Korean J Adult Nurs.  2016 Dec;28(6):669-679. 10.7475/kjan.2016.28.6.669.

A Concept Mapping Study of Good Service Experience among the Elderly Residents of Long-term Care Facilities

Affiliations
  • 1Researcher, Institute of Health · Environment, Seoul National University, Seoul, Korea. hyoungshim@daum.net

Abstract

PURPOSE
The purpose of this study was to explore the reported good service experiences from the perspective of elderly residents of long-term care facilities.
METHODS
Of those residents who are 65 years old or older, 14 residents whose length of stay were one month or longer and scores of the K-Mini Mental State Examination were 15 or higher were interviewed. The interview data formed the basis for the empirical statements about the reported nature of patients' experiences as residents of long-term care facilities. These data were used in concept mapping.
RESULTS
Through multidimensional scaling analysis and hierarchical cluster analysis, 62 core statements, two dimensions, and six clusters of good service experiences were derived. The two dimensions were classified as "˜care centered-participation centered services' and as "˜physical-emotional services.' Six cluster themes emerged as good service experiences: "˜safety of care and treatment', "˜responsible and supportive staff', "˜comfort of living environment', "˜mental well-being', and "˜respect and communication'.
CONCLUSION
The result of the study provides information about what experiences are important to older adults with cognitive impairment. The concept map can be used to develop a patient experience index for the elderly residents of long-term care facilities.


MeSH Terms

Adult
Aged*
Cognition Disorders
Humans
Length of Stay
Long-Term Care*
Nursing Homes

Figure

  • Figure 1 The result of multidimensional scale (1*2 dimension).

  • Figure 2 Concept mapping of good patient experience among the elderly residents of long-term care facilities.


Cited by  1 articles

Nurses' Views on Infection Control in Long-Term Care Facilities in South Korea: A Focus Group Study
Chi-Young Lee, Min-Hye Lee, Seong-Hyeon Lee, Yeon-Hwan Park
Korean J Adult Nurs. 2018;30(6):634-642.    doi: 10.7475/kjan.2018.30.6.634.


