Factors associated with perceptions of dignity and well‐being among older people living in residential care facilities in Sweden. A national cross‐sectional study

Roos, Charlotte; Alam, Moudud; Swall, Anna; Boström, Anne‐Marie; Hammar, Lena Marmstål

doi:10.1111/hsc.13674

Cited by 8 publications

(13 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As in the present study, poor-rated health and dementia were important factors. A cross-sectional study focusing on RCF found similar results [ 46 ]. Considering the aforementioned findings in the pre-pandemic period, the findings of the present study on the impact of disrespect by staff on feelings of loneliness and anxiety during the pandemic are not surprising.…”

Section: Discussionmentioning

confidence: 55%

See 1 more Smart Citation

Anxiety and loneliness among older people living in residential care facilities or receiving home care services in Sweden during the COVID-19 pandemic: a national cross-sectional study

et al. 2022

Self Cite

View full text Add to dashboard Cite

Background Older people were subjected to significant restrictions on physical contacts with others during the COVID-19 pandemic. Social distancing impacts older people’s experiences of anxiety and loneliness. Despite a large body of research on the pandemic, there is little research on its effects on older people in residential care facilities (RCF) and in home care services (HCS), who are the frailest of the older population. We aimed to investigate the effect of the first wave of the COVID-19 pandemic in March-May 2020 on experiences of anxiety and loneliness among older people living in RCF or receiving HCS and the impact of the progression of the pandemic on these experiences. Methods A retrospective cross-sectional design using data from the national user satisfaction survey (March − May 2020) by the Swedish National Board of Health and Welfare. Survey responses were retrieved from 27,872 older people in RCF (mean age 87 years) and 82,834 older people receiving HCS (mean age 84 years). Proportional-odds (cumulative logit) model was used to estimate the degree of association between dependent and independent variables. Results Loneliness and anxiety were more prevalent among the older persons living in RCF (loneliness: 69%, anxiety: 63%) than those receiving HCS (53% and 47%, respectively). Proportional odds models revealed that among the RCF and HCS respondents, the cumulative odds ratio of experiencing higher degree of anxiety increased by 1.06% and 1.04%, respectively, and loneliness by 1.13% and 1.16%, respectively, for 1% increase in the COVID-19 infection rate. Poor self-rated health was the most influential factor for anxiety in both RCF and HCS. Living alone (with HCS) was the most influential factor affecting loneliness. Experiences of disrespect from staff were more strongly associated with anxiety and loneliness in RCF than in HCS. Conclusion Older people in RCF or receiving HCS experienced increasing levels of anxiety and loneliness as the first wave of the pandemic progressed. Older people’ mental and social wellbeing should be recognized to a greater extent, such as by providing opportunities for social activities. Better preparedness for future similar events is needed, where restrictions on social interaction are balanced against the public health directives.

show abstract

Section: Discussionmentioning

confidence: 55%

“…As in the present study, poor-rated health and dementia were important factors. A cross-sectional study focusing on RCF found similar results [46]. Considering the…”

Section: Discussionmentioning

confidence: 68%

Anxiety and loneliness among older people living in residential care facilities or receiving home care services in Sweden during the COVID-19 pandemic: a national cross-sectional study

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…27 In addition to constructs in the framework of person-centered practice, previous authors have found significant associations between self-rated health, mobility, and dementia and perceptions of dignity and well-being. [28][29][30] Using a modified Delphi process to prioritize essential 'dignity-conserving care markers', Thompson and colleagues 17 found the following practices to be good markers: staff make residents feel valued as a person; staff are compassionate in providing care; residents can trust staff; staff do not make residents feel like a burden to others; residents are able to make choices in their everyday life; 17 assistance with hygiene and personal matters is adequate and sensitive; there is freedom to complain without fear of repercussions; staff does not talk about residents in front of other residents; the personal space of the residents and the need for privacy are respected; efforts are made to make residents feel safe.…”

Section: Threats To Dignity In Ltc Homesmentioning

confidence: 99%

Dignity in the care of older adults living in nursing homes and long-term care facilities

