Brighton and Sussex Medical School, Brighton, UK.
King's College London, London, UK.
Health Soc Care Community. 2022 Nov;30(6):e6500-e6510. doi: 10.1111/hsc.14095. Epub 2022 Oct 28.
Quality of life is an important outcome in older-adult care. Measuring resident quality of life may offer ways to improve it and to improve quality of care. However, in the UK quality of life is rarely measured as a part of routine care. Our study aimed to understand the views of care home staff about using a quality of life instrument as a part of routine care in order to support its implementation into routine practice. In a qualitative study, we conducted 35 interviews with care home staff and two focus groups with four care home managers from three care homes in East Sussex, England. Data were collected between September 2015 and February 2016. Care staff and managers were aged on average 40 (SD = 12.2) and 43.7 (SD = 14.4) years and had worked in the care sector an average of 11.4 (SD = 10.2) and 23.7 (SD = 14.1) years, respectively. Participants were predominantly female and white British. Interviews and focus groups were analysed using thematic analysis. Findings identified two overarching themes of 'Perceived gains' and 'Implementation'. Overall, there was a lot of positivity towards using a quality of life instrument in routine practice. This positivity was an important feature in how the instrument was perceived as fitting into practice. Participants identified several barriers and discussed how to overcome them. Results from the study demonstrate that routine measurement of quality of life is positively received by care staff. They believed that measuring quality of life as a part of care practice could lead to improvements in resident quality of life, staff knowledge and understanding and care practices. The findings suggest that routinely measuring quality of life as a part of normal care could also have more far-reaching effects on the provision of person-centred care provided by care staff.
生活质量是老年护理中的一个重要结果。衡量居民的生活质量可以提供改善生活质量和改善护理质量的方法。然而，在英国，生活质量很少作为常规护理的一部分进行测量。我们的研究旨在了解养老院工作人员对将生活质量工具用作常规护理一部分的看法，以支持将其纳入常规实践。在一项定性研究中，我们对英格兰东萨塞克斯郡的三家养老院的 35 名工作人员和两名养老院经理进行了 35 次访谈和两次焦点小组讨论。数据收集于 2015 年 9 月至 2016 年 2 月之间。护理人员和管理人员的平均年龄分别为 40 岁（SD=12.2）和 43.7 岁（SD=14.4），分别在护理行业工作了 11.4 年（SD=10.2）和 23.7 年（SD=14.1）。参与者主要是女性和英国白人。使用主题分析对访谈和焦点小组进行了分析。研究结果确定了两个总体主题，分别是“感知收益”和“实施”。总体而言，人们对在常规实践中使用生活质量工具持非常积极的态度。这种积极性是人们对该工具如何适应实践的重要特征。参与者确定了一些障碍，并讨论了如何克服这些障碍。研究结果表明，常规测量生活质量受到护理人员的积极欢迎。他们认为，将生活质量作为护理实践的一部分进行衡量，可以提高居民的生活质量、工作人员的知识和理解以及护理实践。研究结果表明，将生活质量作为常规护理的一部分进行常规测量，也可能对护理人员提供以患者为中心的护理产生更深远的影响。