Reference

1. Ahmed F, Burt J, Roland M. Measuring patient experience: concepts and methods. Patient. 2014; 7(3):235–241. DOI: 10.1007/s40271-014-0060-5.
Article
2. Frampton SB. Healthcare and the patient experience: harmonizing care and environment. HERD. 2012; 5(2):3–6. DOI: 10.1177/193758671200500201.
Article
3. Staniszewska S, Boardman F, Gunn L, Roberts J, Clay D, Seers K, et al. The Warwick Patient Experiences Framework: patientbased evidence in clinical guidelines. Int J Qual Health Care. 2014; 26(2):151–157. DOI: 10.1093/intqhc/mzu003.
Article
4. Coulter A, Fitzpatrick R, Cornwell J. Measure of patient's experience in hospital: purpose, methods and uses. London: King's Fund;2009. p. 7–9.
5. The Beryl Institute. Defining Patient Experience [Internet]. Southlake, TX: The Beryl Institute;2010. cited 2016 April 16. Available from http://www.theberylinstitute.org/?page=DefiningPatientExp.
6. Wolf JA, Niederhauser V, Marshburn D, LaVela SL. Defining patient experience. Patient Exp J. 2014; 1(1):7–19.
7. Bleich SN, Ozaltin E, Murray CJ. How does satisfaction with the healthcare system relate to patient experience? Bull World Health Organ. 2009; 87(4):271–278. DOI: 10.2471/BLT.07.050401.
Article
8. Price RA, Elliott MN, Zaslavsky AM, Hays RD, Lehrman WG, Rybowsk L, et al. Examining the role of patient experience surveys in measuring health care quality. Med Care Res Rev. 2014; 71(5):522–554. DOI: 10.1177/1077558714541480.
Article
9. Kane RA, Kling KC, Bershadsky B, Kane RL, Giles K, Degenholtz HB, et al. Quality of life measures for nursing home residents. J Gerontol A Biol Sci Med Sci. 2003; 58(3):240–248. DOI: 10.1093/gerona/58.3.M240.
Article
10. Sangl J, Buchanan J, Cosenza C, Bernard S, Keller S, Mitchell N, et al. The Development of a CAHPS® for Nursing Home Residents (NHCAHPS). J Aging Soc Policy. 2007; 19(2):63–82. DOI: 10.1300/J031v19n02_04.
11. Gerritsen DL, Steverink N, Ooms ME, de Vet HC, Ribbe MW. Measurement of overall quality of life in nursing homes through self-report: the role of cognitive impairment. Qual Life Resh. 2007; 16(6):1029–1037. DOI: 10.1007/s11136-007-9203-7.
Article
12. Logsdon RG, Gibbons LE, McCurry SM, Teri L. Assessing quality of life in older adults with cognitive pairment. Psychosom Med. 2002; 64(3):510–519. DOI: 10.1097/00006842-200205000-00016.
13. Kehyayan V, Hirdes JP, Tyas SL, Stolee P. Residents' self-reported quality of life in long-term care facilities in Canada. Can J Aging. 2015; 34(2):149–164.
Article
14. Stephens CE, Sackett N, Govindarajan P, Lee SJ. Emergency department visits and hospitalizations by tube-fed nursing home residents with varying degrees of cognitive impairment: a national study. BMC Geriatr. 2014; 14:35. DOI: 10.1186/1471-2318-14-35.
Article
15. Norton PG, Van Maris B, Soberman L, Murray M. Satisfaction of residents and families in long-term care: I. construction and application of an instrument. Qual Manag Health Care. 1996; 4(3):38–46. DOI: 10.1097/00019514-199604030-00006.
16. Triemstra M, Winters S, Kool RB, Wiegers TA. Measuring client experiences in long-term care in the Netherlands: a pilot study with the consumer quality index long-term care. BMC Health Serv Res. 2010; 10(95):1–11. DOI: 10.1186/1472-6963-10-95.
Article
17. Shin KA. Defamilization of elderly care and experience of the aged. Korean J Sociol. 2011; 45(4):64–69.
18. Goh JK, Hwang IO, Oh HY. The experiences of the newly admitted elderly residents in nursing home. J Korea Gerontol Soc. 2002; 29(2):477–488.
19. Lee GE. The experience of institutionalization by the elderly. J Korean Community Nurs. 2002; 13(4):668–678.
20. Song KB, Jang ED. Cultural competence and measurement in social work practice. Stud Humanit Soc Sci. 2010; 29:40–69.
21. Seok JE. A study on the concept and improvement plan of longterm care service quality -the voice of service field for ‘good care’-. Korean J Soc Welf. 2014; 66(1):221–249.
22. Kim YH, An JS. Stress, life satisfaction and service satisfaction of elderly and elderly family using long-term care service. J Welf Aged. 2012; 57:161–189.
23. Im HS, Hwang HS. Analysis fo causes affecting the subjective well-being of the degree of satisfaction of the service of long-term care facilities. J Welf Aged. 2011; 54:237–261.
24. Kane M, Trochim WMK. Concept mapping for planning and evaluation. Thousand Oaks, CA: Sage;2007. p. 27–110.
25. Min KH, Choi YJ. Overview of concept mapping in counseling psychology research. Korean J Couns. 2007; 8(4):1291–1307.
26. Choi YJ, Kim KH. Concept mapping the highly educated and married women’s experience on crisis of career interruption for comparing career women with housewives with experienced career interruption. Korean J Couns. 2007; 8(3):1031–1045.
27. Park KB. Multidimensional scaling. Seoul: Kyoyookbook;2000. p. 7–56.
28. Lee MJ. A study on measurement issues of the quality of longterm care services for older adults. Soc Welf Policy. 2011; 38(1):141–166. DOI: 10.15855/swp.2011.38.1.141.
29. Van Maris B, Soberman L, Murray M, Norton PG. Satisfaction of residents and families in long-term care: II. lessons learned. Qual Manag Health Care. 1996; 4(3):47–53. DOI: 10.1097/00019514-199604030-00007.
30. Natioanl Health Insurance Service. Long term care insurance [Internet]. Wonju: National Health Insurance Service;2011. cited 2015 April 10. Available from: http://www.longtermcare.co.kr.
Full Text Links
  • KJAN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr