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

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McCormack, B., 2003. ‘A conceptual framework for person-centred practicewith older people’, International Journal of Nursing Practice, 9(3): 202-209.Meeberg, G.A., 1993. ‘Quality of life: a concept analysis’, Journal of AdvancedNursing, 18: 32-38.Megone, C., 1990. ‘The quality of life starting from Aristotle’ in Baldwin, S.,Godfrey, C. and Propper, C., (eds), 1990. Quality of Life Perspectives and Policies.London: Routledge.Miles, M.B. and Huberman, A.M., 1994. Qualitative Data Analysis:An Expanded Sourcebook. California: Sage.Mor, V., 2001. ‘Approaches to quality of care by regulatory and accreditationorganizations’ in Noelker, L.S. and Harel, Z., (eds), 2001. Linking Quality ofLong-Term Care and Quality of Life. Canada: Springer Publishing Company.Moise, P., Wchwarzinger, M. and Um, M.Y., 2004. Dementia Care in NineOECD Countries: A Comparative Analysis. OECD Health Working Papers No. 13.Paris: OECD.239Mozley, C., Sutcliffe, C., Bagley, H., Cordingley, L., Challis, D., Huxley, P. andBurns, A., 2004. Towards Quality Care Outcomes for Older People in Care Homes.England: Ashgate Publishing.National Council on Ageing and Older People, 2000. A Framework for Qualityin Long-Term Residential Care for Older People in Ireland. Dublin: NCAOP.Noelker, L.S. and Harel, Z., 2001. ‘Humanizing long-term care: forging a linkbetween quality of care and quality of life’ in Noelker, L.S. and Harel, Z., (eds),2001. Linking Quality of Long-Term Care and Quality of Life. Canada:Springer Publishing Company.O’Boyle, C.A., 1997. ‘Measuring the quality of later life’, Philosophical Transactions:Biological Sciences, 352(1363): 1871-1879.O’Connor, J. and Walsh, M., 1986. ‘It’s Our Home’: The Quality of Life in Privateand Voluntary Nursing Homes. Dublin: National Council for the Aged.
O’Connor, J. and Thompstone, K., 1986. Nursing Homes in the Republic of Ireland:A Study of the Private and Voluntary Sector. Dublin: National Council for the Aged.O’Shea, E., Donnison, D. and Larragy, J., 1991. The Role and Future Developmentof Nursing Homes in Ireland. Dublin: NCAOP.O’Shea, E. and O’Reilly, S., 1999. An Action Plan for Dementia. Dublin: NCAOP.OCS Consulting, 2004. Quality of Life in Long Term Residential Care. The Viewsof Residents, Their Relatives and Staff About Life in Long Term Residential Carein the West. Dublin: OCS Consulting.OECD, 2005. Long-Term Care for Older People. Paris: OECD.Ormel, J., Lindenberg, S., Steverink, N. and Vonkorff, M., 1997. ‘Quality of lifeand social production functions: a framework for understanding health effects’,Social Science and Medicine, 45(7): 1051-1063.240Parker, C., Barnes, S., McKee, K., Morgan, K., Torrington, J. and Tregenza, P., 2004.‘Quality of life and building design in residential and nursing homes for olderpeople’, Ageing and Society, 24(6): 941-962.Patton, M.Q., 1990. Qualitative Evaluation and Research Methods. London: Sage.Philips, C.D., 2001. ‘Measuring and assuring quality care in nursing homes’in Noelker, L.S. and Harel, Z., (eds), 2001. Linking Quality of Long-Term Careand Quality of Life. Canada: Springer Publishing Company.Polit, D.F. and Beck, C.T., 2004. Nursing Research, Principles and Methods.Philadelphia, Lippincott.Pynoos, J. and Regnier, V., 1991. ‘Improving residential environments for frailelderly: bridging the gap between theory and application’ in Birren, J.E., Lubber, J.E., Rowe, J.C. and Deutchman, D.E., (eds), 1991. The Concept and Measurementof Quality of Life in the Frail Elderly. California: Academic Press.Raphael, D., 1996. ‘Defining quality of life: eleven debates concerning itsmeasurement’ in Renwick, R., Brown, I. and Nagler, M., (eds.), 1996. Qualityof Life in Health Promotion and Rehabilitation: Conceptual Approaches, Issues,and Applications. California: Sage.Improving Quality of Life for Older People in Long-Stay Care Settings in Ireland
Page 1 and 2:
ImprovingQuality of Lifefor Older P
Page 3:
National Council on Ageing and Olde
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Authors’ AcknowledgementsThe rese
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ContentsCouncil Comments and Recomm
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6.7 Meaningful Occupation 1296.8 Ch
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CouncilComments andRecommendations
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Quality of Life DomainsThe research
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Meaningful ActivitiesThe research n
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the research revealed that, in gene
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The Council accepts that the cultur
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this regard. The Council believes t
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ExecutiveSummary
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MethodologyA mixed method research
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Long-Stay Facility Survey FindingsT
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Residents were most positive about
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Chapter OneIntroduction
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There is no single definition descr
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This chapter provides justification
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Chapter TwoQuality of Careand Quali
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2.2 Separating Quality of Care and
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2.3 Policy for Long-Stay Care in Ir
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2.4 Regulatory StructuresThere are
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Medical preparations - medication s
Page 50 and 51:
inspections are mainly concerned wi
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often not designed to meet the spec
