The quality of care in Norwegian nursing homes

Authors

  • Øyvind Kirkevold RN, MPH, PhD,

    1. Norwegian Centre for Dementia Research, Vestfold Mental Health Care Trust, Tønsberg, SEM and Faculty of Health and Sports, Agder University College, Kristiansand
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  • Knut Engedal MD, PhD

    1. Department of Geriatric Medicine, Norwegian Centre for Dementia Research, Ullevaal University Hospital, Oslo, Norway
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Øyvind Kirkevold, Norwegian Centre for Dementia Research, Vestfold Mental Health Care Trust, Tønsberg, PO Box 64, N – 3107 SEM, Norway.
E-mail: oyvind.kirkevold@nordemens.no

Abstract

Background:  Promoting the quality of life is an importing aim of the long-term care for the elderly, and the quality of life is related to quality of care (QoC). This way the QoC in nursing homes, and its correlates, is an interesting subject.

Aim:  To describe to what degree Norwegian nursing homes provide services in line with the core areas of the ‘regulation of care’ and whether patient or ward characteristics are associated with the QoC.

Methods and material:  Cross-sectional study where data were collected in structured interview of the nursing staff in 251 wards regarding 1926 patients.

Results:  Most of the patients receive good basic care in Norwegian nursing homes, but taking part in leisure activities and having the opportunity to go out for a walk are more often neglected. Acceptable QoC had a strongly negative association with patient characteristics such as low function in mental capacity, low function in activities of daily living and aggressive behaviour. In most of the measured areas of QoC, ward characteristics, such as type of ward, size of ward and staffing ratio, do have an influence on QoC.

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