kornas-Biela D, Zisberg A. The health care aide position in nursing homes: A comparative survey of nurses’ and aides’ perceptions. Int J Nurs Stud 2019; 94:98-106. [DOI: 10.1016/j.ijnurstu.2019.03.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2018] [Revised: 03/05/2019] [Accepted: 03/09/2019] [Indexed: 01/24/2023]
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23
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Brauner D, Werner RM, Shippee TP, Cursio J, Sharma H, Konetzka RT. Does Nursing Home Compare Reflect Patient Safety In Nursing Homes? Health Aff (Millwood) 2018; 37:1770-1778. [PMID: 30395505 PMCID: PMC6405288 DOI: 10.1377/hlthaff.2018.0721] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
The past several decades have seen significant policy efforts to improve the quality of care in nursing homes, but the patient safety movement has largely ignored this setting. In this study we compared nursing homes' performance on several composite quality measures from Nursing Home Compare, the most prominent recent example of a national policy aimed at improving the quality of nursing home care, to their performance on measures of patient safety in nursing homes such as pressure sores, infections, falls, and medication errors. Although Nursing Home Compare captures some aspects of patient safety, we found the relationship to be weak and somewhat inconsistent, leaving consumers who care about patient safety with little guidance. We recommend that Nursing Home Compare be refined to provide a clearer picture of patient safety and quality of life, allowing consumers to weight these domains according to their preferences and priorities.
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Affiliation(s)
- Daniel Brauner
- Daniel Brauner is an associate professor in the Department of Medicine, University of Chicago, in Illinois
| | - Rachel M Werner
- Rachel M. Werner is a professor of medicine in the Division of General Internal Medicine at the Perelman School of Medicine and a professor of health care management at the Wharton School of Business, both at the University of Pennsylvania, and core faculty at the Center for Health Equity Research and Promotion, Corporal Michael J. Crescenz Veterans Affairs Medical Center, in Philadelphia
| | - Tetyana P Shippee
- Tetyana P. Shippee is an associate professor in the Division of Health Policy and Management, School of Public Health, University of Minnesota, in Minneapolis
| | - John Cursio
- John Cursio is a research assistant professor in the Department of Public Health Sciences, University of Chicago
| | - Hari Sharma
- Hari Sharma is an assistant professor in the Department of Health Management and Policy, University of Iowa, in Iowa City. At the time this research was conducted, Sharma was a doctoral student in the Department of Public Health Sciences, University of Chicago
| | - R Tamara Konetzka
- R. Tamara Konetzka ( ) is a professor in the Department of Public Health Sciences and in the Department of Medicine, University of Chicago
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Nadash P, Hefele JG, Miller EA, Barooah A, Wang X(J. A National-Level Analysis of the Relationship Between Nursing Home Satisfaction and Quality. Res Aging 2018; 41:215-240. [DOI: 10.1177/0164027518805001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Little research has explored the relationship between consumer satisfaction and quality in nursing homes (NHs) beyond the few states mandating satisfaction surveys. We examine this relationship through data from 1,765 NHs in the 50 states and District of Columbia using My InnerView resident or family satisfaction instruments in 2013 and 2014, merged with Certification and Survey Provider Enhanced Reporting, LTCfocus, and NH Compare (NHC) data. Family and resident satisfaction correlated modestly; both correlated weakly and negatively with any quality-of-care (QoC) and any quality-of-life deficiencies and positively with NHC five-star ratings; this latter positive association persisted after covariate adjustment; the negative relationship between QoC deficiencies and family satisfaction also remained. Overall, models explained relatively small proportions of satisfaction variance; correlates of satisfaction varied between residents and families. Findings suggest that satisfaction is a unique dimension of quality and that resident and family satisfaction represent different constructs.
