Quality of care as perceived by caregivers and residents in aged care homes in Sri Lanka: a qualitative study
Abstract Objective Quality of care determines the physical and psychological wellbeing of aged care residents. The study aims to explore barriers and facilitators of quality of care in aged care homes (ACHs) in Sri Lanka from the perspective of older adults and caregivers. Methods This qualitative d...
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-024-04721-y |
| _version_ | 1797276338575376384 |
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| author | Madushika Wishvanie Kodagoda Gamage Hemamali Madhushanthi Hirimbura Jagodage KKPM Kumari De Silva Pramudika Nirmani Kariyawasam Thamudi Dharshi Sundarapperuma |
| author_facet | Madushika Wishvanie Kodagoda Gamage Hemamali Madhushanthi Hirimbura Jagodage KKPM Kumari De Silva Pramudika Nirmani Kariyawasam Thamudi Dharshi Sundarapperuma |
| author_sort | Madushika Wishvanie Kodagoda Gamage |
| collection | DOAJ |
| description | Abstract Objective Quality of care determines the physical and psychological wellbeing of aged care residents. The study aims to explore barriers and facilitators of quality of care in aged care homes (ACHs) in Sri Lanka from the perspective of older adults and caregivers. Methods This qualitative descriptive exploratory study was conducted in selected five ACHs in Galle District, Sri Lanka, from May 2021 to January 2022. We recruited a purposive sample of residents and caregivers and conducted ten in-depth interviews with ten caregivers and nine focus group discussions with forty-five residents. The data were analysed using the thematic analysis. Results The majority of caregivers and residents were females. Caregivers and residents were aged 25-35 years and 70-80 years, respectively. Two major themes emerged: (a) barriers of quality of care and (b) facilitators of quality of care. Both residents and caregivers reported a lack of referring system facilities; a lack of financial support on the infrastructure; a lack of financial support in supplying medication and employing human resources; insufficient knowledge of gerontological care and geriatric syndromes for both caregivers and residents; and lack of interest in being a caregiver at the ACHs as barriers in providing quality care. Moreover, caregivers and older people reported donations by philanthropists; supportive leadership; and welfare benefits from the government authorities as facilitators of quality care. Additionally, caregivers reported a lack of in-service programmes for caregivers as a barrier and positive institutional values as a facilitator for providing quality care. Conclusion The available human and physical resources are insufficient to address the demanding needs of residents in ACHs, apart from the received donations. There is a simultaneous need for healthcare policymakers' and social welfare authorities' attention to implementing necessary measures to uplift the quality of care for residents in ACHs to enhance their quality of life. |
| first_indexed | 2024-03-07T15:26:51Z |
| format | Article |
| id | doaj.art-7e2b061ad9574349833e5d15a777cd53 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-03-07T15:26:51Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-7e2b061ad9574349833e5d15a777cd532024-03-05T16:41:57ZengBMCBMC Geriatrics1471-23182024-01-0124111010.1186/s12877-024-04721-yQuality of care as perceived by caregivers and residents in aged care homes in Sri Lanka: a qualitative studyMadushika Wishvanie Kodagoda Gamage0Hemamali Madhushanthi Hirimbura Jagodage1KKPM Kumari De Silva2Pramudika Nirmani Kariyawasam3Thamudi Dharshi Sundarapperuma4Department of Nursing, Faculty of Allied Health Sciences, University of RuhunaDepartment of Nursing, Faculty of Allied Health Sciences, University of RuhunaDepartment of Nursing, Faculty of Allied Health Sciences, University of RuhunaDepartment of Nursing, Faculty of Allied Health Sciences, University of RuhunaDepartment of Nursing, Faculty of Allied Health Sciences, University of RuhunaAbstract Objective Quality of care determines the physical and psychological wellbeing of aged care residents. The study aims to explore barriers and facilitators of quality of care in aged care homes (ACHs) in Sri Lanka from the perspective of older adults and caregivers. Methods This qualitative descriptive exploratory study was conducted in selected five ACHs in Galle District, Sri Lanka, from May 2021 to January 2022. We recruited a purposive sample of residents and caregivers and conducted ten in-depth interviews with ten caregivers and nine focus group discussions with forty-five residents. The data were analysed using the thematic analysis. Results The majority of caregivers and residents were females. Caregivers and residents were aged 25-35 years and 70-80 years, respectively. Two major themes emerged: (a) barriers of quality of care and (b) facilitators of quality of care. Both residents and caregivers reported a lack of referring system facilities; a lack of financial support on the infrastructure; a lack of financial support in supplying medication and employing human resources; insufficient knowledge of gerontological care and geriatric syndromes for both caregivers and residents; and lack of interest in being a caregiver at the ACHs as barriers in providing quality care. Moreover, caregivers and older people reported donations by philanthropists; supportive leadership; and welfare benefits from the government authorities as facilitators of quality care. Additionally, caregivers reported a lack of in-service programmes for caregivers as a barrier and positive institutional values as a facilitator for providing quality care. Conclusion The available human and physical resources are insufficient to address the demanding needs of residents in ACHs, apart from the received donations. There is a simultaneous need for healthcare policymakers' and social welfare authorities' attention to implementing necessary measures to uplift the quality of care for residents in ACHs to enhance their quality of life.https://doi.org/10.1186/s12877-024-04721-yQuality of careOlder peopleAged care homesSri LankaQualitative study |
| spellingShingle | Madushika Wishvanie Kodagoda Gamage Hemamali Madhushanthi Hirimbura Jagodage KKPM Kumari De Silva Pramudika Nirmani Kariyawasam Thamudi Dharshi Sundarapperuma Quality of care as perceived by caregivers and residents in aged care homes in Sri Lanka: a qualitative study BMC Geriatrics Quality of care Older people Aged care homes Sri Lanka Qualitative study |
| title | Quality of care as perceived by caregivers and residents in aged care homes in Sri Lanka: a qualitative study |
| title_full | Quality of care as perceived by caregivers and residents in aged care homes in Sri Lanka: a qualitative study |
| title_fullStr | Quality of care as perceived by caregivers and residents in aged care homes in Sri Lanka: a qualitative study |
| title_full_unstemmed | Quality of care as perceived by caregivers and residents in aged care homes in Sri Lanka: a qualitative study |
| title_short | Quality of care as perceived by caregivers and residents in aged care homes in Sri Lanka: a qualitative study |
| title_sort | quality of care as perceived by caregivers and residents in aged care homes in sri lanka a qualitative study |
| topic | Quality of care Older people Aged care homes Sri Lanka Qualitative study |
| url | https://doi.org/10.1186/s12877-024-04721-y |
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