Anja Kahanpää

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Paula Otero

Instituto Universitario Hospital Italiano

John Uebersax

California Polytechnic State University at San Luis Obispo

Samuel LÉZÉ

École Normale Supérieure de Lyon

Daniel Courgeau

Institut National d'Etudes Démographiques

John Eustaquio

University of the Philippines Diliman

Ferda Esin Gülel

Pamukkale University

José Francisco Pessanha

UERJ - Universidade do Estado do Rio de Janeiro / Rio de Janeiro State University

Adebayo D Agunbiade

Olabisi Onabanjo University, Ago-Iwoye, Nigeria

Maria Sironi

University of Padova

Nadeem Shafique Butt

King AbdulAziz University (KAU) Jeddah, Saudi Arabia

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Papers by Anja Kahanpää

Perceived and observed quality of long-term care for residents - Does functional ability account?

International Journal of Older People Nursing, Jan 20, 2016

kahanp€ a€ a a., noro a., finne-soveri h., lehto j., per€ al€ a m.-l. (2016) Perceived and observ... more

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Staffing adequacy, supervisory support and quality of care in long-term care settings: staff perceptions

Journal of Advanced Nursing, Dec 1, 2007

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Quality of care reported by proxies – Does resident cognition count?

Dementia, Feb 6, 2018

Resident self-reports are considered the primary source of quality of care information, but proxy... more Resident self-reports are considered the primary source of quality of care information, but proxy reports by family or staff can also be used to supplement or substitute resident reports. This study analyses how the results of proxy reports vary according to residents' cognition level. The data set used covers proxy reports of family (n ¼ 558) and staff (n ¼ 801), divided by the availability of resident self-reports (family yes n ¼ 289, no n ¼ 269; staff yes 393, no ¼ 408). Family and staff proxies assessed residents' quality of care as better when resident self-reports were also available, and quality of care tended to be assessed as poorer among those with higher cognitive decline. The results of this methodological study indicate the importance of using several proxy evaluations; however, these can only supplement resident self-reports, not replace them. The interpretation rules acknowledging dependency between residents' cognition and proxy assessments could be used as a basis for future comparisons of quality improvement in long-term care and for painting a more comprehensive picture of service quality.

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Consistency of quality assessments in long-term care by the clients, family members and named nurses

Scandinavian Journal of Caring Sciences, Dec 1, 2006

Combining assessments by the clients, their family members and named nurses of the quality of lon... more Combining assessments by the clients, their family members and named nurses of the quality of long-term care leads to a more comprehensive picture of the quality of the service. Clients should be the primary source of information, but particularly when they are not able to express their opinion, other sources of assessment are needed. This study describes and compares the consistency of quality assessments of long-term institutional care for the elderly made by the client (n ¼ 312), his/her family member (n ¼ 312) and the named nurse (n ¼ 312). Data were gathered in 2002 from service houses, nursing homes and health centres. The consistency of the assessments made by the different groups of respondents was measured by frequency distributions, the weighted kappa coefficient and exact agreement. Frequency distributions differed significantly between the respondent groups in almost every item. Family members were more critical in their assessments than the other two groups. The consistency of assessments was highest with regard to the items 'contact with significant others' and 'medication'. In general the consistency of assessments, measured by weighted kappa, was rather low, but it was fair for 'clothing' (clients/family members) and 'privacy' (clients/named nurses and family members/named nurses). The occurrence of the option 'not applicable' to certain items was quite high, but varied somewhat between the three respondent groups. The results of this study support the viewpoint that comprehensive information gathering from family members and named nurses is useful, but they should not replace clients' assessments.

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Quality of care reported by proxies – Does resident cognition count?

Dementia, 2018

Resident self-reports are considered the primary source of quality of care information, but proxy... more Resident self-reports are considered the primary source of quality of care information, but proxy reports by family or staff can also be used to supplement or substitute resident reports. This study analyses how the results of proxy reports vary according to residents’ cognition level. The data set used covers proxy reports of family ( n = 558) and staff ( n = 801), divided by the availability of resident self-reports (family yes n = 289, no n = 269; staff yes 393, no = 408). Family and staff proxies assessed residents’ quality of care as better when resident self-reports were also available, and quality of care tended to be assessed as poorer among those with higher cognitive decline. The results of this methodological study indicate the importance of using several proxy evaluations; however, these can only supplement resident self-reports, not replace them. The interpretation rules acknowledging dependency between residents’ cognition and proxy assessments could be used as a basis...

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Perceived and observed quality of long-term care for residents - Does functional ability account?

International Journal of Older People Nursing, Jan 20, 2016

kahanp€ a€ a a., noro a., finne-soveri h., lehto j., per€ al€ a m.-l. (2016) Perceived and observ... more

Download

Staffing adequacy, supervisory support and quality of care in long-term care settings: staff perceptions

Journal of Advanced Nursing, Dec 1, 2007

Download

Quality of care reported by proxies – Does resident cognition count?

Dementia, Feb 6, 2018

Download

Consistency of quality assessments in long-term care by the clients, family members and named nurses

Scandinavian Journal of Caring Sciences, Dec 1, 2006

Download

Quality of care reported by proxies – Does resident cognition count?

Dementia, 2018

Resident self-reports are considered the primary source of quality of care information, but proxy... more Resident self-reports are considered the primary source of quality of care information, but proxy reports by family or staff can also be used to supplement or substitute resident reports. This study analyses how the results of proxy reports vary according to residents’ cognition level. The data set used covers proxy reports of family ( n = 558) and staff ( n = 801), divided by the availability of resident self-reports (family yes n = 289, no n = 269; staff yes 393, no = 408). Family and staff proxies assessed residents’ quality of care as better when resident self-reports were also available, and quality of care tended to be assessed as poorer among those with higher cognitive decline. The results of this methodological study indicate the importance of using several proxy evaluations; however, these can only supplement resident self-reports, not replace them. The interpretation rules acknowledging dependency between residents’ cognition and proxy assessments could be used as a basis...

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