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Quality at home for older people: involving service users in defining home care specifications
- Authors:
- RAYNES Norma, et al
- Publisher:
- Policy Press/Joseph Rowntree Foundation
- Publication year:
- 2001
- Pagination:
- 79p.
- Place of publication:
- York
The government’s NHS plan emphasises the importance of services based on users’ views. This report provides practical guidance on how to ensure that older people’s views are heard and acted on, and their views monitored, in relation to service quality. The report provides new information on the definition of quality in home care services by users both under and over eighty years of age; identifies users’ priorities; shows the differences and similarities in the perceptions of quality between white and minority ethnic service users; and compares different methods of obtaining service users’ views.
Care-as-service, care-as-relating, care-as-comfort: understanding nursing home residents' definitions of quality
- Authors:
- BOWERS Barbara J., FIBICH Barbara, JACOBSON Nora
- Journal article citation:
- Gerontologist, 41(4), August 2001, pp.539-545.
- Publisher:
- Oxford University Press
This study explored how nursing home residents in the USA define quality of care. Data were collected through in-depth interviews and were analysed using grounded dimensional analysis. Residents defined quality in three ways: (a) Care-as-service residents focused on instrumental aspects of care. They assessed quality using the parameters of efficiency, competence, and value. (b) Care-as-relating residents emphasised the affective aspects of care, defining quality as care that demonstrated friendship and allowed them to show reciprocity with their caregivers. (c) Care-as-comfort residents defined quality as care that allowed them to maintain their physical comfort, a state that required minute and often repetitive adjustments in response to their bodily cues. Residents' perceptions of care quality have implications for long-term care practice. The integration of these perceptions into quality assurance instruments could improve the usefulness of tools designed to obtain resident input.
Older people's definitions of quality services
- Authors:
- QURESHI Hazel, HENWOOD Melanie
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2001
- Pagination:
- 30p.
- Place of publication:
- York
Briefing paper which discusses the meaning of quality and draws together literature on older people's definition of quality services. Discusses various individual quality preferences, the contribution made by different services, the role of service delivery and how quality can be assessed and assured.
Approaches to improving quality in nursing and residential homes: recent developments in Australia and their relevance to the UK
- Authors:
- BARTLETT Helen, BOLDLY Duncan
- Journal article citation:
- Quality in Ageing, 2(3), September 2001, pp.3-14.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
Concerns about quality and standards of care in the nursing and residential home sector have exercised policymakers, managers and practitioners in both Australia and the UK for some years. While Australia is a relatively young country, demographically speaking, it has in place a coherent 'aged care' policy. The UK on the other hand, with its rapidly ageing profile, has only recently made a serious policy commitment to the health and social care agenda for older people. Australia therefore has several years of experience to be shared with the UK when it come to policy and practice of quality improvement. In particular, there are valuable lessons to be learnt from Australia's national outcome standards and monitoring system for care homes, and it's more recent introduction of care homes accreditation system. Apart from identifying any issues associated with the implementation of such approaches to quality improvement, it is important to establish whether they have an impact on the quality of care and life of older residents. As the UK moves to implementing national minimum standards in 2002, lessons from Australia are timely and may help inform best practice and policy in long-term care in the future.
Improving the quality of long-term care
- Editors:
- WUNDERLICH Gooloo S., KOHLER Peter O.
- Publisher:
- National Academy Press
- Publication year:
- 2001
- Pagination:
- 343p.,bibliog.
- Place of publication:
- Washington, DC
Among the issues confronting America is long term care for older people and others with chronic conditions and disabilities that limit their ability to care for themselves. This book takes a comprehensive look at the quality of care and quality of life in long term care situations, including nursing homes, home health agencies, residential care facilities, and a range of other settings. It describes the current state of long term care, identifying problem areas and offering recommendations for federal and state policy makers. It also explores the strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long term care.
The emotional climate of care-giving in home-care services
- Authors:
- OLSSON Eric, INGVAD Bengt
- Journal article citation:
- Health and Social Care in the Community, 9(6), November 2001, pp.454-463.
