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

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DomainCompanionship/relationshipContinuitywith old life/communityIndependenceSpiritualityEducationalneedsGeneralCue questionsHow would you describe the relationships between residents?Are residents able to maintain contact with family and friendsfrom home?In general, are residents from the immediate area?Do people from the community, e.g. volunteers, come into visit? How often? What do they do?Do residents go out on visits/trips? How often? Where do they go?Who takes them?Are residents able to keep in touch with what’s happeningin their community/the wider community? How?Is there a focus on keeping residents as independent as possible?Are the support services to help with that available,e.g. physiotherapy, occupational therapy?Have you access to the aids etc. that you need?What do you think of the building itself in terms of promotingolder people’s independence?Is it possible to meet clients’ spiritual needs?Have you had an opportunity to attend a course/study day etc.recently?In the context of your work with older people, would you sayyour educational needs are met?What would you suggest or recommend?Is there anything else I should have asked you? Or that you’dlike to comment on?269
Appendix FiveRelative InterviewScheduleThis element explored the perspective of relatives or family members on qualityof life generally for people in long-stay residential care.270DomainTransition to LTC:decision-makingframeworkQuality of careResponsivenessto residents’ needsand wishesAutonomyQuestionsWhen it was evident that _____ needed a place in LTC,how easy or difficult was it for you to access a place?Were you directly involved in the decision of _____ to enterthis facility? If yes: did you and _____ have enough support,information and time to make the right decision?To what extent was it possible to include _____ in the decisionto enter LTC?What do you think is good about the care given in this facility?Overall, what, in your view, is the most important factordetermining the quality of care for residents in long-stayfacilities?On a scale of 1 to 5, with 1 as ‘poor’ and 5 as ‘excellent’,how would you rate the care within this facility?Knowing your relative and knowing what they enjoyed/whatwas important to them, to what extent has this facility beenable to meet their needs/preferences? On a scale of 1 to 5,with 5 as ‘totally’ and 1 as not ‘at all’.To what extent are you consulted/included in decisions about_____ care?To what extent has _____ been able to be included indecisions about his/her care?Have you found that _____ has been able to make choicesabout their day to day care and activities?Improving Quality of Life for Older People in Long-Stay Care Settings in Ireland
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ImprovingQuality of Lifefor Older P
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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
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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
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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
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Recruiting and retaining staff: com
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Impact of physical environment on r
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5.6.2 Social EnvironmentParticipant
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They believed that this problem was
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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
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Cultural differencesnot an issueI f
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esidents but reserved the title of
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Table 10.3: Relationships among res
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it feel more like visiting somebody
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Near home(I) was living up the road
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Chapter ElevenActivitiesand Therapi
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had a special activities/therapies
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11.3 Therapeutic ActivityThis categ
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A few facilities had incorporated o
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Some facilities organised special t
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For residents, what appeared to be
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Chapter TwelveConclusions andRecomm
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The prevalence of quality deficits
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attitude to their institutionalisat
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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 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 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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