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KMID : 1138720180440010075
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Korean Public Health Research
2018 Volume.44 No. 1 p.75 ~ p.82
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Improving Quality of Care in Nursing Homes
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Lee Hyang-Yuol
Kim Eun-Man
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Abstract
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Objective: Ensuring the quality of care in nursing homes is a persistent concern in many countries. This study aimed (a) to clarify the most important quality-of-care problems and priorities to improve the quality of nursing home care, and (b) to identify some of the best measures of quality-of-care and quality-of-life.
Methods: This explanatory descriptive study entailed conducting a nursing home director questionnaire; 43 directors participated.
Results: Directors answered that quality of care means providing “timely care” for patients with symptoms or diseases. Pressure ulcer rate (74%) and activities-of-daily-living (ADL) function (67%), direct-care hours (67%), and the number of nursing staff (56%) were the best measures chosen as quality-of-care indicators. The directors defined the quality of life as helping residents be healthy and dignified, and the best set of quality-of-life indicators, included by more than 70% of participants, were physical comfort (84%), ADL level (81%), respect for individual dignity (79%), and satisfaction in level of protection and safety (74%).
Conclusion: These results provide clear direction for policy-makers in changing policies and regulations for the best care of nursing home residents. More research is needed to improve the quality of care and quality of life in nursing homes using the best measures identified in this study.
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KEYWORD
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nursing homes, quality indicators, quality of health care, quality of life
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