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Experience of Persons Living in Long-Term Care: A Patient-Oriented Analysis of “Notes in The Margins” Data
Journal article   Open access   Peer reviewed

Experience of Persons Living in Long-Term Care: A Patient-Oriented Analysis of “Notes in The Margins” Data

Katherine M. Ottley, Mariana D. S. Ribeiro, Jane McPhee, Marilyn Barlow, Marlene Moorman, Sandi Whitford, Allison L. Cammer, Alison Craswell and Roslyn M. Compton
Journal of Long-Term Care, p.2026
2026
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Published VersionCC BY-NC-ND V4.0 Open Access

Abstract

long-term care quality of life relationship centred care residents patient-oriented research family caregivers
Context: Individual and system factors can affect quality of life in long-term care (LTC). Objective: To understand how residents and their families experience quality of life to recommend changes to improve their experience. Methods: This study is a patient-oriented analysis of the qualitative field notes captured in the margins of a questionnaire by family partner researchers, between July 2019 and February 2020. Field notes were captured from residents (n = 141) and family members (n = 67), at six homes (three rural and three urban). Prospective participants were informed about the project by a member of the home. Those who expressed interest were approached by the research team, who obtained informed consent. We conducted an inductive thematic analysis of the data. Findings: Our analysis revealed six themes: Continuing the Journey, situating LTC homes as a transitional space in the larger experience of growing older; This is my New Reality, the observable parts of the LTC home experience; I Feel, the emotional implications of the experience of the LTC home; Being in Control (Or Not), the sense of choice or agency; What Matters, the things participants highlighted as most important; and We are Humans: Residents as Individuals, the unique situations and experiences of participants. These themes highlighted key elements related to quality of life, as observed by the researchers. Limitations: The organic nature of the project limited the standardization of data. Implications: A greater understanding of relationship-centred care, as well as providing choices when possible, could improve the quality of life for residents in LTC.

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