Small is beautiful? Explaining resident satisfaction in Swedish nursing home care

Spangler, Douglas; Blomqvist, Paula; Lindberg, Ylva; Winblad, Ulrika

doi:10.1186/s12913-019-4694-9

Cited by 19 publications

(10 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To enhance the institutional satisfaction of hypertension patients within elderly caring SOs, we suggest that elderly caring SOs should improve their environment and service quality while also expanding social capital into the elderly care sector to provide targeted elderly care services. The findings of previous study indicated that nursing home residents are more satisfied in smaller nursing homes and nursing homes with frequent opportunities for physical and social activity (Spangler et al, 2019). In addition, as artificial intelligence advances, applying data-driven intelligent platforms has huge potential in health management and health decision-making (Gu et al, 2019), effectively improving organizational performance and internal and external satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Institutional Satisfaction and Anxiety Mediate the Relationship Between Social Support and Depression in Hypertension Patients in Elderly Caring Social Organizations: A Cross-Sectional Study

Bai

TANG

et al. 2021

Front. Psychol.

View full text Add to dashboard Cite

Background: Depression is a prevalent health condition among hypertension patients in elderly caring social organizations (SOs). Patients with hypertension and depression symptoms have worse health outcomes than those without depression. As the population ages, chronic and mental health issues such as depression of hypertension patients in elderly caring SOs have become prominent. However, the combined effects of social support, institutional satisfaction, and anxiety on depression among hypertension individuals in elderly caring SOs remain unclear. This study aimed to explore the mediating effects of institutional satisfaction and anxiety on the relationship between social support and depression among hypertension patients in elderly caring SOs in Anhui Province, China.Methods: A cross-sectional study was conducted using a multi-stage stratified random sampling method. A questionnaire was used to collect data on demographic characteristics, the satisfaction of elderly caring SOs, social support, anxiety, and depression. A multiple linear regression model was utilized to investigate depression-related factors, and structural equation modeling (SEM) was employed to examine the relationships between social support, institutional satisfaction, anxiety, and depression among patients with hypertension in elderly caring SOs.Results: Our results indicated that the mean scores of social support were 20.19 ± 6.98 and 1.92 ± 3.18 for anxiety, and 6.24 ± 5.03 for depression; besides, 33.3% of participants were very satisfied with elderly caring SOs, 48.5% were satisfied, and only 6.0% were dissatisfied or very dissatisfied. Comorbid chronic diseases were significantly associated with depression. Institutional satisfaction was directly negatively related to depression, whereas anxiety was directly positively correlated with depression. Social support had an indirect negative association with depression by the mediating effects of institutional satisfaction and anxiety.Conclusions: The study highlights the importance of social support in maintaining mental health among hypertension patients residing in elderly caring SOs. To alleviate depression among hypertension patients in elderly caring SOs, strategies that target enhancing social support, institutional satisfaction, and anxiety reduction should be prioritized. More importantly, more attention should be paid to patients with comorbid chronic diseases.

show abstract

Section: Discussionmentioning

confidence: 99%

Institutional Satisfaction and Anxiety Mediate the Relationship Between Social Support and Depression in Hypertension Patients in Elderly Caring Social Organizations: A Cross-Sectional Study

Bai

TANG

et al. 2021

Front. Psychol.

View full text Add to dashboard Cite

show abstract

“…Social care, including nursing homes and in-home care, is provided at the municipal level. Although all nursing homes are publicly financed, approximately 20.5% of nursing homes are run by private actors (Spangler et al, 2019). Due to the largely decentralized character of the health care system governance between the national government and the regions relies on negotiation and collaboration (Fredriksson, 2012).…”

Section: Health Systems' Institutional Backgroundsmentioning

confidence: 99%

Any lessons to learn? Pathways and impasses towards health system resilience in post-pandemic times

Ewert

Winblad

Bal

2022

HEPL

Self Cite

View full text Add to dashboard Cite

The COVID-19 pandemic has been an ultimate challenge for health systems as a whole rather than just single sectors (e.g. hospital care). Particularly, interface management between health system sectors and cooperation among stakeholders turned out to be crucial for an adequate crisis response. Dealing with such interfaces, it is argued in the literature, demands from health care systems to become resilient. One way to analyse this is to focus on the ways in which bottlenecks in health systems are dealt with during the pandemic. This paper investigates six bottlenecks, including overburdened public health agencies, neglected nursing homes and insufficient testing capacities that have been encountered in the health systems of Germany, Sweden and the Netherlands during the pandemic. Based on empirical findings we identify and critically discuss preliminary lessons in terms of health system resilience, an increasingly popular theoretical concept that frames crises as an opportunity for health system renewal. We argue that in practice health system resilience is hindered by path dependencies of national health systems and, owed to the crisis, interim policies that lack ambition for broader reforms.

show abstract

“…regulatory compliance) but better on individual quality indicators. (184, 186) Size may also interact with other facility characteristics that may impact on quality e.g. larger hospitals tend to be located in urban areas.…”

Section: Resultsmentioning

confidence: 99%

Determinants of regulatory compliance in health and social care services: a systematic review using the Consolidated Framework for Implementation Research

Dunbar

Keyes

Browne

2022

Preprint

View full text Add to dashboard Cite

Background The delivery of high quality care is a fundamental goal for health systems worldwide. One policy tool to ensure quality is the regulation of minimum standards by an independent public authority. This systematic review seeks to identify determinants of compliance with such regulation in health and social care services. Methods Systematic searches were carried out on five electronic databases and grey literature sources. Quantitative, qualitative and mixed methods studies were eligible for inclusion. Titles and abstracts were screened by two reviewers independently. Determinants were identified from the included studies, extracted and allocated to constructs in the Consolidated Framework for Implementation Research (CFIR). The quality of included studies was appraised by two independent reviewers. The results were synthesised in a narrative review using the constructs of the CFIR as grouping themes. Results The search yielded 7,500 articles for screening, of which 157 were included. Most studies were quantitative designs in nursing home settings and were conducted in the United States. We found the following structural characteristics and compliance to be positively associated: smaller facilities (as measured by bed capacity); higher nurse-staffing levels; and lower staff turnover. A facility’s geographic location and compliance was also associated. We make no findings in respect of process determinants as qualitative studies were sparse, limiting investigation of the processes underlying regulatory compliance. Conclusion The literature in this field has focused to date on the structural attributes of compliant providers, perhaps because these are easier to measure, and has neglected more complex processes around the implementation of regulatory standards. A number of gaps, particularly in terms of qualitative work focused on the mechanisms involved in implementing regulations, are evident in the literature and further research in this area is needed to provide a clearer picture.

show abstract

Small is beautiful? Explaining resident satisfaction in Swedish nursing home care

Cited by 19 publications

References 50 publications

Institutional Satisfaction and Anxiety Mediate the Relationship Between Social Support and Depression in Hypertension Patients in Elderly Caring Social Organizations: A Cross-Sectional Study

Institutional Satisfaction and Anxiety Mediate the Relationship Between Social Support and Depression in Hypertension Patients in Elderly Caring Social Organizations: A Cross-Sectional Study

Any lessons to learn? Pathways and impasses towards health system resilience in post-pandemic times

Determinants of regulatory compliance in health and social care services: a systematic review using the Consolidated Framework for Implementation Research

Contact Info

Product

Resources

About