Journal
AGE AND AGEING
Volume 41, Issue 4, Pages 429-440Publisher
OXFORD UNIV PRESS
DOI: 10.1093/ageing/afs069
Keywords
quality of life; care homes; nursing homes; qualitative research methods; qualitative review; older people
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Funding
- MS Society of Great Britain [905/08]
- MS Society of Northern Ireland [905/08]
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Objective: to conduct a systematic qualitative review of care home life and provide practical recommendations to enhance residents' quality of life. Methods: the following databases were searched: PsycINFO, Medline, Web of Science, EMBASE, Allied and Complementary Medicine Database and Cumulative Index to Nursing and Allied Health Literature. References from appropriate journals and individual articles were checked. Papers that fitted our selection criteria were selected. Two independent reviewers assessed methodological study quality. Thematic analysis and meta-ethnographic methods were adapted to synthesise findings. Results: thirty-one studies were identified. People in care homes voiced concerns about lack of autonomy and difficulty in forming appropriate relationships with others. Four key themes were identified: (i) acceptance and adaptation, (ii) connectedness with others, (iii) a homelike environment, (iv) caring practices. Conclusion: positive experiences in care homes can occur and are important for residents' quality of life. The review supports literature highlighting the need for relationship-centred approaches to care and emphasises the importance of understanding the resident's attitude towards living in care homes.
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