Active ageing within the nursing home: a study in Flanders, Belgium

European Journal of Ageing - Tập 13 - Trang 219-230 - 2016
Lien Van Malderen1,2, Patricia De Vriendt2,3, Tony Mets2,4, Ellen Gorus2,4
1Research Foundation Flanders (FWO-Vlaanderen), Brussels, Belgium
2Gerontology Department, Frailty in Ageing Research Group, Vrije Universiteit Brussel, Brussels, Belgium
3Arteveldehogeschool, Ghent, Belgium
4Geriatric Department, Universitair Ziekenhuis Brussel, Brussels, Belgium

Tóm tắt

Nursing homes should support residents’ quality of life (QoL). It remains vague, however, how these facilities can create a QoL enhancing environment. Active ageing (AA) is a useful framework in this context, since it provides a multidimensional set of determinants that enhance QoL. This study examined the current status of AA in nursing homes in Flanders, Belgium. A sample of 383 randomly recruited residents was surveyed on the subjective importance and experienced reality of the AA determinants as well as on QoL. Based on descriptive analyses, residents appeared to have a positive QoL and a moderately positive appraisal of the extent to which nursing homes provide a multidimensional environment to enhance their QoL. Multivariate analyses showed that residents’ nursing home active ageing (NHAA) experience was positively related to their QoL and explained 20 % of its variance. Specifically, psychological factors and participation related positively to QoL. Demographic variables showed no relationships with QoL, while educational level related negatively to the NHAA experience. Currently, in Flanders, nursing homes are on their way to working according to the AA vision, but further efforts are still needed.

