scholarly journals Nurses’ and Care Workers’ Perception of Care Quality in Japanese Long-Term Care Wards: A Qualitative Descriptive Study

2018 ◽  
Vol 5 ◽  
pp. 233339361881218 ◽  
Author(s):  
Noriko Yamamoto-Mitani ◽  
Yumiko Saito ◽  
Manami Takaoka ◽  
Yukari Takai ◽  
Ayumi Igarashi
Keyword(s):  
Quality Assurance ◽  
Quality Improvement ◽  
Continuous Quality Improvement ◽  
Long Term Care ◽  
Care Practice ◽  
Practice Model ◽  
Term Care ◽  
Continuous Quality ◽  
Care Workers

Despite the growing importance of long-term care for older adults, there has been limited attention to its quality assurance issues in Japan. To start planning the initiation of continuous quality improvement in long-term care hospitals, we explored how nurses and care workers themselves perceived current approaches to quality assurance and improvement on their ward. We interviewed 16 licensed nurses and nine care workers, transcribed and analyzed data using qualitative content analysis techniques, and derived six categories: keeping clients alive is barely possible, the absence of a long-term care practice model, the lack of quality indicators, long-term care hospitals as places for castaways, client quality of life as a source of satisfaction, and conflict between staff and client well-being. To develop continuous quality improvement in Japanese long-term care hospitals, it may be first necessary to introduce a practice model of long-term care and mechanisms to evaluate quality.

Lessons for regulating informal markets and implications for quality assurance – the case of migrant care workers in Austria

2015 ◽  
Vol 36 (4) ◽  
pp. 741-763 ◽  
Author(s):  
ANDREA E. SCHMIDT ◽  
JULIANE WINKELMANN ◽  
RICARDO RODRIGUES ◽  
KAI LEICHSENRING
Keyword(s):  
Quality Assurance ◽  
Long Term Care ◽  
Family Care ◽  
Professional Status ◽  
Control Mechanisms ◽  
Care Providers ◽  
Structured Interviews ◽  
Term Care ◽  
Care Workers

ABSTRACTThe rising number of private care arrangements in which live-in migrant care workers are engaged as a functional equivalent to family care calls for special attention by policy makers and formal long-term care providers on their implications for quality assurance and professional standards in the long-term care sector. Austria is one of the first countries in Europe where tangible legal measures have been taken to regulate this area under the heading of ‘24-hour care’, typically provided by middle-aged women. Reform measures went beyond policing and control mechanisms, including also incentives and tangible subsidies for all stakeholders. This paper contributes to a better understanding of their impact on the transition from informal to formal economy, focusing on quality assurance and working conditions. Based on empirical data and findings from semi-structured interviews with relevant stakeholders, a framework for the analysis of ‘illegal markets', based on Beckert and Wehinger's theory, is used to discuss potential implications in terms of valuation, competition and co-operation for policy in Austria, and to draw lessons for other countries. Results indicate that even after efforts to ‘legalise’ migrant care, the sector remains a ‘grey’ area within modern labour market legislation and quality management. This is due to the very nature of personal care, low professional status associated with care work and the reluctance of political stakeholders to regulate private household activities.

Reliability of the PEONIES approach to consumer-centered to long-term care quality assurance/quality improvement

2009 ◽  
Vol 2 (1) ◽  
pp. e11
Author(s):  
Sarita L. Karon ◽  
Barbara Bowers ◽  
Kay Hutchison ◽  
Donna Kopp ◽  
Kim Nolet ◽  
...  
Keyword(s):  
Quality Assurance ◽  
Quality Improvement ◽  
Long Term Care ◽  
Care Quality ◽  
Term Care

scholarly journals Standardised functional assessment in long-term care for older people: perspective of Finnish care workers

2021 ◽  
Vol 12 (1) ◽  
pp. 27-47
Author(s):  
Vilhelmiina Lehto-Niskala ◽  
Outi Jolanki ◽  
Jaakko Valvanne ◽  
Marja Jylhä
Keyword(s):  
Older People ◽  
Functional Assessment ◽  
Long Term Care ◽  
Care Delivery ◽  
Care Practice ◽  
Process Of Care ◽  
Term Care ◽  
Care Workers ◽  
Care For Older People

Objective measures and documentation are increasingly used in the care for older people to promote efficiency and productivity. A standardised assessment of functional capacity is one such measure. In this study, we examined the meanings given to standardised functional assessment by care workers who provide long-term care for older people. Gathered from eight Finnish long-term care facilities, the data consisted of one-on-one interviews with practical and registered nurses (n = 24). In the data analysis, we employed the discursive approach. We identified three discourses in the care workers’ talks that differed in the meaning given to standardised functional assessment in the process of care: part of the bureaucracy, a missed opportunity and a threat to person-centred care. Care workers described these assessments as constituting a routine part of their job but expressed uncertainty about their role and the practicalbenefits in actual care work. They even called into question these assessments’ relevance to quality care delivery. To be a meaningful part of care practice, it is essential that there be a shared understanding of the rationale behind functional assessments in the care organisation and that care workers themselves can see the outcomes of these assessments in their daily work.

scholarly journals The Story as a Quality Instrument: Developing an Instrument for Quality Improvement Based on Narratives of Older Adults Receiving Long-Term Care

2021 ◽  
Vol 18 (5) ◽  
pp. 2773
Author(s):  
Aukelien Scheffelaar ◽  
Meriam Janssen ◽  
Katrien Luijkx
Keyword(s):  
Older Adults ◽  
Quality Improvement ◽  
Quality Of Care ◽  
Long Term Care ◽  
Narrative Research ◽  
Care Practice ◽  
Term Care ◽  
Quality Instrument

The individual experiences of older adults in long-term care are broadly recognized as an important source of information for measuring wellbeing and quality of care. Narrative research is a special type of qualitative research to elicit people’s individual, diverse experiences in the context of their lifeworld. Narratives are potentially useful for long-term care improvement as they can provide a rich description of an older adult’s life from their own point of view, including the provided care. Little is known about how narratives can best be collected and used to stimulate learning and quality improvement in long-term care for older adults. The current study takes a theoretical approach to developing a narrative quality instrument for care practice in order to discover the experiences of older adults receiving long-term care. The new narrative quality instrument is based on the available literature describing narrative research methodology. The instrument is deemed promising for practice, as it allows care professionals to collect narratives among older adults in a thorough manner for team reflection in order to improve the quality of care. In the future, the feasibility and usability of the instrument will have to be empirically tested.

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