References
Older adults' views on their person-centred care needs in a long-term care setting in Ireland
Abstract
Background:
Person-centred care should be responsive to the needs of older adults in long-term care. It is central to collaborative and high-quality healthcare delivery.
Aim:
To explore the perceptions of older Irish adults aged 65 years of age or more regarding the person-centred climate of the long-term care setting in which they live.
Method:
A cross-sectional study design using the Person-centered Climate Questionnaire–Patient (PCQ-P) was used to survey 56 older adults in a long-term care setting.
Results:
Overall, residents considered the setting to be hospitable, welcoming, clean and safe; the mean (SD) scale score was 5.39 (0.520). Psychosocial concerns about adapting to living in long-term care environments need to be addressed, particularly among the younger male residents when compared with older male residents (53.8% v 86.7%,
Conclusion:
Older people in long-term care may prioritise different facets of person-centredness to staff. Further research of approaches used in Irish older adult long-term person-centred care delivery is warranted.
As world life expectancy rises, the number of people who are aged 60 and over is projected to increase (United Nations Department of Economic and Social Affairs Population Division, 2015; He et al, 2016). The average life expectancy in Ireland rose to 81.8 years in 2016 (European Commission Directorate-General for Economic and Financial Affairs, 2017). Thus older adult services need to prepare for increased demand (Ling and McGann, 2018). Adults over the age of 65 are more likely to have complex care needs (Kogan et al, 2016). In Ireland, over 23 000 older adults over the age of 65 reside in long-term care settings (Central Statistics Office, 2017).
Person-centred approaches are a central feature of older adults' care (Broderick and Coffey, 2013; Wilberforce et al, 2016). This is a multidimensional concept without one global definition. Recently, the American Geriatric Society (AGS) Expert Panel on Person-Centered Care described it as meaning that an individual's values and preferences are elicited to guide all aspects of their health care, while supporting their health and life goals (AGS, 2016). In Ireland, the National Standards for Safer Better Healthcare place person-centred care and support on the agenda in the delivery of healthcare services (Health Information and Quality Authority (HIQA), 2012).
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