Tài liệu tham khảo

Abbott S, Fisk M, Forward L (2000) Social and democratic participation in residential settings for older people: realities and aspirations. Ageing Soc 20:327–340 Agency Health and Care (Agentschap Zorg en Gezondheid, Departement Welzijn, Volksgezondheid en Gezin, Zorginspectie) (2015) Interpretatie van de Erkennings-voorwaarden en –normen voor woonzorgcentra (wzc) rust- en verzorgingstehuizen (rvt) en centra voor kortverblijf (cvk) ingebed in een woonzorgcentrum. Agentschap Zorg en Gezondheid, Brussels Baltes PB (1997) On the incomplete architecture of human ontogeny: selection, optimization and compensation as foundation of developmental theory. Am Psychol 52:366–380 Beaumont JG, Kenealy PM (2004) Quality of life perceptions and social comparisons in healthy old age. Ageing Soc 24:755–769 Bergland A, Kirkevold M (2006) Thriving in nursing homes in Norway: contributing aspects described by residents. Int J Nurs Stud 43:681–691 Bernheim J (1999) How to get serious answers to the serious question: ‘how have you been’: subjective QoL as an individual experiential emergent construct? Bioethics 13:272–287 Bernheim JL, Buyse M (1984) The anamnestic comparative self-assessment for measuring the subjective quality of life for cancer patients. J Psychosoc Oncol 1:25–38 Boelsma F, Baur VE, Woelders S, Abma TA (2014) “Small” things matter: residents’ involvement in practice improvements in long-term care facilities. J Aging Stud 31:45–53 Bowling A, Gabriel Z (2004) An integrational model of QoL in older age, results from QoL survey in Britain. Soc Indic Res 69:1–36 Bowling A, Gabriel Z, Dykes J, Marriott Dowding L, Evans O, Fleissig A, Banister D, Sutton S (2003) Let’s ask them: a national survey of definitions of quality of life and its enhancement among people aged 65 and over. Int J Aging Hum Dev 56(4):269–306 Bradshaw SA, Playford ED, Riazi A (2012) Living well in care homes: a systematic review of qualitative studies. Age Ageing 41:429–440 Burack OR, Weiner AS, Reinhardt JP, Annunziato RA (2012) What matters most to nursing home elders: quality of life in the nursing home. JAMDA 13(1):48–53 Chang S, Wung S, Crogan NL (2008) Improving activities of daily living for nursing home elder persons in Taiwan. Nurs Res 53(3):191–198 Chou S, Boldy DP, Lee AH (2003) Factors influencing residents’ satisfaction in residential aged care. Gerontologist 43(4):459–472 Cook EA (1998) Effects of reminiscence on life satisfaction of elderly female nursing home residents. Health Care Women 19:109–118 Cools M, De Ruyver B, Easton M et al (2010) Safety, societal problems and citizens’ perceptions: new empirical data, theories and analyses. Maklu Publishers, Antwerp Cooney A, Murphy K, O’Shea E (2009) Resident perspectives of the determinants of quality of life in residential care in Ireland. J Adv Nurs 65:1029–1038 Courtney M, Edwards H, Stephan J, O’Reily M, Duggan C (2006) Quality of life measures of aged care facilities: a literature review. Australas J Ageing 22(2):58–64 Custers AFJ, Westerhof GJ, Kuin Y, Gerritsen DL, Riksen-Walraven JM (2013) Need fulfillment in the nursing home: resident and observer perspectives in relation to resident well-being. Eur J Ageing 10(3):201–209 De Vaus D (2002) Social surveys. Sage, London Degenholtz H, Kane RA, Kivnick HQ (1997) Care-related preferences and values of elderly community-based LTC consumers: can case managers learn what’s important to clients? Gerontologist 37(6):767–776 Degenholtz HB, Kane RA, Kane RL, Bershadsky B et al (2006) Predicting nursing facility residents’ quality of life using external indicators. Health Serv Res 41(2):335–356 den Ouden M, Bleijlevens MHC, Meijers JMM, Zwakhalen SMG, Braun SM, Tan FES, Hamers JPH (2015) Daily (in)activities of nursing home residents in their wards: an observation study. J Am Med Dir Assoc 13(4):634–639 Drageset J, Kirkevold M, Espehaug B (2011) Loneliness and social support among nursing home residents without cognitive impairment: a questionnaire survey. Int J Nurs Stud 48:611–619 Eurostat (2012) Active Ageing and solidarity between generations. A statistical portrait of the European Union 2012. European Union, Belgium Foster L, Walker A (2013) Gender and active ageing in Europe. Eur J Ageing 13:3–10 Gerritsen DI, Steverink N, Ooms ME, Ribbe MW (2004) Finding a useful conceptual basis for enhancing the quality of life of nursing home residents. Qual Life Res 13:611–624 Gilhooly M, Gilhooly K, Bowling A (2005) Quality of life, meaning and measurement. In: Walker A (ed) Understanding quality of life in old age. Open University Press, Maidenhead Haight BK, Michel Y, Hendrix S (2000) The extended effects of life review in nursing home residents. Int J Aging Hum 50:151–168 Harnett T (2010) Seeking exemptions from nursing home routines: residents’ everyday influence attempts and institutional order. J Aging Stud 24:294–301 Harper-Ice G (2002) Daily life in a nursing home. Has it changed in 25 years. J Aging Stud 16:345–359 Haugan G (2014) Meaning-in-life in nursing-home patients: a valuable approach for enhancing psychological and physical well-being? J Clin Nurs 23:1830–1844 Higgs P, Hyde M, Arber