How important are choice, autonomy, and relationships in predicting the quality of life of nursing home residents?

Journal article


McCabe, Marita, Byers, Jessica, Busija, Lucy, Mellor, David, Bennett, Michelle and Beattie, Elizabeth. (2021). How important are choice, autonomy, and relationships in predicting the quality of life of nursing home residents? Journal of Applied Gerontology. 40(12), pp. 1743-1750. https://doi.org/10.1177/0733464820983972
AuthorsMcCabe, Marita, Byers, Jessica, Busija, Lucy, Mellor, David, Bennett, Michelle and Beattie, Elizabeth
Abstract

Older people face major challenges when they move into nursing homes, particularly in relation to independence and their ability to influence their activities of daily living (ADLs). This study evaluated the contribution of resident choice, as well as the staff–resident relationship, to promoting resident quality of life (QoL). A total of 604 residents from 33 nursing homes in Australia completed measures of QoL, perceived levels of choice in various ADLs, and the staff–resident relationship. A hierarchical regression demonstrated that the predictor variables accounted for 25% of the variance in QoL. Two of the four predictor variables (resident choice over socializing and the staff–resident relationship) significantly contributed to resident QoL. These findings reinforce the important contribution of autonomy and social relationships to resident QoL. Nursing home staff have a key role to play in supporting resident autonomy as a means of building residents’ chosen social connections, and thereby promoting QoL.

Keywordsautonomy and self-efficacy; decision-making; interpersonal relations (other than family relations); long-term care; person-centered care
Year2021
JournalJournal of Applied Gerontology
Journal of Applied Gerontology
Journal citation40 (12), pp. 1743-1750
PublisherSAGE Publications Inc.
ISSN0733-4648
Digital Object Identifier (DOI)https://doi.org/10.1177/0733464820983972
PubMed ID33402014
Scopus EID2-s2.0-85098858719
Research or scholarlyResearch
Page range1743-1750
FunderNational Health and Medical Research Council (NHMRC)
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online06 Jan 2021
Publication process dates
Deposited16 Dec 2021
Grant IDNHMRC/1142442
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