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Affiliation(s)
- Pamela Nadash
- Department of Gerontology, John W. McCormack Graduate School of Policy and Global Studies, University of Massachusetts Boston, Boston, MA, USA
| | - Jennifer Gaudet Hefele
- Department of Gerontology, John W. McCormack Graduate School of Policy and Global Studies, University of Massachusetts Boston, Boston, MA, USA
| | - Edward Alan Miller
- Department of Gerontology, John W. McCormack Graduate School of Policy and Global Studies, University of Massachusetts Boston, Boston, MA, USA
| | - Adrita Barooah
- Department of Gerontology, John W. McCormack Graduate School of Policy and Global Studies, University of Massachusetts Boston, Boston, MA, USA
| | - Xiao (Joyce) Wang
- Department of Gerontology, John W. McCormack Graduate School of Policy and Global Studies, University of Massachusetts Boston, Boston, MA, USA
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25
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Herr M, Raharimanana S, Bagaragaza E, Aegerter P, Sipos I, Fabre C, Ankri J, Pisica-Donose G. Evaluation de la culture de sécurité en Etablissement d'Hébergement pour Personnes Agées Dépendantes (EHPAD): adaptation française du questionnaire Nursing Home Survey on Patient Safety Culture. Can J Aging 2017; 36:453-462. [PMID: 29019304 PMCID: PMC5729849 DOI: 10.1017/s071498081700037x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2016] [Accepted: 02/03/2017] [Indexed: 11/24/2022] Open
Abstract
The objective was to translate into French the American questionnaire "Nursing Home Survey on Patient Safety Culture" and to test the feasibility of its use in a sample of nursing homes. The questionnaire was translated by a multidisciplinary group of six experts and tested on a sample of people working in nursing homes. The questionnaire was then administered in five nursing homes. A first version of the French NHSPSC is proposed in this article. Despite similarities between items and ceiling effect for one item, the choices made were conservative to allow international comparisons. The administration of the questionnaire in five nursing homes confirmed the feasibility of the approach, with a participation of more than 50 per cent. This work made a French version of the NHSPSC available and confirmed that it is a feasible method for evaluating safety culture in nursing homes.
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Affiliation(s)
- Marie Herr
- INSERM, VIMA: Vieillissement et Maladies chroniques : approches épidémiologique et de santé publique, U1168, F-94807, Villejuif, France
- Univ Versailles St-Quentin-en-Yvelines, UMR-S 1168, F-78180, Montigny le Bretonneux, France
- AP-HP, Hôpital Sainte Périne, Département Hospitalier d’Epidémiologie et de Santé Publique, Paris, France
| | - Séhéno Raharimanana
- INSERM, VIMA: Vieillissement et Maladies chroniques : approches épidémiologique et de santé publique, U1168, F-94807, Villejuif, France
- Univ Versailles St-Quentin-en-Yvelines, UMR-S 1168, F-78180, Montigny le Bretonneux, France
- DomusVi, Suresnes, France
| | - Emmanuel Bagaragaza
- INSERM, VIMA: Vieillissement et Maladies chroniques : approches épidémiologique et de santé publique, U1168, F-94807, Villejuif, France
- Univ Versailles St-Quentin-en-Yvelines, UMR-S 1168, F-78180, Montigny le Bretonneux, France
- Pôle Recherche et Enseignement Universitaire SPES « Soins Palliatifs En Société – Ethique et Pratique Clinique », Maison Médicale Jeanne Garnier, Paris, France
| | - Philippe Aegerter
- INSERM, VIMA: Vieillissement et Maladies chroniques : approches épidémiologique et de santé publique, U1168, F-94807, Villejuif, France
- Univ Versailles St-Quentin-en-Yvelines, UMR-S 1168, F-78180, Montigny le Bretonneux, France
- AP-HP, Hôpital Ambroise Paré, Unité de Recherche Clinique et Département de Santé Publique, Boulogne, France
| | | | | | - Joël Ankri
- INSERM, VIMA: Vieillissement et Maladies chroniques : approches épidémiologique et de santé publique, U1168, F-94807, Villejuif, France
- Univ Versailles St-Quentin-en-Yvelines, UMR-S 1168, F-78180, Montigny le Bretonneux, France
- AP-HP, Hôpital Sainte Périne, Département Hospitalier d’Epidémiologie et de Santé Publique, Paris, France
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Engaging Nursing Home Residents in Formal Volunteer Activities: a Focus on Strengths. AGEING INTERNATIONAL 2016. [DOI: 10.1007/s12126-016-9252-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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