Preferences and Quality of Life in Nursing Home Residents: A Mixed Methods Study

Abstract

Purpose: Delivery of person-centered care (PCC) is the standard in nursing homes (NHs) and demonstrates a positive impact on resident quality of life (QOL). PCC inherently recognizes and prioritizes resident preferences; however, preferences, and their degree of importance among residents, demonstrate a variable relationship with QOL that remains underexplored. Therefore, the current study examined the association between preferences and QOL among NH residents. Method: A mixed methods study incorporating surveys was conducted among 144 residents, with semi-structured follow-up interviews with 11 residents. Results: Findings confirm a variable relationship between resident preferences and QOL. Higher order preferences not captured within the preference assessment may influence QOL. High numbers of unimportant and can't do / no choice preferences were linked to resident acclimatization to the NH. QOL was at risk if care was not consistent with preferences. Conclusion: In-depth assessments and robust measures of preferences and QOL should be integrated into care delivery and future research. [ Journal of Gerontological Nursing, 50 (5), 7–13.]