Quality of Care in a Nursing Home as Experienced by Patients with Dementia

Figures & data

Table 1 Residents’ Perceptions of Health-care Quality (n=33)

	Perceived Reality, n (%)
	Yes	Sometimes	No	Do not know	Not Applicable*
Medical-technical competence:
Do you receive good help to wash/take a shower?	19 (57.6)	8 (24.2)	1 (3.0)	5 (15.2)	—
Do you receive good help to brush your teeth?	6 (18.2)	3 (9.1)	2 (6.1)	2 (6.1)	20 (60.6)
Do you receive good help to go to the toilet?	7 (21.2)	7 (21.2)	—	—	19 (57.6)
Do you receive good help from the physician?	13 (39.4)	6 (18.2)	6 (18.2)	8 (24.2)	—
Do you receive good help when you are in pain?	12 (36.4)	16 (48.5)	2 (6.1)	2 (6.1)	1 (3.0)
Do you receive good information about your medicines?	4 (12.1)	4 (12.1)	23 (69.7)	—	2 (6.1)
Identity-oriented approach
Do you receive good help and support when you feel uneasy?	5 (15.2)	10 (30.3)	4 (12.1)	8 (24.2)	6 (18.2)
Do you receive good help and support when you feel lonely?	1 (3.0)	10 (30.3)	7 (21.2)	11 (33.3)	4 (12.1)
Do you have good opportunities to talk to someone about what is on your mind?		12 (36.4)	12 (26.4)	6 (18.2)	4 (12.1)
Do the nurses come when you need them?	12 (36.4)	14 (42.4)	5 (15.2)	1 (3.0)	1 (3.0)
Do the nurses have time to talk with you?	11 (33.3)	13 (39.4)	7 (21.2)	1 (3.0)	1 (3.0)
Do you dare to speak out if you disagree with the nurses?	14 (42.4)	7 (21.2)	1 (3.0)	2 (6.1)	9 (27.3)
Are the nurses respectful toward you?	8 (24.2)	16 (48.5)	6 (18.2)	3 (9.1)	—
Do the nurses care about you?	8 (24.2)	7 (21.2)	5 (15.2)	10 (30.3)	3 (9.1)
Physical–technical conditions
Do you get enough food?	25 (75.8)	3 (9.1)	1 (3.0)	3 (9.1)	1 (3.0)
Do you receive dinner that you like?	4 (12.1)	19 (57.6)	4 (12.1)	6 (18.2)	—
Do you have access to the equipment that is necessary for you?	9 (27.3)	1 (3.0)	—	1 (3.0)	22 (66.7)
Do you have a comfortable bed?	15 (45.5)	3 (9.1)	11 (33.3)	4 (12.1)	—
Sociocultural atmosphere
Can you decide when to get up in the morning?	23 (69.7)	8 (24.2)	2 (6.1)	—	—
Can you decide when to eat breakfast and supper?	13 (39.4)	13 (39.4)	5 (15.2)	2 (6.1)	—
Can you decide what you want to do during the day?	3 (9.1)	10 (30.3)	14 (42.4)	6 (18.2)	—
Can you decide whether to be together with the others or be alone?	19 (57.6)	7 (21.2)	3 (9.1)	4 (12.1)	—
Can you decide when to go to bed?	12 (36.4)	7 (21.2)	11 (33.3)	3 (9.1)	—
Is it a pleasant atmosphere on the ward?	16 (48.5)	8 (24.2)	6 (18.2)	2 (6.1)	1 (3.0)
Are your relatives and friends treated respectfully?	13 (39.4)	4 (12.1)	1 (3.0)	15 (45.5)	—
Do you receive help to get outdoors?	—	4 (12.1)	20 (60.6)	2 (6.1)	7 (21.2)

Notes: *They handle the tasks themselves, do not experience those feelings, or do not need any equipment. Copyright permission is not required to adapt and reproduce the QPP items in Table 1, but complete references to the authors who developed the questionnaire are recommended.

