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Gerontologist. 2001 Aug;41(4):539-45.

Care-as-service, care-as-relating, care-as-comfort: understanding nursing home residents' definitions of quality.

Author information

  • 1School of Nursing, University of Wisconsin-Madison, K6/328 Clinical Science Center, 600 Highland Avenue, Madison, WI 53792, USA. bjbowers@facstaff.wisc.edu

Abstract

PURPOSE:

This study explored how nursing home residents define quality of care.

DESIGN AND METHODS:

Data were collected through in-depth interviews and were analyzed using grounded dimensional analysis.

RESULTS:

Residents defined quality in three ways: (a) Care-as-service residents focused on instrumental aspects of care. They assessed quality using the parameters of efficiency, competence, and value. (b) Care-as-relating residents emphasized the affective aspects of care, defining quality as care that demonstrated friendship and allowed them to show reciprocity with their caregivers. (c) Care-as-comfort residents defined quality as care that allowed them to maintain their physical comfort, a state that required minute and often repetitive adjustments in response to their bodily cues.

IMPLICATIONS:

Residents' perceptions of care quality have implications for long-term care practice. The integration of these perceptions into quality assurance instruments could improve the usefulness of tools designed to obtain resident input.

PMID:
11490052
[PubMed - indexed for MEDLINE]
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