scholarly journals Structural Quality Indicators to Support Quality of Care for Older People With Cognitive Impairment in Emergency Departments

2015 ◽  
Vol 22 (3) ◽  
pp. 273-284 ◽  
Author(s):  
Linda M. Schnitker ◽  
Melinda Martin-Khan ◽  
Ellen Burkett ◽  
Caroline A. Brand ◽  
Elizabeth R. A. Beattie ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Quality Of Care ◽  
Older People ◽  
Quality Indicators ◽  
Emergency Departments ◽  
Structural Quality ◽  
Care For Older People

Process Quality Indicators Targeting Cognitive Impairment to Support Quality of Care for Older People with Cognitive Impairment in Emergency Departments

2015 ◽  
Vol 22 (3) ◽  
pp. 285-298 ◽  
Author(s):  
Linda M. Schnitker ◽  
Melinda Martin-Khan ◽  
Ellen Burkett ◽  
Elizabeth R. A. Beattie ◽  
Richard N. Jones ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Quality Of Care ◽  
Older People ◽  
Quality Indicators ◽  
Emergency Departments ◽  
Process Quality ◽  
Care For Older People

scholarly journals Validation and psychometric evaluation of the Dutch person-centred care of older people with cognitive impairment in acute care (POPAC) scale

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Annette Keuning-Plantinga ◽  
Evelyn J. Finnema ◽  
Wim Krijnen ◽  
David Edvardsson ◽  
Petrie F. Roodbol
Keyword(s):  
Factor Analysis ◽  
Cognitive Impairment ◽  
Quality Of Care ◽  
Confirmatory Factor Analysis ◽  
Older People ◽  
Root Mean Square ◽  
Acute Care ◽  
Mean Square ◽  
Confirmatory Factor

Abstract Background Person-centred care is the preferred model for caring for people with dementia. Knowledge of the level of person-centred care is essential for improving the quality of care for patients with dementia. The person-centred care of older people with cognitive impairment in acute care (POPAC) scale is a tool to determine the level of person-centred care. This study aimed to translate and validate the Dutch POPAC scale and evaluate its psychometric properties to enable international comparison of data and outcomes. Methods After double-blinded forward and backward translations, a total of 159 nurses recruited from six hospitals (n=114) and via social media (n=45) completed the POPAC scale. By performing confirmatory factor analysis, construct validity was tested. Cronbach’s alpha scale was utilized to establish internal consistency. Results The confirmatory factor analysis showed that the comparative fit index (0.89) was slightly lower than 0.9. The root mean square error of approximation (0.075, p=0.012, CI 0.057–0.092) and the standardized root mean square residual (0.063) were acceptable, with values less than 0.08. The findings revealed a three-dimensional structure. The factor loadings (0.69–0.77) indicated the items to be strongly associated with their respective factors. The results also indicated that deleting Item 5 improved the Cronbach’s alpha of the instrument as well as of the subscale ‘using cognitive assessments and care interventions’. Instead of deleting this item, we suggest rephrasing it into a positively worded item. Conclusions Our findings suggest that the Dutch POPAC scale is sufficiently valid and reliable and can be utilized for assessing person-centred care in acute care hospitals. The study enables nurses to interpret and compare person-centred care levels in wards and hospital levels nationally and internationally. The results form an important basis for improving the quality of care and nurse-sensitive outcomes, such as preventing complications and hospital stay length.

Exploring caregivers' perspectives on improving care for older people at the end of life in Thailand

2019 ◽  
Vol 25 (7) ◽  
pp. 326-332
Author(s):  
Kanyanat Supaporn ◽  
Sang-arun Isaramalai ◽  
Wandee Suttharangsee
Keyword(s):  
Quality Of Care ◽  
Older People ◽  
End Of Life ◽  
Care Quality ◽  
Ageing Population ◽  
Home Setting ◽  
Experience Of Care ◽  
Care Recipients ◽  
Care For Older People

Background: Older people in Thailand receive general medical and social care at the end of life, and many rarely access palliative services. In light of this, improving the quality of care for the ageing population relies on addressing the needs of family caregivers, who provide the majority of care in a home setting. Understanding caregivers' perspectives when caring for a friend or relative will help to improve the quality of care that they provide. Aim: To explore caregivers' perspectives on improving care for older people in Thailand in the palliative stage. Methods: A qualitative study using in-depth interviews and observation of 10 older people in the palliative stage and their caregivers was undertaken. Data were analysed using content analysis. Findings: Data analysis revealed three themes: caregivers cared to repay the older person's previous kindness, caregivers cared and changed their caregiving behaviour to minimise the older person's perception of being abandoned or being a burden, and to follow Thai ancestral traditions, so that the older person could die peacefully. Conclusion: This study provides specific instructions for those who provide care for older Thai people in the palliative stage. Finding ways to address caregivers' perspectives on improving care quality could enhance the experience of care recipients.

scholarly journals Quality of primary palliative care for older people with mild and severe dementia: an international mortality follow-back study using quality indicators

2018 ◽  
Vol 47 (6) ◽  
pp. 824-833 ◽  
Author(s):  
Rose Miranda ◽  
Yolanda W H Penders ◽  
Tinne Smets ◽  
Luc Deliens ◽  
Guido Miccinesi ◽  
...  
Keyword(s):  
Palliative Care ◽  
Older People ◽  
Quality Indicators ◽  
Severe Dementia ◽  
Care For Older People
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