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Rating the importance of nursing home residents' quality of life

delete2005-10-06
delete36
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R
Robert L Kane *
T
Todd Rockwood
K
Kathryn Hyer
K
Karen Desjardins
A
Andrea Brassard
C
Charles E. Gessert
R
Rosalie A. Kane
DOI:10.1111/j.1532-5415.2005.00493.xdelete
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Abstract

Abstract

En 中文
OBJECTIVES: To assess how various stakeholders involved with nursing home care rate the importance of various quality-of-life (QoL) items for hypothetical residents with varying types of impairment. DESIGN: A community-based exploratory description of a convenience sample. SETTING: Eleven nursing homes in Florida, New Jersey, and Minnesota. PARTICIPANTS: Samples of registered and licensed nurses (RNs and LPNs), certified nursing assistants (CNAs), activities personnel, social workers, physicians, residents, and family members. MEASUREMENTS: Using a magnitude estimation approach, 17 QoL items were rated in order of importance on each of three hypothetical types of nursing home residents. RESULTS: Overall, there was little variation in the ratings for individual items. Ratings for persons with cognitive impairment were consistently lower. RNs'/LPNs' and CNAs' ratings were generally higher than the others, and physicians' ratings were generally lower. Residents' and families' ratings were generally lower than nurses' ratings. CONCLUSION: All stakeholders considered QoL to be important and felt that it deserves more attention in practice and regulation. A summary QoL score need not be weighted. Respondents ( who were not cognitively impaired) considered QoL less important for residents with cognitive impairment. Value differences between those involved in nursing home care deserve more exploration.
Keywords:
magnitude estimation
preferences
values
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Journal

Journal of the American Geriatrics Society cover
Journal of the American Geriatrics Society
IF:
4.5
Papers:
1.8W
Citations:
3.7W

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