Health related quality of life of nursing home residents

You are here:

Health related quality of life of nursing home residents

The aim of this study is to assess the quality of life of nursing home residents by means of different parameters. The main emphasis is put on the nursing care phenomena of pressure ulcers, falls and incontinence, but also on the progressing development of care dependency and the overall health condition. Annual prevalence surveys in the Netherlands and Germany demonstrate regularly that the pressure ulcer prevalence in Dutch nursing homes is significantly higher than in the German homes. There are also considerable differences in the pressure ulcer prevalence in German nursing homes. It is assumed that the differences between individual health care institutions but also between the Netherlands and Germany are due to the numbers, qualifications and responsibilities of nursing staff, the implementation of guidelines and the nursing home residents' risk profiles and care dependency. The main objective of this study is to assess possible causes of these differences. An additional aim is to describe nursing practice with regard to the nursing problems of incontinence and falls. The survey is scheduled to start in April 2008 and will be conducted in the institution for a period of at least 1–2 years.

Approximately 65 residents per participating nursing home will be observed from the date of admission onwards for a period of at least three months. After another three months a further survey will take place including a physical examination and documentation analysis of the residents. Additional survey dates are then planned every six months. A total of 10 nursing homes in Berlin and Brandenburg with a capacity of at least 50 beds and 10 nursing homes in the Netherlands will be randomly selected aiming at not less than 1000 residents in settings of entirely inpatient permanent care with 500 being from Germany and 500 from the Netherlands.