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The relationship between clinical outcomes and quality of life for residents of aged care facilities

Courtney, Mary D., O’Reilly, Maria, Edwards, Helen E., & Hassall, Stacey (2009) The relationship between clinical outcomes and quality of life for residents of aged care facilities. Australian Journal of Advanced Nursing, 26(4), pp. 49-57.

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Abstract

Objectives It is widely assumed improving care in residential facilities will improve quality of life (QoL), but little research has explored this relationship. The Clinical Care Indicators (CCI) Tool was developed to fill an existing gap in quality assessment within Australian residential aged care facilities and it was used to explore potential links between clinical outcomes and QoL.

Design and Setting Clinical outcome and QoL data were collected within four residential facilities from the same aged care provider. Subjects Subjects were 82 residents of four facilities.

Outcome Measures Clinical outcomes were measured using the CCI Tool and QoL data was obtained using the Australian WHOQOL‑100.

Results Independent t‑test analyses were calculated to compare individual CCIs with each domain of the WHOQOL‑100, while Pearson’s product moment coefficients (r) were calculated between the total number of problem indicators and QoL scores. Significant results suggested poorer clinical outcomes adversely affected QoL. Social and spiritual QoL were particularly affected by clinical outcomes and poorer status in hydration, falls and depression were most strongly associated with lower QoL scores. Poorer clinical status as a whole was also significantly correlated with poorer QoL.

Conclusions Hydration, falls and depression were most often associated with poorer resident QoL and as such appear to be key areas for clinical management in residential aged care. However, poor clinical outcomes overall also adversely affected QoL, which suggests maintaining optimum clinical status through high quality nursing care, would not only be important for resident health but also for enhancing general life quality.

Impact and interest:

10 citations in Scopus
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7 citations in Web of Science®

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ID Code: 27984
Item Type: Journal Article
Additional Information: The published version of this article is freely available online via the first Official URL.
Additional URLs:
Keywords: Quality of Care, Aged Care, Residential Facilities, Quality Assessment, Quality of Life
ISSN: 1447-4328
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Aged Care Nursing (111001)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2009 Australian Nursing Federation
Copyright Statement: The Australian Journal of Advanced Nursing is published in Australia and is fully copyrighted. All rights reserved. All material published in the Australian Journal of Advanced Nursing is the property of the Australian Nursing Federation and may not be reproduced, translated for reproduction or otherwise utilised without the permission of the publisher.
Deposited On: 23 Dec 2009 10:35
Last Modified: 29 Feb 2012 23:55

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