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Residents who did not want to be in
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Human resources management standard
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The Mid-West Standards for Resident
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process and outcomes of the service
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2.9 ConclusionQuality of life for o
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Chapter ThreeThe Interpretationand
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The difficulty of defining such an
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Implicit definitions use the broad
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Human needs may also provide part o
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successfully complete a self-report
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In relation to older people specifi
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The results of this particular stud
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The design of a residential care se
Page 80 and 81:
Chapter FourMethodology
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each method used at the same point
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4.3.3 Data AnalysisThe transcripts
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Table 4.2: Distribution of question
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4.4.4 Quantitative Data AnalysisThe
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Anonymity and confidentiality are i
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from stakeholders who attended the
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4.7 Ethical ClearanceEthical cleara
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Chapter FiveQuality of Lifein Long-
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All participants reported that ther
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Staffing and skill mix: comments fr
Page 102 and 103:
Recruiting and retaining staff: com
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Impact of physical environment on r
Page 106 and 107:
5.6.2 Social EnvironmentParticipant
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They believed that this problem was
Page 110 and 111:
Participants also discussed at leng
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Chapter SixQuality of Lifein Long-S
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Table 6.1: Type of facilityN %Priva
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Figure 6.2: Age profile of long-sta
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Figure 6.5 shows the percentages of
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Figure 6.7: Long-stay residents’
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In private and voluntary facilities
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Table 6.6: Ratio of RNs on the even
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Staff turnover investigates the num
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Table 6.10: Therapeutic and other s
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sector and 50 per cent in the volun
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Table 6.13: Number of facilities in
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stay units also allow ambulant, men
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The majority of private and volunta
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Table 6.17: Call bell facilities by
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Chapter SevenDescription ofStudy Si
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others were open and residents’ b
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7.2.2 StaffingRegistered nurses and
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Some residents were able to leave t
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the day by their bed. In addition,
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equired full assistance with dressi
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Chapter EightCare Environmentand Et
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8.2 Promoting AutonomyThis category
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Table 8.1: Involvement of residents
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Table 8.2: Maintaining independence
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Focus group participants reported t
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Staff respondents also highlighted
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Therefore, the practice of rosterin
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8.7 ConclusionThis chapter presente
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Chapter NinePersonal Identity
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Table 9.1: Identity and personalise
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The real meI’m there in a photogr
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how important it was that residents
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Table 9.5: Freedom and constraintsA
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9.5 PrivacyThe degree of privacy en
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9.6 Self-RespectAcknowledging resid
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9.7 ConclusionsThe findings suggest
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Chapter TenConnectedness,Social Rel
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10.2 Connectedness, Involvement and
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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 236 and 237: Collin, C., Wade, D.T., Davies, S.,
Page 238 and 239: Hubbard, G., Downs, M.G. and Tester
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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