Quality of care, quality of life and the relationship between them inlong-term care institutions for the elderly
Y. Challiner
Bok Engelsk 1996
| Utgitt | 1996
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| Omfang | 5 s.
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| Opplysninger | A stratified randomly selected sample of 28 of all elderly long-termcare institutions in the Southampton district was studied including private and local authority residential homes, private nursing homes and NHS geriatric and psychogeriatric wards. The manager was interviewed with a 57-item quality of care questionnaire modified from the methodology of Willcocks et al. (1987) covering aspects of regime and environment. To assess quality of life, 10% of residents were randomly selected for a series of structured quality of life interviews and Barthel Index determination. A life-history approachwas used to build rapport and increase the authenticity of residentresponses. Systematic significant differences in quality of care and quality of life were found between sectors. The correlationcoefficients between quality of care and morale and between quality of care and dependency were significant (r = 0.526, p < 0.01; r =0.508, p < 0.01 respectively) although the correlation between morale and dependency (r = 0.155, p = 0.2) was insignificant. High-qualitycare may be more difficult to provide in facilities for more disabled residents. This may affect their morale but the relationship between morale and dependency is complex.
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