scholarly journals Developing a Scale of Care Work-Related Quality of Life (CWRQoL) for Long-Term Care Workers in England

Author(s):  
Shereen Hussein ◽  
Ann-Marie Towers ◽  
Sinead Palmer ◽  
Nadia Brookes ◽  
Barbora Silarova ◽  
...  

Background: Long-term care (LTC) workers are subjected to structural and inherent difficult conditions that are likely to impact their quality of life at work; however, no agreed scale measures it. This study aims to develop a scale to measure the work-related quality of life among LTC workers in England (CWRQoL). The study establishes the domains/sub-domains of CWRQoL, investigates the tool’s utility and collates information on existing supporting strategies for CWRQoL. Methods: We adopt a mixed-methods approach employing inductive/deductive processes at three stages: (1) a scoping review of the literature; (2) interviews and focus groups with frontline LTC workers, managers and LTC stakeholders; and (3) a content validity consensus survey. Results: CWRQoL is composed of seven domains (and 23 sub-domains). Additional domains to those in the literature include financial wellbeing, sufficient time for building relations, managing grief and emotions associated with client death and end of life care. Stakeholders identified several benefits and challenges related to the CWRQoL tool’s utility. COVID-19 significantly impacted LTC workers’ mental wellbeing and spillover between work and home. Conclusions: The study highlighted the complex nature of CWRQoL and provided a solid ground for developing and validating a CWRQoL scale.

2019 ◽  
Vol 23 (10) ◽  
pp. 1021-1025 ◽  
Author(s):  
Riitta K. T. Saarela ◽  
N. M. Savikko ◽  
H. Soini ◽  
S. Muurinen ◽  
M. H. Suominen ◽  
...  

Health Policy ◽  
2008 ◽  
Vol 85 (3) ◽  
pp. 349-355 ◽  
Author(s):  
Hirohisa Imai ◽  
Yoshinori Fujii ◽  
Yoshiharu Fukuda ◽  
Hiroyuki Nakao ◽  
Yuichiro Yahata

2016 ◽  
Vol 17 (2) ◽  
pp. 180-182 ◽  
Author(s):  
Samanta Lalic ◽  
Barbara C. Wimmer ◽  
Edwin C.K. Tan ◽  
Leonie Robson ◽  
Tina Emery ◽  
...  

2013 ◽  
Vol 25 (5) ◽  
pp. 792-802 ◽  
Author(s):  
Amrit Kanwar ◽  
Mandeep Singh ◽  
Ryan Lennon ◽  
Kalyan Ghanta ◽  
Sheila M. McNallan ◽  
...  

2021 ◽  
pp. JNM-D-20-00054
Author(s):  
C. Allyson Jones ◽  
Yuba Raj Paudel ◽  
Susan E. Slaughter ◽  
Carla Ickert ◽  
Gian S. Jhangri ◽  
...  

Background and PurposeThe purpose is to evaluate the construct validity of two generic health measures, the Health Utilities Index Mark 2 (HUI2) and Mark 3 (HUI3) in residents of long-term care (LTC) facilities, using a convergent/divergent validity approach, with the Functional Independence Measure (FIM), Quality of Life-Alzheimer's Disease (QOL-AD) and Resident Assessment Instrument (RAI) 2.0 as comparators.MethodsHealth status of 130 residents with dementia residing in one of seven LTC facilities was evaluated by their Healthcare Aides who were their primary care assistants. A priori hypotheses on the magnitude and direction of the correlations were formulated by two clinician/researchers and a researcher familiar with the measures and this population. Predicted and observed correlations were compared.ResultsMean overall HUI2 (0.48, SD 0.16) and HUI3 scores (0.31, SD 0.27) were indicative of severe disability. Of the 208 a priori hypotheses, 39.9% (n = 83) matched the observed correlations, 29.8% were underestimated and 19.7% were overestimated by one category.ConclusionsFindings support the use of the HUI2 and HUI3 in measuring health-related quality of life in dementia-related research to complement disease-specific measures.


Author(s):  
Ulla L. Aalto ◽  
H. Finne-Soveri ◽  
H. Kautiainen ◽  
H. Öhman ◽  
H.-M. Roitto ◽  
...  

Abstract Objectives Anticholinergic burden defined by the Anticholinergic Risk Scale (ARS) has been associated with cognitive and functional decline. Associations with health-related quality of life (HRQoL) have been scarcely studied. The aim of this study was to examine the association between anticholinergic burden and HRQoL among older people living in long-term care. Further, we investigated whether there is an interaction between ARS score and HRQoL in certain underlying conditions. Design and participants Cross-sectional study in 2017. Participants were older people residing in long-term care facilities (N=2474) in Helsinki. Measurements Data on anticholinergic burden was assessed by ARS score, nutritional status by Mini Nutritional Assessment, and HRQoL by the 15D instrument. Results Of the participants, 54% regularly used ARS-defined drugs, and 22% had ARS scores ≥2. Higher ARS scores were associated with better cognition, functioning, nutritional status and higher HRQoL. When viewing participants separately according to a diagnosis of dementia, nutritional status or level of dependency, HRQoL was lower among those having dementia, worse nutritional status, or being dependent on another person’s help (adjusted for age, sex, comorbidities). Significant differences within the groups according to ARS score were no longer observed. However, interactions between ARS score and dementia and dependency emerged. Conclusion In primary analysis there was an association between ARS score and HRQoL. However, this relationship disappeared after stratification by dementia, nutritional status and dependency. The reasons behind the interaction concerning dementia or dependency remain unclear and warrant further studies.


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