Table 2 Residents’ Views on Importance of Health-care Quality (n=33)

	Subjective Importance, n (%)
	Very Important	Important	Not Important	Do not know	Not Applicable*
Medical-technical competence
Do you receive good help to wash/take a shower?	9 (27.3)	13 (39.4)	4 (12.1)	2 (6.1)	5 (15.2)
Do you receive good help to brush your teeth?	7 (21.2)	2 (6.1)	2 (6.1)	1 (3.0)	21 (63.6)
Do you receive good help to go to the toilet?	10 (30.3)	4 (12.1)	—	—	19 (57.6)
Do you receive good help from the physician?	14 (42.4)	16 (48.5)	—	3 (9.1)	—
Do you receive good help when you are in pain?	20 (60.6)	12 (36.4)	—	—	1 (3.0)
Do you receive good information about your medicines?	17 (51.5)	13 (39.4)	3 (9.1)	—	—
Identity-oriented approach
Do you receive good help and support when you feel uneasy?	11 (33.3)	12 (36.4)	—	1 (3.0)	9 (27.3)
Do you receive good help and support when you feel lonely?	11 (33.3)	10 (30.3)	1 (3.0)	7 (21.2)	4 (12.1)
Do you have good opportunities to talk to someone about what is on your mind?	6 (18.2)	15 (45.5)	5 (15.2)	4 (12.1)	3 (9.1)
Do the nurses come when you need them?	14 (42.4)	16 (48.5)	—	2 (6.1)	1 (3.0)
Do the nurses have time to talk with you?	11 (33.3)	21 (63.6)	1 (3.0)	—	—
Do you dare to speak out if you disagree with the nurses?	11 (33.3)	8 (24.2)	6 (18.2)	3 (9.1)	5 (15.2)
Are the nurses respectful toward you?	16 (48.5)	12 (36.4)	4 (12.1)	1 (3.0)	—
Do the nurses care about you?	8 (24.2)	18 (54.5)	3 (9.1)	3 (9.1)	1 (3.0)
Physical–technical conditions
Do you get enough food?	5 (15.2)	21 (63.6)	3 (9.1)	3 (9.1)	1 (3.0)
Do you receive dinner that you like?	3 (9.1)	11 (33.3)	15 (45.5)	3 (9.1)	1 (3.0)
Do you have access to the equipment that is necessary for you?	2 (6.1)	8 (24.2)	—	1 (3.0)	22 (66.7)
Do you have a comfortable bed?	2 (6.1)	14 (42.4)	17 (51.5)	—	—
Sociocultural atmosphere
Can you decide when to get up in the morning?	8 (24.2)	14 (42.4)	8 (24.2)	3 (9.1)	—
Can you decide when to eat breakfast and supper?	5 (15.2)	13 (39.4)	13 (39.4)	2 (6.1)	—
Can you decide what you want to do during the day?	15 (45.5)	13 (39.4)	1 (3.0)	3 (9.1)	1 (3.0)
Can you decide whether to be together with the others or be alone?	15 (45.5)	14 (42.4)	—	4 (21.1)	—
Can you decide when to go to bed?	7 (21.2)	21 (63.6)	5 (15.2)	—	—
Is it a pleasant atmosphere on the ward?	11 (33.3)	20 (60.6)	—	1 (3.0)	1 (3.0)
Are your relatives and friends treated respectfully?	19 (57.6)	11 (33.3)	1 (3.0)	2.0 (6.1)	—
Do you receive help to get outdoors?	11 (33.3)	11 (33.3)	2 (6.1)	—	9 (27.3)

Notes: *They handle the tasks themselves, do not experience those feelings, or do not need any equipment. Copyright permission is not required to adapt and reproduce the QPP items in Table 2, but complete references to the authors who developed the questionnaire are recommended.

Table 3 Residents’ Characteristics and Satisfaction Ratings Regarding Living in a Nursing Home (n=33)

	n (%)	Mean (SD)	Range
Sex
Men	11 (33.3)
Women	22 (66.7)
Age, years		86.7 (6.27)	74–99
Education
Compulsory school	18 (56.3)
Upper secondary school	10 (31.3)
University	4 (12.5)
Self-reported health condition
Poor	10 (31.3)
Neither good nor poor	17 (53.1)
Good	5 (15.6)
Satisfaction with living in a nursing home
Dissatisfied	12 (37.5)
Neither satisfied nor dissatisfied	14 (43.8)
Satisfied	6 (18.8)
Cognitive ability
MMSE^a		16.00 (5.11)	8–27
Severe cognitive impairment (0–9)	2 (6.7)
Moderate cognitive impairment (10–19)	21 (70.0)
Mild cognitive impairment (20–26)	6 (20.0)
No cognitive impairment (27–30)	1 (3.3)

Notes: ^aMMSE, Mini–Mental State Examination. Scores from 0 (severe cognitive impairment) to 30 (no cognitive impairment).