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Med Care Res Rev. 2020 Feb 26:1077558720907183. doi: 10.1177/1077558720907183. [Epub ahead of print]

Expectations and Needs of Families in Nursing Homes: An Integrative Review.

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Université Sorbonne Paris Nord, Nursing Sciences Research chair, Laboratory Educations and Health Practices (LEPS), Bobigny, France.
Medical Directorate, ORPEA Groupe, Puteaux, France.
Cardiovascular and Neuropsychogeriatric Geriatrics Unit, Pitié-Salpêtrière-Charles Foix Hospital, Pierre and Marie Curie University, Paris, France.
AP HP, Nursing Sciences Research Chair Paris, France.


A better understanding of the expectations and needs of the families of nursing home residents is needed for a constructive and sustainable relationship of mutual trust. The objective of this study was to understand the expectations of families of nursing home residents described in the literature. A systematic integrative review of the literature was conducted. After a rigorous selection made by two researchers, independently, 53 articles were selected out of 1,094 results. The expectations of families are quality care, consideration complying with human dignity of the resident, collaboration, honesty, and mutual confidence that ties together families, staff, and physicians. This study reveals that families consider themselves as a strength for a resident's support services, in line with Gottlieb's strength-based approach. This approach offers promising implications for practice and for a new type of management in nursing homes based on strong values.


conflicts; expectations; families; nursing homes; strengths-based approach


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