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Quality of life in nursing homes: results of a qualitative resident survey

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Abstract

Purpose

The growing importance of residential nursing care has been accompanied by an increasing demand for instruments measuring quality of life in nursing homes. Quality of life is a complex construct with both subjective and objective aspects that does not lend itself to being determined by a single measure. The aim of this study was therefore to identify dimensions of life that nursing home residents perceive as having a particular impact on their overall quality of life.

Methods

Data were obtained from 9 men and 33 women from eight nursing homes by means of semi-structured narrative interviews. The interviews were analyzed using the documentary method.

Results

Ten central dimensions of subjective quality of life were derived from the interview data: social contacts, self-determination and autonomy, privacy, peace and quiet, variety of stimuli and activities, feeling at home, security, health, being kept informed, and meaningful/enjoyable activity. Some of these dimensions are multifaceted and have further subdimensions.

Conclusion

The aspects emerging as relevant to residents’ subjective quality of life extend far beyond care- and health-related aspects. Nevertheless, some of the quality of life dimensions reconstructed are within the direct influence of the home (e.g., variety of stimuli and activities or being kept informed) and can possibly be improved by attending to the residents’ objective situation.

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References

  1. Pieper, R., & Vaarama, M. (2008). The concept of care-related quality of life. In M. Vaarama, R. Pieper, & A. Sixsmith (Eds.), Care-related quality of life in old age: Concepts, models and empirical findings (pp. 65–101). New York: Springer Science and Business Media.

    Google Scholar 

  2. Aberg, A. C., Sidenvall, B., Hepworth, M., O’Reilly, K., & Lithell, H. (2005). On loss of activity and independence, adaptation improves life satisfaction in old age: A qualitative study of patients’ perceptions. Quality of Life Research, 14, 1111–1125.

    Article  PubMed  Google Scholar 

  3. Lang, G., Löger, B., & Amman, A. (2007). Well-being in the nursing home: A methodological approach towards the quality of life. Journal for Public Health, 15, 109–120.

    Article  Google Scholar 

  4. Cooney, A., Murphy, K., & O’Shea, E. (2009). Resident perspectives of the determinants of quality of life in residential care in Ireland. Journal of Advanced Nursing, 65(5), 1029–1038.

    Article  PubMed  Google Scholar 

  5. Goffman, A. J. (1961). Asylums: Essays on the social situation of mental patients and other inmates. New York: Doubleday Anchor.

    Google Scholar 

  6. Heinzelmann, M. (2004). Das Altenheim – immer noch eine „Totale Institution“. Eine Untersuchung des Binnenlebens zweier Altenheime [The old people’s home—still a “total institution”? A study of life in two old people’s homes]. Göttingen: Cuvillier Verlag.

  7. Koch-Straube, U. (2003). Fremde Welt Pflegeheim. Eine ethnologische Studie [The nursing home as an alien world: An ethnological study]. Bern: Huber.

  8. Gubrium, J. F. (1997). Living and dying at Murray manor (Expanded pbk ed.). Charlotteville: University Press of Virginia.

    Google Scholar 

  9. Stannard, C. I. (1973). Old folks and dirty work: The social conditions for patient abuse in a nursing home. Social Problems, 20(3), 329–342.

    Article  Google Scholar 

  10. Henderson, J. N., & Vesperi, M. D. (Hg.) (1995). The Culture of long term care. Nursing home ethnography. Westport, Conn: Bergin & Garvey.

  11. Holzhausen, M. (in press). Measuring Quality of Life of Older Adults. In: Michalos, Kahlke & Quinones (Hrsg.). Encyclopedia of quality of life. Heidelberg: Springer.

  12. Lawton, M. P. (1991). A multidimensional view of quality of life in frail elders. In J. E. Birren, J. E. Lubben, J. C. Rowe, & D. E. Deutchmann (Eds.), The concept and measurement of quality of life in the frail elderly (pp. 3–23). San Diego: Academic Press.

    Google Scholar 

  13. Lucas, R., & Diener, E. (2008). Subjective well-being. In M. Lewis, J. M. Haviland-Jones, & L. Feldmann Barrett (Eds.), Handbook of emotions (3rd ed., pp. 471–485). New York, NY: Guilford Press.

