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Care Process in Iranian Nursing Homes: A Grounded Theory Study.
Reza Fadayevatan1, Majid Rahimi2, Heidarali Abedi3
1Department of Gerontology, Iranian Research Center of Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Journal of Caring Sciences
|December 1, 2021
Summary
This study found that nursing home care for older adults in Iran is often fragmented and routine, focusing mainly on physical needs. Improving care requires integrated models, clear instructions, and better caregiver training.
Area of Science:
- Gerontology
- Healthcare Management
- Qualitative Research
Background:
- Increasing global population of older adults necessitates enhanced long-term care services.
- Limited understanding of the current state of care provision within nursing homes.
- Growing demand for effective and comprehensive elder care models.
Purpose of the Study:
- To investigate and identify the intricate caring processes within Iranian nursing homes.
- To explore the experiences of both older adults and caregivers in long-term care settings.
- To uncover the underlying factors influencing the quality of care in nursing homes.
Main Methods:
- Qualitative study employing a grounded theory approach.
- Data collection through unstructured interviews with 28 participants (14 older adults, 14 caregivers).
- Analysis using the constant comparative method until data saturation.
Main Results:
- Fragmented care identified as the central theme, driven by 'experience-based caring'.
- Contextual factors like 'inappropriate structure for care' were significant.
- Strategies and consequences included 'keeping instead of caring', 'dismal life', and 'up and down of the path'.
Conclusions:
- Current nursing home care is predominantly routine, unplanned, and focused on physical aspects.
- Recommendations include developing integrated care plans and providing clear treatment guidelines.
- Enhanced supervision and training for caregivers are crucial for improving elder care quality.
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