Satisfaction With Care Among Community Residential Care Residents

The Association Between Preference Satisfaction and Satisfaction with Overall Care for Nursing Home Residents

The Centers for Medicare and Medicaid Services mandate the provision of person-centered care (PCC), but there is limited evidence on how PCC impacts nursing home (NH) residents' care experiences. This study examined the relationship between n = 163 NH residents' ratings of satisfaction with care related to their preferences and their satisfaction with overall care. Residents with higher preference satisfaction ratings reported significantly higher levels of satisfaction with overall care. Using preference satisfaction ratings has the potential to improve PCC planning and delivery in nursing homes.

Factors related to satisfaction with long-term care services among low-income Korean elderly adults: A national cross-sectional survey

BACKGROUND

With the growing demand for long-term care (LTC) services, it is increasingly important to explore experience with care. This study examined care satisfaction in a nursing home and at home among low-income elders in South Korea.

METHODS

This cross-sectional study was conducted with 246 elderly recipients of welfare benefits using a proportional stratified sampling method. Two self-reported versions of a questionnaire developed for users of nursing home care and homecare were used.

RESULTS

Those at home reported higher care satisfaction than those in nursing homes did. Both users of nursing home care and homecare were less satisfied with the food served. Users of nursing homes had comparatively less satisfaction regarding the daily activities available to them and less autonomy concerning their care decisions. Factors that influenced satisfaction with nursing home care and homecare were the quality of caregivers, care facilities, and physical wellbeing.

CONCLUSIONS

An approach focused on improving the quality of the care facilities and caregivers could help enhance care satisfaction among low-income Korean elders receiving LTC.

Factors Affecting Choice of Community Residential Care Setting

To investigate factors associated with residents’ choice of type of Medicaid-funded community residential care setting in western Washington State. Method: Prospective cohort design including residents new to any of three setting types (264 residents entering 170 different facilities), using data from state and Medicaid databases and in-person interviews. The authors used analysis of variance and multinomial logistic regression to examine bivariate associations and estimate effects of resident and facility characteristics on choice of facility type at baseline. Results: Several resident characteristics appear to be associated with choice of community residential care setting, including age, marital status, education, functional status, and reported memory and behavior problems. Facility policies differ significantly among types of facilities and also appear to be associated with choice of setting. Discussion: Selection processes operate in choice of community residential care setting, with residents choosing facility type based on the fit of their needs with facility characteristics.

Stress and Spirituality on the Depressive Symptoms of Older Adults in Assisted Living: Gender Differences

In this study the authors explore the effects of stress and spirituality on the depressive symptoms of 92 older adult men and 224 older adult women who reside in assisted living facilities. Hierarchical regression reveals that stress was related to increases in depressive symptoms. The stress of women was more strongly associated with depressive symptoms than found among men. In contrast, spiritual coping was associated with a decrease in depressive symptoms among all older adults in assisted living. The spiritual coping of older adult women was not a significant predictor of decreased depressive symptoms. Through this study the authors support the use of spiritual interventions to alleviate depressive symptoms experienced by older adults in assisted living.

Private religious practice, spiritual coping, social support, and health status among older Korean adult immigrants

This study explored the role of spiritual factors and social support on the health status of 246 older Korean adult immigrants age 65 years or older. Ordinary least squares regression results revealed that private religious practice, spiritual coping, and social support were significantly associated with improved health status. However, stressors such as the lack of English proficiency and transportation, longer residency in the United States, and financial problems were significantly associated with lower health status. Social workers need to consider providing appropriate spiritual interventions and social support programs for older Korean adult immigrants so that they may better handle their stressors and health problems.

Satisfaction from the 'Help at Home' programme in a prefecture of central Greece

Greece is facing the issue of increasing elderly population and therefore local municipalities started the 'Help at Home' programme. The aim of this study is to investigate the elderly's satisfaction from the 'Help at Home' programme in a prefecture of central Greece. The sample consisted of 300 elderly people who receive services from the 'Help at Home' programme. Data were collected using a questionnaire. The majority of the participants were satisfied with the programme's services and reported high satisfaction from the interpersonal relations with the personnel, from the personnel's professional abilities and from the system's sufficiency in covering the elderly's perceived needs for care, but the satisfaction from the range of services is relatively low. The participants were overall satisfied; however, further research is needed at a national level in order to draw safer conclusion regarding the application of the programme in Greece.

Satisfaction with assisted living: the unexplored role of physical activity

In the ongoing Interdisciplinary Nursing Quality Research Initiative Program study, we are testing the impact of Function-Focused Care, which is an approach to care in which we work with assisted living (AL) residents and staff to optimize the functional and physical activities of residents during daily activity. The purpose of this article is to evaluate life satisfaction of AL residents with a focus on the impact of physical activity. In a sample of 171 older adults from 4 ALs, it was found that depression, social support from friends and experts, time in caregiving, and fear of falling all had a significant relationship with life satisfaction in AL. Physical activity was not related to life satisfaction in this study. Ongoing research is necessary to explore whether changing attitudes about physical activity among older adults and increasing social support related to physical activity can improve life satisfaction.

The erosion of filial piety by modernisation in Chinese cities

Whether filial piety or financial support to older parents is eroded or maintained through societal modernisation is an unresolved issue in China and a matter of widespread concern. Whereas structural-functionalist theories predict erosion, alternative views suggest that modernisation reduces filial piety only minimally or conditionally. One possible condition that resists the modernisation effect is education. The impacts of modernisation and its interaction with Chinese education are therefore the focus of this study. Using various sources, the paper reports analyses of the relationships between the levels of modernisation in six Chinese cities, measured by average gross domestic product per capita, the average wage and the percentage of the workforce that are employed in the service sector, and variations in expressions of filial piety and cash payments to parents. Representative samples of the cities' adult residents were used. It was found that filial piety and cash payments were lower when the citizen was in a city with higher or more advanced modernisation, and that the reduction in affirmations of filial piety associated with higher modernisation was less among citizens with higher education. It is concluded that educational policy and practice can be a means to sustain filial piety in the face of modernisation.

Eldercare Volunteers and Employees: Predicting Caregiver Experiences from Service Motives and Sense of Community

Volunteers (n = 52) and eldercare employees (n = 160) completed measures of personal motives, sense of community, and satisfaction and stress from assisting the elderly. Caregiver satisfaction was best predicted for volunteers by feelings of reciprocal responsibility to peers. For employees, satisfaction was predicted by strong motives reflecting one's personal values, heightening self-esteem, gaining an understanding of the elderly, and a need to socialize with others. Caregiver stress for volunteers was predicted by motives of low self-esteem, high needs for protection from similar illness, and a desire toward enhancing one's personal career goals. For employees, stress was predicted by low levels of reciprocal responsibility and a desire for protection. Results suggest that eldercare satisfaction and stress are predicted by different variables for volunteer and employees requiring different program development for recruitment and retention. EDITORS' STRATEGIC IMPLICATIONS: The findings have implications for the way elder care administrators prevent worker and volunteer turnover and thus promote client welfare. Measures of personal motivation and community connection may be relevant to other prevention settings as well.