    Google Scholar 

  14. OECD (Organisation for Economic Co-operation and Development). (2005). Ensuring quality long-term care for older people. Policy Brief. Accessed at http://www.oecd.org/dataoecd/53/4/34585571.pdf.

  15. Josat, S., Schubert, H.-J., Schnell, M., & Köck, C. M. (2006). Qualitätskriterien, die Altenpflegeheimbewohnern und Angehörigen wichtig sind. Pflege [Quality criteria important to nursing home residents and their relatives]., 19(2), 79–87.

    PubMed  Google Scholar 

  16. Kelle, U., Niggemann, C., & Metje, B. (2008). Datenerhebung in totalen Institutionen als Forschungsgegenstand einer kritischen gerontologischen Sozialforschung [Data survey in total institutions as a research subject in critical gerontological social research]. In A. Amann & F. Kolland (Eds.), Das erzwungene Paradies des Alters? (pp. 163–193). Wiesbaden: VS Verlag für Sozialwissenschaften.

    Chapter  Google Scholar 

  17. Bowling, A., Gabriel, Z., Dykes, J., Dowding, L. M., Evans, O., Fleissig, A., et al. (2003). Let’s ask them: A national survey of definitions of quality of life and its enhancement among people aged 65 and over. International Journal of Ageing and Human Development, 56(4), 269–306.

    Article  Google Scholar 

  18. Kane, R. A., Kling, K. C., Bershadsky, B., Kane, R. L., Giles, K., Degenholtz, H. B., et al. (2003). Quality of life measures for nursing home residents. Journal of Gerontology, 58(3), 240–248.

    Google Scholar 

  19. Mor, V. (2005). Improving the quality of long-term care with better information. The Milbank Quarterly, 83(3), 333–364.

    Article  PubMed  Google Scholar 

  20. Saks, K., Tiit, E.-M., Muurinen, S., Mukkila, S., Frommelt, M., & Hammond, M. (2008). Quality of life in institutional care. In M. Vaarama, R. Pieper, & A. Sixsmith (Eds.), Care-related quality of life in old age: Concepts, models and empirical findings (pp. 196–216). New York: Springer Science and Business Media.

    Chapter  Google Scholar 

  21. Garre-Olmo, J., López-Pousa, S., Turon-Estrada, A., Juvinyà, D., Ballester, D., & Vilalta-Franch, J. (2012). Environmental determinants of quality of life in nursing home residents with severe dementia. Journal of America Geriatrics Society, 60(7), 1230–1236.

    Article  Google Scholar 

  22. Cummins, R. A. (2000). Objective and subjective quality of life: An interactive model. Social Indicators Research, 52, 55–72.

    Article  Google Scholar 

  23. Murphy, K., O’Shea, E., & Cooney, A. (2007). Quality of life for older people living in long-stay settings in Ireland. Journal of Clinical Nursing, 16, 2167–2177.

    Article  PubMed  Google Scholar 

  24. Wingenfeld, K. (2003). Studien zur Nutzerperspektive in der Pflege [Studies on the user perspective in nursing care]. Bielefeld: Veröffentlichungsreihe des Instituts für Pflegewissenschaft an der Universität Bielefeld.

    Google Scholar 

  25. Gerritsen, D. L., Steverink, N., Ooms, M. E., & Ribbe, M. W. (2004). Finding a useful conceptual basis for enhancing the quality of life of nursing home residents. Quality of Life Research, 13, 611–624.

    Article  PubMed  CAS  Google Scholar 

  26. O’Boyle, C. (1997). Measuring the quality of later life. Philosophical Transactions of the Royal Society London, 352, 1871–1879.

    Article  Google Scholar 

  27. Gabriel, Z., & Bowling, A. (2004). Quality of life from the perspective of older people. Ageing & Society, 24, 675–691.

    Article  Google Scholar 

  28. Robichaud, L., Durand, P. J., Bédard, R., & Ouellet, J.-P. (2006). Quality of life indicators in long term care: Opinions of elderly residents and their families. Canadian Journal of Occupational Therapy, 73(4), 245–251.