S, Blane D, Breeze E, Nazroo J, Wiggins D (2005) Dimensions of the inequalities in quality of life in older age. In: Walker A (ed) Understanding quality of life in old age. Open University Press, Maidenhead Hjaltadottir I, Gustafsdottir M (2007) Quality of life in nursing homes: perceptions of physically frail elderly patients. Scand J Caring Sci 21:48–55 Huber M, Rodrigues R, Hoffmann F, Gasior K, Marin B (2009) Facts and figures on long-term care. Europe and North America. European Centre for Social Welfare Policy and Research, Vienna Hwang H, Lin H, Tung Y, Wu H (2006) Correlates of perceived autonomy among elders in a senior citizen home: a cross-sectional survey. Int J Nurs Stud 43:429–437 Isola A, Backman K, Voutilainen P, Rautsiala R (2008) Quality of institutional care of older people as evaluated by nursing staff. J Clin Nurs 17:2480–2489 Janke MC, Nimrod G, Kleiber DA (2008) Leisure activity and depressive symptoms of widowed and married women in later life. J Leis Res 40(2):250–256 Kane RA (2001) Long-term care and a good quality of life: bringing them closer together. Gerontologist 41(3):293–304 Kane RL, Kane RA (2001) What older people want from long-term care and how they can get it. Health Aff 20(6):114–127 Kane RA, Kling KC, Bershadsky B, Kane RL et al (2003) Quality of life measures for nursing home residents. J Gerontol A 58A(3):240–248 Kane RL, Bershadsky B, Kane RA, Degenholtz HH et al (2004) Using resident reports of quality of life to distinguish among nursing homes. Gerontologist 44(5):624–632 Kane RL, Rockwood T, Hyer K, Desjardins K, Brassard A, Gessert C, Kane R (2005) Rating the importance of nursing home residents’ quality of life. JAGS 53:2076–2082 Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW (1963) Studies of illness in the aged: the index of ADL: a standardized measure of biological and psychosocial function. JAMA 185(12):914–919 Kelley-Gillespie N (2009) An integrated conceptual model of quality of life for older adults based on a synthesis of the literature. Appl Res Qual Life 4:259–282 King J, Yourman L, Ahalt C, Eng C, Knight SJ, Pérez-Stable EJ, Smith AK (2012) Quality of life in late-life disability: I don’t feel bitter because I am in a wheelchair. JAGS 60:569–576 Knight C, Haslam SA, Haslam C (2010) In home or at home? How collective decision making in a new care facility enhances social interaction and wellbeing amongst older adults. Ag Soc 30:1393–1418 Lai CKY, Leung DDM, Kwong EWY, Lee RLP (2015) Factors associated with the quality of life of nursing home residents in Hong Kong. Int Nurs Rev 62(1):120–129 Lee LY, Lee DT, Woo J (2009) Tai chi and health-related quality of life in nursing home residents. J Nurs Scholarship 41:35–43 Marinelli RD, Plummer OK (1999) Healthy aging: beyond exercise. Act Adapt Aging 23(4):1–11 Murphy K, Shea EO, Cooney A (2007) Quality of life for older people living in long-stay settings in Ireland. J Clin Nurs 16:2167–2177 Murphy K, O’Shea E, Cooney A (2008) Nurse managers’ perceptions of quality of life of older adult’s living in long-stay care in Ireland. Is it time for a bill of rights? J Gerontol Nurs 34(3):47–55 Nakrem S, GuttormsenVinsnes A, Seim A (2011) Residents’ experiences of interpersonal factors in nursing home care: a qualitative study. Int J Nurs Stud 48:1357–1366 Research Department Flemish Government (Studiedienst Vlaamse Regering) (2014) Vlaanderen in Cijfers. Studiedienst Vlaamse Regering, Brussels Schenk L, Meyer R, Behr A, Kuhlmey A, Holzhausen M (2013) Quality of life in nursing homes: results of a qualitative resident survey. Qual Life Res 22:2929–2938 Tepper LM, Cassidy TM (2004) Multidisciplinary perspectives on aging. Springer, New York Tseng S, Wang R (2001) Quality of life and related factors among elderly nursing home residents in southern Taiwan. Public Health Nurs 18(5):304–311 Tu Y, Wang R, Yeh S (2006) Relationship between perceived empowerment care and quality of life among elderly residents within nursing homes in Taiwan: a questionnaire survey. Int J Nurs Stud 43:675–680 Van Malderen L, Mets T, De Vriendt P, Gorus E (2013) The Active Ageing-concept translated to the residential long-term care. Qual Life Res 22(5):929–937 Walker A (2002) A strategy for active ageing. Int Soc Secur Rev 55:121–139 Walker A (2008) Commentary: the emergence and application of active aging in Europe. J Aging Soc Policy 21(1):75–93 WHOQOL Group (1995) The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization. Soc Sc Med 41:1403–1409 Wilde B, Larsson G, Larsson M, Starrin B (1994) Quality of care—development of a patient-centered questionnaire based on a grounded theory model. Scand J Caring Sci 8(1):39–48 Wilkinson TJ, Kiata LJ, Peri K, Robinson M, Kerse NM (2012) Quality of life for older people in residential care is related to connectedness, willingness to enter care, and co-residents. Australas J Ageing 31(1):52–55 World Health Organization (2002) Active ageing: a policy framework. World Health Organization, Geneva Yuen HK, Huang P, Burik JK, Smith TG (2008) Impact of participating in volunteer activities for residents living in long-term-care facilities. Am J Occup Ther 62:71–76