{"title":"Preferences and Quality of Life in Nursing Home Residents: A Mixed Methods Study","authors":"Tonya Roberts, PhD, RN, Laura Block, BS, BSN, RN, Caroline Madrigal, PhD, RN","doi":"10.3928/00989134-20240416-02","DOIUrl":null,"url":null,"abstract":"<section><h3>Purpose:</h3><p>Delivery of person-centered care (PCC) is the standard in nursing homes (NHs) and demonstrates a positive impact on resident quality of life (QOL). PCC inherently recognizes and prioritizes resident preferences; however, preferences, and their degree of importance among residents, demonstrate a variable relationship with QOL that remains underexplored. Therefore, the current study examined the association between preferences and QOL among NH residents.</p></section><section><h3>Method:</h3><p>A mixed methods study incorporating surveys was conducted among 144 residents, with semi-structured follow-up interviews with 11 residents.</p></section><section><h3>Results:</h3><p>Findings confirm a variable relationship between resident preferences and QOL. Higher order preferences not captured within the preference assessment may influence QOL. High numbers of unimportant and <i>can't do</i>/<i>no</i> choice preferences were linked to resident acclimatization to the NH. QOL was at risk if care was not consistent with preferences.</p></section><section><h3>Conclusion:</h3><p>In-depth assessments and robust measures of preferences and QOL should be integrated into care delivery and future research. [<i>Journal of Gerontological Nursing, 50</i>(5), 7–13.]</p></section>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"40 1","pages":""},"PeriodicalIF":1.1000,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of gerontological nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/00989134-20240416-02","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose:
Delivery of person-centered care (PCC) is the standard in nursing homes (NHs) and demonstrates a positive impact on resident quality of life (QOL). PCC inherently recognizes and prioritizes resident preferences; however, preferences, and their degree of importance among residents, demonstrate a variable relationship with QOL that remains underexplored. Therefore, the current study examined the association between preferences and QOL among NH residents.
Method:
A mixed methods study incorporating surveys was conducted among 144 residents, with semi-structured follow-up interviews with 11 residents.
Results:
Findings confirm a variable relationship between resident preferences and QOL. Higher order preferences not captured within the preference assessment may influence QOL. High numbers of unimportant and can't do/no choice preferences were linked to resident acclimatization to the NH. QOL was at risk if care was not consistent with preferences.
Conclusion:
In-depth assessments and robust measures of preferences and QOL should be integrated into care delivery and future research. [Journal of Gerontological Nursing, 50(5), 7–13.]
目的：提供以人为本的护理（PCC）是疗养院（NHs）的标准，并对住院者的生活质量（QOL）产生了积极影响。以人为本的护理本质上承认并优先考虑住户的偏好；然而，住户的偏好及其重要程度与生活质量之间存在着不同的关系，这一点尚未得到充分探讨。因此，本研究考察了北卡罗来纳州居民的偏好与 QOL 之间的关系。方法：本研究采用混合方法，对 144 名居民进行了调查，并对 11 名居民进行了半结构化的后续访谈。偏好评估中未包含的高阶偏好可能会影响 QOL。不重要和不能做/没有选择的偏好较多，这与住户是否适应疗养院有关。结论：应将对偏好和 QOL 的深入评估和可靠测量纳入护理服务和未来研究中。[老年护理杂志》，50（5），7-13。］
期刊介绍：
The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.
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