    Article  Google Scholar 

  29. Kelle, U., & Kluge, S. (2010). Vom Einzelfall zum Typus. Fallvergleich und Fallkontrastierung in der qualitativen Sozialforschung [From case to type: Case comparison and case contrast in qualitative social research]. Wiesbaden: VS Verlag für Sozialwissenschaften.

  30. Bohnsack, R. (1997). Dokumentarische Methode [The documentary method]. In R. Hitzler & A. Honer (Eds.), Sozialwissenschaftliche Hermeneutik (pp. 191–211). Opladen: Leske und Budrich.

    Chapter  Google Scholar 

  31. Bohnsack, R., Pfaff, N., & Weller, W. (Eds.). (2010). Qualitative analysis and documentary method in international educational research. Germany: Opladen.

    Google Scholar 

  32. Evers, H. (2009). The documentary method in intercultural research scenarios. Forum: Qualitative Social Research-Sozialforschung, 10(1). Accessed August 24, 2010, from http://www.qualitative-research.net/index.php/fqs/article/view/1245/2707.

  33. Behr, A., Meyer, R., Holzhausen, M., Kuhlmey, A., & Schenk, L. (2013) Die Intimsphäre - Eine wichtige Dimension der Lebensqualität von Pflegeheimbewohnern [Privacy. A most important dimension for the quality of life of nursing home residents]. Zeitschrift für Gerontologie und Geriatrie. doi:10.1007/s00391-012-0464-6.

  34. Nohl, A.-M. (2008). Interview und dokumentarische Methode. Anleitungen für die Forschungspraxis [Interview and documentary method: Instructions for research practice]. (2nd ed.). Wiesbaden: VS Verlag für Sozialwissenschaften.

  35. Estermann, J., & Kneubühler, H.-K. (2008). Warum Lebensqualität im Pflegeheim bedeutsam ist und wie sie gemessen werden kann [Why the Quality of Life in Nursing Homes Is Important, and How It Can Be Measured]. Swiss Journal of Sociology, 34(1), 187–210.

    Google Scholar 

  36. Estermann, J., & Kneubühler, H. (2006). How to measure quality of nursing. European Journal of Public Health, 16(1), 38.

    Google Scholar 

  37. Kane, R. A. (2001). Long-term care and a good quality of life: Bringing them closer together. The Gerontologist, 41(3), 293–304.

    Article  PubMed  CAS  Google Scholar 

  38. Mattiasson, A.-C., & Andersson, L. (1997). Quality of nursing home care assessed by competent nursing home patients. Journal of Advanced Nursing, 26, 1117–1124.

    PubMed  CAS  Google Scholar 

  39. Saks, K., & Tiit, E.-M. (2008). Subjective quality of life of care-dependent older people in five European Union countries. In M. Vaarama, R. Pieper, & A. Sixsmith (Eds.), Care-related quality of life in old age: Concepts, models and empirical findings (pp. 153–165). New York: Springer Science and Business Media.

    Google Scholar 

  40. Ball, M. M., Whittington, F. J., Perkins, M. M., Patterson, V. L., Hollingsworth, C., King, S. V., et al. (2000). Quality of life in assisted living facilities: Viewpoints of residents. Journal of Applied Gerontology, 19(304), 304–325.

    Article  Google Scholar 

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Acknowledgments

The QUISTA study was funded by Paritätischer Wohlfahrtsverband Berlin e.V.

Conflict of interest

The authors have no conflict of interest to disclose.

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Authors and Affiliations

  1. Institute of Medical Sociology, Charité, Universitätsmedizin Berlin, Luisenstraße 57, 10117, Berlin, Germany

    Liane Schenk, Roger Meyer, Anja Behr & Adelheid Kuhlmey

  2. Institute of Biometry and Clinical Epidemiology, Charité, Universitätsmedizin Berlin, Hindenburgdamm 30, 12203, Berlin, Germany

    Martin Holzhausen

Authors
  1. Liane Schenk
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  2. Roger Meyer
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  3. Anja Behr
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  4. Adelheid Kuhlmey
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  5. Martin Holzhausen
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Correspondence to Liane Schenk.

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Schenk, L., Meyer, R., Behr, A. et al. Quality of life in nursing homes: results of a qualitative resident survey. Qual Life Res 22, 2929–2938 (2013). https://doi.org/10.1007/s11136-013-0400-2

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