How do the older adults in nursing homes live with dignity? A protocol for a meta-synthesis of qualitative research

Abstract

IntroductionAs the population continuous to age and family sizes decrease, residing in nursing homes has emerged as a crucial option for older adults’ care. Ensuring a dignified life for older adults in nursing homes is critical for enhancing their overall quality of life. The primary objective of this study is to synthesise the evidence of qualitative research on the feelings and experiences of dignity among older adults living in nursing homes. This will enable a better understanding of the factors influencing the perception of dignity and its preservation, ultimately assisting older adults in achieving a more comfortable and fulfilling experience in nursing homes.Methods and analysisThe Preferred Reporting Items for Systematic Reviews and Meta-Analyses will guide this meta-synthesis. We conducted an initial search on 1 June 2022, for studies published between the inception of each database and 2022, using the population exposure-outcome nomenclature. We searched the Embase, Web of Science, CINAHL, Cochrane Library and PubMed databases for relevant studies. For data synthesis, we will employ the Ritchie and Spencer framework, and the Supporting the Use of Research Evidence Framework will be used for data analysis. To minimise the risk of bias, we will critically appraise the selected studies using the Qualitative Assessment and Review Instrument.Ethics and disseminationThis review does not involve human participants and, therefore, does not necessitate ethical approval. We plan to disseminate the protocol and findings through relevant channels, including publication in pertinent journals, presentations at conferences and symposia, and engagement with local and international health stakeholders.PROSPERO registration numberCRD42022343983.ConclusionThis study aims to offer comprehensive evidence to guide nursing staff in providing dignity-focused interventions for older adult residents in nursing homes.

Identification of formation mechanism and key elements of quality geriatric care behavior of nursing assistants in nursing homes: a grounded theory study

“…The Chinese nursing assistants are generally older, and their cultural background is low ( 13 ). Furthermore, some of these assistants lack basic courtesy and respect and might be unkind and rude, which damages the dignity of the older adult ( 14 ) and may also affect their trust in the care service. A survey of 1,544 staff across 92 English care home units revealed that very few staff carried out specific person-centered activities ( 15 ).…”