Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
The Impact of Care Process on Satisfaction with Elderly Care
University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.ORCID iD: 0000-0003-0629-353X
2014 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

This licentiate thesis is based on the growing interest in Swedish elderly care. The aim of this thesis is to investigate what generates satisfaction with elderly care among older persons. The dominant ideology in both privately and publically run elderly care is individualized care, also called person-centered care, which holds the older person’s satisfaction as one of the main quality indicators. The proportion of older people is increasing and to maintain high levels of satisfaction with elderly care will require more knowledge. Data from the National Board of Health and Welfare’s (2012) nationwide survey on seniors’ experiences with elderly care was collected. Statistical analyses of this sample formed the basis for the results of the thesis and were reported in two papers. Study I used Donabedian’s (1988) model of quality of care in terms of structure, process, and outcome, and all municipal units in Sweden were included (N = 324). The results showed that structural variables (i.e. budget, staff, and training level) have minimal or no relationships with older persons’ satisfaction with care, while process variables (i.e. experiences of respect, information, and influence) have strong relationships with satisfaction with care. Study II made use of the long-standing person versus situation- model in social psychology, and was analyzed on an individual level (N = 95,000). The results showed that care process factors (i.e. experiences of treatment, safeness, staff- and time-availability) had a stronger relationship, than individual factors (i.e. health, anxiety, and loneliness) with satisfaction with care. The results also showed that older persons with home care generally felt better treated than older persons in nursing homes, but also felt less safe. Mediational analyses, based on this comprehensive elderly data, suggest that the individual aging condition of loneliness can be countered by providing safeness and treatment, resulting in high satisfaction with care. In conclusion, satisfaction with elderly care in Sweden today can largely be explained from a psychological perspective by the older persons’ perception of the care process, not by the amount of structural resources or the conditions of the aging persons. These findings could help facilitate the future quality development in municipalities and care organizations.

Place, publisher, year, edition, pages
Göteborg: Department of Psychology, Göteborgs Universitet , 2014. , 31 p.
Series
Avhandling/Göteborgs universitet, Psykologiska institutionen, ISSN 1101 - 718X
Keyword [en]
elderly care, quality, satisfaction, individualized care
Keyword [sv]
äldreomsorg, äldreboende, nöjdhet
National Category
Applied Psychology
Research subject
SOCIAL SCIENCE, Psychology
Identifiers
URN: urn:nbn:se:hv:diva-8662OAI: oai:DiVA.org:hv-8662DiVA: diva2:869065
Presentation
2014-12-05, 11:32
Opponent
Supervisors
Available from: 2015-11-17 Created: 2015-11-12 Last updated: 2016-03-17Bibliographically approved
List of papers
1. Structure and process quality as predictors of satisfaction with elderly care
Open this publication in new window or tab >>Structure and process quality as predictors of satisfaction with elderly care
2015 (English)In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524Article in journal (Refereed) Epub ahead of print
Abstract [en]

The structure versus process approach to quality of care presented by Donabedian is one of the most cited ever. However, there has been a paucity of research into the empirical validity of this framework, specifically concerning the relative effects of structure and process on satisfaction with elderly care as perceived by the older persons themselves. The current research presents findings from a national survey, including a wide range of quality indicators for elderly care services, conducted in 2012 at the request of the Swedish National Board of Health and Welfare in which responses from 95,000 elderly people living in 324 municipalities and districts were obtained. The results revealed that the only structural variable which significantly predicted quality of care was staffing, measured in terms of the number of caregivers per older resident. More interestingly, process variables (e.g. respect and access to information) explained 40% and 48% of the variance in satisfaction with care, over and above the structural variables, in home care and nursing homes respectively. The findings from this large nationwide sample examining Donabedian's model suggest that quality in elderly care is primarily determined by factors pertaining to process, that is, how caregivers behave towards the older persons. This encourages a continued quality improvement in elderly care with a particular focus on process variables.

Place, publisher, year, edition, pages
John Wiley & Sons, 2015
Keyword
elderly care, process, quality of care, satisfaction, structure
National Category
Social Psychology
Research subject
SOCIAL SCIENCE, Psychology
Identifiers
urn:nbn:se:hv:diva-8657 (URN)10.1111/hsc.12230 (DOI)25809819 (PubMedID)
Projects
Organisering för verksamhetskvalitet inom svensk äldreomsorg: Ett skifte i fokus från vad till hur
Available from: 2015-05-12 Created: 2015-11-12 Last updated: 2017-12-01Bibliographically approved
2. Safeness and Treatment Mitigate the Effect of Loneliness on Satisfaction with Elderly Care
Open this publication in new window or tab >>Safeness and Treatment Mitigate the Effect of Loneliness on Satisfaction with Elderly Care
2015 (English)In: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341Article in journal (Refereed) Epub ahead of print
Abstract [en]

Maximizing satisfaction among the older persons is the goal of modern individualized elderly care and how to best achieve this is of relevance for anyone planning and providing for elderly care services. Purpose of the study: What predicts satisfaction with care among older persons can be conceived as a function of process (how care is performed), and the older person. Inspired by the long-standing person versus situation debate, the present research investigated the interplay between person- and process aspects in predicting satisfaction with elderly care. Design and method: A representative nationwide sample was analyzed, based on a questionnaire sent out to 95,000 individuals using elderly care services. Results: The results showed that person-related factors (i.e., anxiety, health, and loneliness) were significant predictors of satisfaction with care, although less strongly than process-related factors (i.e., treatment, safeness, and perceived staff- and time availability). Among the person-related factors, loneliness was the strongest predictor of satisfaction among older persons in nursing homes. Interestingly, a path analysis revealed that safeness and treatment function as mediators in linking loneliness to satisfaction. Implications: The results based on a large national sample demonstrate that the individual aging condition to a significant degree can be countered by a well-functioning care process, resulting in higher satisfaction with care among older persons. 

Place, publisher, year, edition, pages
Oxford University Press, 2015
Keyword
Person-centered care, Elderly care, Individualized care, Person, Situation, Satisfaction, Loneliness
National Category
Applied Psychology
Research subject
SOCIAL SCIENCE, Psychology
Identifiers
urn:nbn:se:hv:diva-8660 (URN)10.1093/geront/gnu170 (DOI)25628300 (PubMedID)
Projects
Organisering för verksamhetskvalitet inom svensk äldreomsorg: Ett skifte i fokus från vad till hur
Available from: 2015-01-12 Created: 2015-11-12 Last updated: 2017-12-01Bibliographically approved

Open Access in DiVA

fulltext(1286 kB)273 downloads
File information
File name FULLTEXT01.pdfFile size 1286 kBChecksum SHA-512
4629f7a66ce65f0a9b9a440c992143a8ca8c67842784e9e62af33f35104ae99adc61095576e1afabca1d2197960517a83ad9c76cf0361d9d12cb0530bccf2358
Type fulltextMimetype application/pdf

Search in DiVA

By author/editor
Kajonius, Petri
By organisation
Division of Psychology and Organisation Studies
Applied Psychology

Search outside of DiVA

GoogleGoogle Scholar
Total: 273 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

urn-nbn

Altmetric score

urn-nbn
Total: 127 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf