Improving Quality of Life for Older People in Long-Stay Care ...

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Collin, C., Wade, D.T., Davies, S., Horn, V.I. and Herndon, R.M., 1997. Handbookof Clinical Neurologic Scales. New York: Dernos Vermande.Creswell, J.W., 2003. Research Design: Qualitative, Quantitative and Mixed MethodApproaches. California: Sage.Cutcliffe, J., 2000. ‘Methodological issues in grounded theory’, Journal of AdvancedNursing, 31(6): 1476-1484.Davies, S., Laker, S. and Ellis, L., 1999. Dignity on the Ward: PromotingExcellence in Care. Good Practice in Acute Hospital Care for Older People.London: Help the Aged.Denzin, N.K., 1989. The Research Act: A Theoretical Introduction to SociologicalMethods. New York: Prentice Hall.Department of Health, 1988. The Years Ahead: A Policy for the Elderly. Dublin:Stationery Office.Department of Health, 1994. Shaping a Healthier Future: A Strategy for EffectiveHealthcare in the 1990s. Dublin: Stationery Office.235Department of Health and Children, 1995. Code of Practice for Nursing Homes.Dublin: Stationery Office.Department of Health and Children, 2001. Quality and Fairness: A Health SystemFor You. Dublin: Stationery Office.Department of Health and Children, 2003. Long-Stay Activity Statistics.Dublin: Department of Health and Children.Department of Health and Children, 2005. Long-Stay Activity Statistics 2004.Dublin: Department of Health and Children.Donabedian, A., 1980. Explorations in Quality Assessment and Monitoring.Ann Arbor, MI: Health Administration Press.Farquhar, M., 1995a. ‘Definitions of quality of life: a taxonomy’, Journal of AdvancedNursing, 22(3): 502-508.
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Page 1 and 2:
ImprovingQuality of Lifefor Older P
Page 3:
National Council on Ageing and Olde
Page 6 and 7:
Authors’ AcknowledgementsThe rese
Page 8 and 9:
ContentsCouncil Comments and Recomm
Page 10:
6.7 Meaningful Occupation 1296.8 Ch
Page 14 and 15:
CouncilComments andRecommendations
Page 16 and 17:
Quality of Life DomainsThe research
Page 18 and 19:
Meaningful ActivitiesThe research n
Page 20 and 21:
the research revealed that, in gene
Page 22 and 23:
The Council accepts that the cultur
Page 24 and 25:
this regard. The Council believes t
Page 26 and 27:
ExecutiveSummary
Page 28 and 29:
MethodologyA mixed method research
Page 30 and 31:
Long-Stay Facility Survey FindingsT
Page 32 and 33:
Residents were most positive about
Page 34 and 35:
Chapter OneIntroduction
Page 36 and 37:
There is no single definition descr
Page 38 and 39:
This chapter provides justification
Page 40 and 41:
Chapter TwoQuality of Careand Quali
Page 42 and 43:
2.2 Separating Quality of Care and
Page 44 and 45:
2.3 Policy for Long-Stay Care in Ir
Page 46 and 47:
2.4 Regulatory StructuresThere are
Page 48 and 49:
Medical preparations - medication s
Page 50 and 51:
inspections are mainly concerned wi
Page 52 and 53:
often not designed to meet the spec
Page 54 and 55:
Residents who did not want to be in
Page 56 and 57:
Human resources management standard
Page 58 and 59:
The Mid-West Standards for Resident
Page 60 and 61:
process and outcomes of the service
Page 62 and 63:
2.9 ConclusionQuality of life for o
Page 64 and 65:
Chapter ThreeThe Interpretationand
Page 66 and 67:
The difficulty of defining such an
Page 68 and 69:
Implicit definitions use the broad
Page 70 and 71:
Human needs may also provide part o
Page 72 and 73:
successfully complete a self-report
Page 74 and 75:
In relation to older people specifi
Page 76 and 77:
The results of this particular stud
Page 78 and 79:
The design of a residential care se
Page 80 and 81:
Chapter FourMethodology
Page 82 and 83:
each method used at the same point
Page 84 and 85:
4.3.3 Data AnalysisThe transcripts
Page 86 and 87:
Table 4.2: Distribution of question
Page 88 and 89:
4.4.4 Quantitative Data AnalysisThe
Page 90 and 91:
Anonymity and confidentiality are i
Page 92 and 93:
from stakeholders who attended the
Page 94 and 95:
4.7 Ethical ClearanceEthical cleara
Page 96 and 97:
Chapter FiveQuality of Lifein Long-
Page 98 and 99:
All participants reported that ther
Page 100 and 101:
Staffing and skill mix: comments fr
Page 102 and 103:
Recruiting and retaining staff: com
Page 104 and 105:
Impact of physical environment on r
Page 106 and 107:
5.6.2 Social EnvironmentParticipant
Page 108 and 109:
They believed that this problem was
Page 110 and 111:
Participants also discussed at leng
Page 112 and 113:
Chapter SixQuality of Lifein Long-S
Page 114 and 115:
Table 6.1: Type of facilityN %Priva
Page 116 and 117:
Figure 6.2: Age profile of long-sta
Page 118 and 119:
Figure 6.5 shows the percentages of
Page 120 and 121:
Figure 6.7: Long-stay residents’
Page 122 and 123:
In private and voluntary facilities
Page 124 and 125:
Table 6.6: Ratio of RNs on the even
Page 126 and 127:
Staff turnover investigates the num
Page 128 and 129:
Table 6.10: Therapeutic and other s
Page 130 and 131:
sector and 50 per cent in the volun
Page 132 and 133:
Table 6.13: Number of facilities in
Page 134 and 135:
stay units also allow ambulant, men
Page 136 and 137:
The majority of private and volunta
Page 138 and 139:
Table 6.17: Call bell facilities by
Page 140 and 141:
Chapter SevenDescription ofStudy Si
Page 142 and 143:
others were open and residents’ b
Page 144 and 145:
7.2.2 StaffingRegistered nurses and
Page 146 and 147:
Some residents were able to leave t
Page 148 and 149:
the day by their bed. In addition,
Page 150 and 151:
equired full assistance with dressi
Page 152 and 153:
Chapter EightCare Environmentand Et
Page 154 and 155:
8.2 Promoting AutonomyThis category
Page 156 and 157:
Table 8.1: Involvement of residents
Page 158 and 159:
Table 8.2: Maintaining independence
Page 160 and 161:
Focus group participants reported t
Page 162 and 163:
Staff respondents also highlighted
Page 164 and 165:
Therefore, the practice of rosterin
Page 166 and 167:
8.7 ConclusionThis chapter presente
Page 168 and 169:
Chapter NinePersonal Identity
Page 170 and 171:
Table 9.1: Identity and personalise
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The real meI’m there in a photogr
Page 174 and 175:
how important it was that residents
Page 176 and 177:
Table 9.5: Freedom and constraintsA
Page 178 and 179:
9.5 PrivacyThe degree of privacy en
Page 180 and 181:
9.6 Self-RespectAcknowledging resid
Page 182 and 183:
9.7 ConclusionsThe findings suggest
Page 184 and 185:
Chapter TenConnectedness,Social Rel
Page 186 and 187: 10.2 Connectedness, Involvement and
Page 188 and 189: A concrete example of the priority
Page 190 and 191: Cultural differencesnot an issueI f
Page 192 and 193: esidents but reserved the title of
Page 194 and 195: Table 10.3: Relationships among res
Page 196 and 197: it feel more like visiting somebody
Page 198 and 199: Near home(I) was living up the road
Page 200 and 201: Chapter ElevenActivitiesand Therapi
Page 202 and 203: had a special activities/therapies
Page 204 and 205: 11.3 Therapeutic ActivityThis categ
Page 206 and 207: A few facilities had incorporated o
Page 208 and 209: Some facilities organised special t
Page 210 and 211: For residents, what appeared to be
Page 212 and 213: Chapter TwelveConclusions andRecomm
Page 214 and 215: The prevalence of quality deficits
Page 216 and 217: attitude to their institutionalisat
Page 218 and 219: higher the proportion of care given
Page 220 and 221: was that they had a choice. In some
Page 222 and 223: The physical environment in some fa
Page 224 and 225: activities need to be dynamic and r
Page 226 and 227: Older people in residential care mu
Page 228 and 229: choice regarding the gender of a ca
Page 230 and 231: Residents and their families should
Page 232 and 233: References
Page 234 and 235: Birren, J.E. and Dieckmann, L., 199
Page 238 and 239: Hubbard, G., Downs, M.G. and Tester
Page 240 and 241: McCormack, B., 2003. ‘A conceptua
Page 242 and 243: Redfern, S., Hannan, S., Norman, I.
Page 244 and 245: Appendices
Page 246 and 247: Profile of your long-stay facility1
Page 248 and 249: 6a. Are there any reasons why you w
Page 250 and 251: Staff resources10. How many whole-t
Page 252 and 253: Services and facilities17. Are any
Page 254 and 255: Care process24a. Can long-stay resi
Page 256 and 257: 32b. If Yes, when can residents smo
Page 258 and 259: 38a. Was this facility purpose-buil
Page 260 and 261: 45. Are any of the following provid
Page 262 and 263: General atmosphereComment on the ge
Page 264 and 265: DomainFeeling caredfor/feelingsecur
Page 266 and 267: DomainFeeling caredfor/feelingsecur
Page 268 and 269: DomainGeneralCue question/promptsHa
Page 270 and 271: DomainCompanionship/relationshipCon
Page 272 and 273: DomainRelationship tofamily/friends
Page 274 and 275: Terms ofReference
Page 276 and 277: c) providing information and advice
Page 278: National Council on Ageingand Older
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