title: Care Perceptions among Residents of LTC Facilities Purporting to Offer Person-Centred Care.
abstract: This study explored qualitatively how residents of long-term care (LTC) facilities feel about and adapt to the care they receive. We interviewed and observed a purposeful selection of elderly residents in seven facilities purporting to provide person-centred care. Interpretative descriptions from 43 personal interviews with 23 participants answered the question: How do residents perceive the care rendered in LTC facilities purporting to offer person-centred care? Three themes emerged: (1) the caring environment; (2) preservation of dignity; and (3) maintenance of personal autonomy. Participants were sympathetic to the nursing staff's workload, but felt distant from the staff. Participants gave examples of poor care and lack of empathy, human indignities, and violations of personal autonomy caused by institutional policies they felt inhibited their ability to receive care based on their preferences. Overall, they challenged the claims of person-centred care, but adapted to cope with an environment that threatened their dignity and autonomy.
authors.affiliation: Department of Oral Biological & Medical Sciences,Faculty of Dentistry,University of British Columbia.
authors.forename: Leeann
authors.initials: L
authors.lastname: Donnelly
authors.affiliation: Department of Oral Health Sciences,Faculty of Dentistry,University of British Columbia.
authors.forename: Michael I
authors.initials: MI
authors.lastname: MacEntee
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D004645:Empathy; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008134:Long-Term Care / Q000523:psychology*; D008297:Male; D009735:Nursing Homes / Q000458:organization & administration; D018802:Patient-Centered Care / Q000379:methods*; D026684:Personal Autonomy; D018907:Privacy; D036301:Qualitative Research; D011787:Quality of Health Care; D011788:Quality of Life
keywords: aging; autonomie personnelle; dignité humaine; human dignity; person-centred care; personal autonomy; quality of life; qualité de vie; self-assessed care; soins centrés sur la personne; soins de l’auto-association; vieillissment