Evidence map›Paper›PMID 32066382›Full record

ArticleBMC geriatrics2020

How to assess experienced quality of care in nursing homes from the client's perspective: results of a qualitative study.

Katya Y J Sion, Hilde Verbeek, Bram de Boer, Sandra M G Zwakhalen, Gaby Odekerken-Schröder, Jos M G A Schols, Jan P H Hamers

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Article
  3. Relationship-Centered Care for Older Adults in Long-Term Care Homes: A Scoping Review.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Article
  4. Article
  5. Qualitative Research in Healthcare: Necessity and Characteristics.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2023
    Review
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 3 countries.

Katya Y J SionDepartment of Health Services Research, CAPHRI Care and Public Health Research Institute, Faculty of Health Medicine and Life Sciences, Maastricht University, Duboisdomein 30, 6229, GT, Maastricht, The Netherlands. k.sion@maastrichtuniversity.nl.ORCID 0000-0002-7190-7238
Hilde VerbeekDepartment of Health Services Research, CAPHRI Care and Public Health Research Institute, Faculty of Health Medicine and Life Sciences, Maastricht University, Duboisdomein 30, 6229, GT, Maastricht, The Netherlands.
Bram de BoerDepartment of Health Services Research, CAPHRI Care and Public Health Research Institute, Faculty of Health Medicine and Life Sciences, Maastricht University, Duboisdomein 30, 6229, GT, Maastricht, The Netherlands.
Sandra M G ZwakhalenDepartment of Health Services Research, CAPHRI Care and Public Health Research Institute, Faculty of Health Medicine and Life Sciences, Maastricht University, Duboisdomein 30, 6229, GT, Maastricht, The Netherlands.
Gaby Odekerken-SchröderDepartment of Marketing and Supply Chain Management, SBE School of Business and Economics, Maastricht University, Tongersestraat 53, 6221, LM, Maastricht, The Netherlands.
Jos M G A ScholsDepartment of Health Services Research, CAPHRI Care and Public Health Research Institute, Faculty of Health Medicine and Life Sciences, Maastricht University, Duboisdomein 30, 6229, GT, Maastricht, The Netherlands.
Jan P H HamersDepartment of Health Services Research, CAPHRI Care and Public Health Research Institute, Faculty of Health Medicine and Life Sciences, Maastricht University, Duboisdomein 30, 6229, GT, Maastricht, The Netherlands.
Maastricht University · NLMaastricht School of Management · NL

Funding

Health Insurance Fund CZ 201600132
6 · The paper itself

Abstract

backgroundThe culture shift in nursing homes from task-oriented to person-centered care has created a need to assess clients' experienced quality of care (QoC), as this corresponds best with what matters to them. This study aimed to gain insight into how to assess experienced QoC in nursing homes from the client's perspective.

methodA qualitative study was performed consisting of a focus group with client representatives (n = 10), a focus group with nursing home staff (n = 9) and a world café with client representatives and staff recruited from the Living Lab in Ageing & Long-Term Care (n = 24). Three questions about assessing experienced QoC from the client's perspective were addressed during data collection: 1) What content needs to be assessed? 2) What assessment procedures are needed? and, 3) Who needs to be involved in the assessment? Semi-structured questions, photo elicitation and creative writing were used to answer these questions. Conventional content analysis was used to analyze the data.

resultsParticipants indicated that experienced QoC mostly occurs within the interactions between clients, family and staff, highlighting the impact of relationships. They suggested assessments should focus on three aspects: 1) knowledge about the client, 2) a responsive approach, and 3) a caring environment. These can be assessed by having conversations with clients, their families and staff, and additionally observing the clients in their living environments. Sufficient time and resources are prerequisites for this. Additionally, the person performing the quality assessments needs to possess certain communication and empathy skills.

conclusionIt is important to include the perspectives of the client, family and staff when assessing experienced QoC, in line with the principles underlying relationship-centered care. In order to be feasible, it is recommended to incorporate quality assessments into the nursing homes' daily routines. Further research with clients, family and staff in nursing homes is needed to develop a feasible, reliable and valid method that assesses experienced QoC from the client's perspective.

Indexed as

Professional-Patient RelationsQuality of Health CareFemaleFocus GroupsHumansLong-Term CareNursing HomesNursing StaffPatient-Centered CareQualitative ResearchCaring relationshipsClient perspectiveFocus groupLong-term careQuality of care measurementRelationship-centered careWorld café

Identifiers

PMID32066382
PMCPMC7026989
OpenAlexW3012740262

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.