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

被引:87
|
作者
Burack, Orah R. [1 ]
Weiner, Audrey S. [1 ]
Reinhardt, Joann P. [1 ]
Annunziato, Rachel A. [2 ]
机构
[1] Jewish Home Lifecare, Res Inst Aging, New York, NY 10025 USA
[2] Fordham Univ, Dept Psychol, Bronx, NY 10458 USA
关键词
Culture change; long term care; QOL; satisfaction; dignity;
D O I
10.1016/j.jamda.2010.08.002
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objective: A growing number of nursing homes across the country are embarking on culture change transformations that focus on maximizing elder residents' quality of life (QOL). Challenges to culture change implementation include the wide range of possible interventions as well as a lack of research-based evidence to guide these choices. The purpose of this study was to determine those components of nursing home QOL that are associated with elder satisfaction so as to provide direction in the culture change journey. Design: A cross-sectional study using a survey administered face-to-face. Setting: Three large urban nursing homes within a long term care system in New York State. Participants: Sixty-two elder nursing home residents participated in face-to-face interviews. All elders had resided in their nursing communities for at least 3 months before participation. Measurements: The survey included the Quality of Life Scales for Nursing Home Residents, which examines elder QOL in 11 domains: autonomy, dignity, food enjoyment, functional competence, individuality, meaningful activity, physical comfort, privacy, relationships, security, and spiritual well-being. Elder satisfaction with the nursing home and nursing home staff were also examined. Results: After accounting for cognitive and physical functioning, among the QOL domains, dignity, spiritual well-being, and food enjoyment remained predictors of overall nursing home satisfaction. Additionally, dignity remained a significant predictor of elder satisfaction with staff. Conclusion: These results provide one possible path in the culture change journey based on empirical findings. Copyright (C) 2012 - American Medical Directors Association, Inc.
引用
收藏
页码:48 / 53
页数:6
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