National Ageing Research Institute, Victoria, Australia.
La Trobe University, Victoria, Australia.
Res Aging. 2021 Aug;43(7-8):294-310. doi: 10.1177/0164027521989074. Epub 2021 Jan 22.
There is increasing interest in harnessing aged care residents' perspectives to drive quality improvement in aged care homes. We conducted a systematic review of qualitative evidence including literature examining residents' descriptions of "quality of care" in aged care homes, using database searches and screening records according to eligibility criteria. Three independent reviewers conducted quality assessment of forty-six eligible articles and performed thematic synthesis of articles' findings. We distinguish nine key themes describing factors influencing quality care: staffing levels, staff attitude, continuity, routine, environment, decision-making and choice, dignity of risk, activities, and culture and spirituality. While many themes were consistent across studies, residents' prioritization of them varied. Aged care home residents have differing conceptions of quality care as well as heterogeneous and dynamic needs and preferences. Care providers are best able to facilitate quality care when intentional efforts are made to recognize this and tailor delivery of services the individual residents.
人们越来越关注利用老年护理居民的观点来推动老年护理院的质量改进。我们对定性证据进行了系统评价，包括研究居民对老年护理院“护理质量”描述的文献，根据资格标准使用数据库搜索和筛选记录。三位独立的评审员对 46 篇符合条件的文章进行了质量评估，并对文章的研究结果进行了主题综合分析。我们区分了描述影响护理质量的因素的九个关键主题：人员配备水平、员工态度、连续性、常规、环境、决策和选择、风险尊严、活动以及文化和精神。虽然许多主题在研究中是一致的，但居民对它们的重视程度有所不同。老年护理院居民对护理质量有不同的概念，以及不同的和动态的需求和偏好。当护理提供者有意努力认识到这一点并根据个别居民的需求调整服务的提供时，他们最能促进护理质量。