- Publisher:
- Wiley
This study explores the emotional aspects of the care-giving relationship in home-care services starting from the home-care recipients and the home-care workers perception of the emotional climate. Two hundred and twenty-two recipients and their home-care workers in three typical Swedish municipalities were studied. Results show that home-care workers are more likely to experience the climate with a higher degree of emotionality. There is symmetry between the parties in the perception of a negative climate. However, if one party perceives the climate as close the other party is more likely to perceive it as rational or instrumental. The organisational processes, especially the group climate of the work team, principally influence the home-care recipients perceptions. The workers perceptions are principally influenced by age and gender of the recipients and the workers own age.
Hearing what users say: the importance of training for high quality management in dementia care
- Authors:
- PARKER Jonathan, et al
- Journal article citation:
- Managing Community Care, 9(6), December 2001, pp.28-33.
- Publisher:
- Pavilion
This article explores the importance of seeking the views of service users with dementia. This is fundamental to raising quality standards in the management of dementia care, and demands commitment to on-going high quality training for social care staff. Examines contemporary research and policy developments in this context.
Improving home care quality: an individual-centred approach
- Author:
- PATMORE Charles
- Journal article citation:
- Quality in Ageing, 2(3), September 2001, pp.15-24.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
This article presents evidence for important individual differences between older people concerning what they value as high quality service from home care. A case is made for improving service quality through systematically consulting each service user about their own preferences and seeking to fulfil these requests on an individual basis. This contrasts with setting uniform quality standards for all older home care clients, based on their most commonly expressed preferences. Evidence is cited from individual interviews with older home care service users and from an experiment in modifying older people's services through briefing home care staff on the preferences of individual clients. Issues in developing this approach are discussed.
Perceptions of Hong Kong Chinese elders on adjustment to residential care
- Author:
- LEE Diana T.F.
- Journal article citation:
- Journal of Interprofessional Care, 15(3), August 2001, pp.235-244.
- Publisher:
- Taylor and Francis
While there is an increasing number of elders moving into residential care homes in Hong Kong very little is known about how they adjust to the changes associated with living in such homes. Reports on a grounded theory study conducted to explore the processes through which Chinese elders adjust following a move to residential care. Audiotaped in-depth interviews were conducted with 18 elders one week after residential home admission and then every month until no new information about their adjustment experiences could be discovered. Constant comparative analysis of data revealed that newly admitted elders adjust through the four stages of orienting, normalising, rationalising and stabilising as they struggle to regain normality in a life that is as close to that lived before admission as possible. This article reports on Chinese elders' suggested in the literature, as barriers to residential living, such as living with rules and regulations, lack of privacy and autonomy, are not regarded as important by Chinese elders. However, establishing relations with other residents and staff appears to be particular challenge. Concludes to effectively help Chinese elders adjust to life in residential care. The findings also highlight the need for better collaboration between nursing and social work staff in their efforts to promote elders' adjustment.
The construction and validation of a scale for consumer satisfaction of residential care in Hong Kong
- Authors:
- CHONG Alice M.L., CHI Iris
- Journal article citation:
- Journal of Interprofessional Care, 15(3), August 2001, pp.223-234.
- Publisher:
- Taylor and Francis
Consumer satisfaction has been adopted by many service industries as an outcome measure of service quality. This article reports and discusses the construction and validation of a set of quality indicators that have been used to measure the domains of satisfaction among residents of old age homes in Hong Kong. The quality indicators were firstly constructed through residents' focus group discussions in Hong Kong and through reference to theories of social gerontology. A team of multi-disciplinary professionals, including social workers, nurses and social gerontology researchers, then reviewed the indicators. Residents' views and reactions to the indicators were also solicited through face-to-face interviews. The 55-item scale was then validated and modified to 35 items after a pilot study of 98 residents. Finally, the indicators were used in a study of 405 residents selected by stratified random sampling. A 28-item scale presenting nine quality indicators for the residential home service was finally validated. The paper concludes with recommendations on the use of this set of quality indicators to promote service quality in residential care.