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Nursing-Home Resident Quality of Life: A Longitudinal Case Study Approach
Authors:Robin L Stadnyk  Stephanie A Chamberlain  Grace Warner  E Marie Earl  Christy Nickerson Rak
Institution:1. Dalhousie University, School of Occupational Therapy, Halifax, Nova Scotia, Canada;2. University of Alberta, Nursing, Edmonton Clinic Health Academy, University of Alberta, Edmonton, Alberta, Canada;3. Dalhousie University, School of Physiotherapy, Halifax, Nova Scotia, Canada
Abstract:Longitudinal quality-of-life (QOL) research incorporating multiple perspectives can add to knowledge about how nursing home residents experience QOL, but these methods are seldom used. This study employed interviews and participant observation to conduct multiple-perspective, longitudinal case studies of six residents. Close, reciprocal relationships with staff members, staff knowledge of residents, and autonomy were fundamental to QOL. Autonomy was experienced through choice and self-advocacy. Changes in QOL over time related to changes in resident health status, acclimation to the setting and family member availability. Study results may have implications for staffing and staff training.
Keywords:Longitudinal case study  multiple-perspective case study  nursing home  person-centered care  quality of life
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