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      Quality of life among frail older persons (65+ years) in nursing homes: A cross‐sectional study

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          Abstract

          Aim

          To assess the quality of life in frail older persons (65+ years) living in nursing homes and to examine differences between quality of life perceptions among different gender and age groups.

          Design

          Cross‐sectional.

          Methods

          Data were collected during 2015‐2017 based on two questionnaires (WHOQOL‐OLD and WHOQOL‐BREF). Seventy‐eight older persons living in nursing homes in southern Sweden answered the questionnaires in structured interviews. Descriptive and comparative statistics were used to analyse the data. The study was guided by Transparent Reporting of Evaluations with Nonrandomized Designs (TREND) guidelines.

          Results

          The frail older persons reported low autonomy related to few opportunities to engage in everyday activities and were unable to do the things they liked to do and not feeling in control of their future. Another important result was that frail older persons seemed to have no or little fear of death and dying. No significant differences between gender or age on quality of life were revealed.

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          Most cited references59

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          The World Health Organization quality of life assessment (WHOQOL): Position paper from the World Health Organization

          (1995)
          Article 0 comments Cited 436 times – based on 0 reviews     Review now
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            Person-centered care--ready for prime time.

            Inger Ekman, Karl Swedberg, Charles Taft … (2011)
            Long-term diseases are today the leading cause of mortality worldwide and are estimated to be the leading cause of disability by 2020. Person-centered care (PCC) has been shown to advance concordance between care provider and patient on treatment plans, improve health outcomes and increase patient satisfaction. Yet, despite these and other documented benefits, there are a variety of significant challenges to putting PCC into clinical practice. Although care providers today broadly acknowledge PCC to be an important part of care, in our experience we must establish routines that initiate, integrate, and safeguard PCC in daily clinical practice to ensure that PCC is systematically and consistently practiced, i.e. not just when we feel we have time for it. In this paper, we propose a few simple routines to facilitate and safeguard the transition to PCC. We believe that if conscientiously and systematically applied, they will help to make PCC the focus and mainstay of care in long-term illness. Copyright © 2011 European Society of Cardiology. Published by Elsevier B.V. All rights reserved.
            Article 0 comments Cited 300 times – based on 0 reviews     Review now
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              The meaning of "aging in place" to older people.

              Janine Wiles, Annette Leibing, Nancy Guberman … (2012)
              This study illuminates the concept of "aging in place" in terms of functional, symbolic, and emotional attachments and meanings of homes, neighbourhoods, and communities. It investigates how older people understand the meaning of "aging in place," a term widely used in aging policy and research but underexplored with older people themselves. Older people (n = 121), ranging in age from 56 to 92 years, participated in focus groups and interviews in 2 case study communities of similar size in Aotearoa New Zealand, both with high ratings on deprivation indices. The question, "What is the ideal place to grow older?" was explored, including reflections on aging in place. Thematic and narrative analyses on the meaning of aging in place are presented in this paper. Older people want choices about where and how they age in place. "Aging in place" was seen as an advantage in terms of a sense of attachment or connection and feelings of security and familiarity in relation to both homes and communities. Aging in place related to a sense of identity both through independence and autonomy and through caring relationships and roles in the places people live. Aging in place operates in multiple interacting ways, which need to be taken into account in both policy and research. The meanings of aging in place for older people have pragmatic implications beyond internal "feel good" aspects and operate interactively far beyond the "home" or housing.
              Article 0 comments Cited 246 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Christina Bökberg:
                ORCID: https://orcid.org/0000-0002-0821-1959
                christina.bokberg@med.lu.se
                Journal
                Journal ID (nlm-ta): Nurs Open
                Journal ID (iso-abbrev): Nurs Open
                Journal ID (doi): 10.1002/(ISSN)2054-1058
                Journal ID (publisher-id): NOP2
                Title: Nursing Open
                Publisher: John Wiley and Sons Inc. (Hoboken )
                ISSN (Electronic): 2054-1058
                Publication date (Electronic): 13 December 2020
                Publication date Collection: May 2021
                Volume: 8
                Issue: 3 ( doiID: 10.1002/nop2.v8.3 )
                Pages: 1232-1242
                Affiliations
                [ 1 ] Department of Health and Caring Sciences Faculty of Health and Life Sciences Center for Collaborative Palliative Care Linnaeus University Växjö Sweden
                [ 2 ] Department of Health Sciences Faculty of Medicine Lund University Lund Sweden
                Author notes
                [*] [* ] Correspondence

                Christina Bökberg, Department of Health Sciences, Faculty of Medicine, Lund University, Box 157, SE 221 00 Lund, Sweden.

                Email: christina.bokberg@ 123456med.lu.se

                Author information
                https://orcid.org/0000-0002-3155-575X
                https://orcid.org/0000-0002-0821-1959
                Article
                Publisher ID: NOP2739
                DOI: 10.1002/nop2.739
                PMC ID: 8046081
                PubMed ID: 34482652
                SO-VID: fd46a8e2-ff53-4287-b77e-061ed92b7d0b
                Copyright © © 2020 The Authors. Nursing Open published by John Wiley & Sons Ltd.
                License:

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

                History
                Date revision received : 28 September 2020
                Date received : 05 June 2020
                Date accepted : 11 November 2020
                Page count
                Figures: 0, Tables: 5, Pages: 11, Words: 9514
                Funding
                Funded by: Vårdalstiftelsen , open-funder-registry 10.13039/100009107;
                Award ID: 2014‐0071
                Funded by: Vetenskapsrådet , open-funder-registry 10.13039/501100004359;
                Award ID: 2014‐2759
                Categories
                Subject: Research Article
                Subject: Research Articles
                Custom metadata
                source-schema-version-number 2.0
                cover-date May 2021
                details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_JATSPMC version:6.0.2 mode:remove_FC converted:14.04.2021

                Keywords: ageing,frailty,multi‐morbidity,nursing homes,older persons,quality of life
                Data availability:
                Keywords: ageing, frailty, multi‐morbidity, nursing homes, older persons, quality of life

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