Wachholz¹,

Giacomin

2023

F1000Res

View full text Add to dashboard Cite

Dignity is a fundamental right that can be subjectively experienced and rooted in a person's perception of being treated and cared for. Care refers to a set of specific activities combined in a complex life-sustaining network, including long-term care facilities, which involves various services designed to meet a person's health or personal care needs. However, older residents' human rights have been disrespected, and widened the gaps between theory and practice regarding safeguarding their rights and dignity in long-term facilities and nursing homes. This paper aims to discuss threats to dignity and elucidate some strategies to promote and conserve dignity in care, including the person-centered practice in long-term care facilities. Some barriers to the dignity of older residents involve the organizational culture, restraints of time, heavy workload, burnout, and lack of partnership between the residents, their families, and the long-term care homes' staff. Person-centered integrated care quality frameworks are core components of a good quality of care in these spaces in high-income countries. Unfortunately, the COVID-19 pandemic highlighted how weak long-term care policies were and demonstrated that much progress in the dignity of care in long-term care facilities and nursing homes is needed. In low- and middle-income countries, long-term care policies do not accompany the accelerated and intense aging process, and there are other threats, like their invisibility to the public sector and the prejudices about this service model. It's urgent to create strategies for designing and implementing sustainable and equitable long-term care systems based on a person-centered service with dignity to everyone who needs it.

show abstract

“…26 In addition to constructs in the framework of person-centered practice, previous authors have found significant associations between self-rated health, mobility, and dementia and perceptions of dignity and well-being. [27][28][29] Using a modified Delphi process to prioritize essential 'dignity-conserving care markers', Thompson and colleagues 17 found the following practices to be good markers: staff make residents feel valued as a person; staff are compassionate in providing care; residents can trust staff; staff do not make residents feel like a burden to others; residents are able to make choices in their everyday life; 17 assistance with hygiene and personal matters is adequate and sensitive; there is freedom to complain without fear of repercussions; staff does not talk about residents in front of other residents; the personal space of the residents and the need for privacy are respected; efforts are made to make residents feel safe.…”

Section: Threats To Dignity In Ltc Homesmentioning

confidence: 99%

“…This approach targets the attitudes of staff and the care environment, which could be used when designing interventions to promote dignity and well-being. 27 In conclusion, dignity in the LTC goes through the recognition of its need and the support of public policies that, in addition to monitoring, promote more significant knowledge about the reality of the care offered. This also means the confrontation of prejudice about this service model 27 and the urgent creation of strategies for designing and implementing sustainable and equitable LTC systems 28 that ensure a person-centered service with dignity to everyone who needs it.…”

Section: Threats To Dignity In Ltc Homesmentioning

confidence: 99%

Dignity in the care of older adults living in nursing homes and long-term care facilities

Wachholz

Giacomin²

2022

F1000Res

View full text Add to dashboard Cite

Depending on the fields and actors involved, dignity may involve, signify, and encompass different meanings. This fundamental right can be subjectively experienced and rooted in a person's perception of being treated and cared for. Care refers to a set of specific activities combined in a complex life-sustaining network, including long-term Care, which involves various services designed to meet a person's health or personal care needs. However, older residents' human rights have been disrespected and widened the gaps between theory and practice regarding the precarious protection of their rights and dignity inside long-term facilities and nursing homes. This paper aims to discuss threats to dignity and elucidate some strategies to promote and conserve dignity in care, including the person-centered practice in long-term care. Some barriers to the dignity of older residents involve the organizational culture, restraints of time, heavy workload, burnout, and lack of partnership between the residents, their families, and the long-term care homes' staff. Person-centered integrated care quality frameworks are core components of a good quality of care in these spaces in high-income countries. Unfortunately, the COVID-19 pandemic highlighted how weak long-term care policies were and demonstrated that much progress in the dignity of care in long-term care facilities and nursing homes is needed. In low- and middle-income countries, long-term care policies do not accompany the accelerated and intense aging process, and there are other threats, like their invisibility to the public sector and the prejudices about this service model. It's urgent to create strategies for designing and implementing sustainable and equitable long- term care systems based on a person-centered service with dignity to everyone who needs it.

show abstract

Factors associated with perceptions of dignity and well‐being among older people living in residential care facilities in Sweden. A national cross‐sectional study

Abstract: This is an open access article under the terms of the Creat ive Commo ns Attri butio n-NonCo mmerc ial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Cited by 8 publications

References 42 publications

Anxiety and loneliness among older people living in residential care facilities or receiving home care services in Sweden during the COVID-19 pandemic: a national cross-sectional study

Anxiety and loneliness among older people living in residential care facilities or receiving home care services in Sweden during the COVID-19 pandemic: a national cross-sectional study

Dignity in the care of older adults living in nursing homes and long-term care facilities

Dignity in the care of older adults living in nursing homes and long-term care facilities

Contact Info

Product

Resources

About