QUALITY-OF-LIFE IN LONG-STAY INSTITUTIONS IN ENGLAND - NURSE AND RESIDENT PERCEPTIONS

Quality of life (QOL) of older persons living in institutions is a cri tical consideration in international economic policies and health care decisions. Yet, there is little relevant research to support decision s about culturally acceptable and effective nursing care for this popu lation. This qualitative study explored and compared perceptions of ol der residents and nurses in three long-stay institutions in south-west England. It addressed issues viewed as important to a good QOL for re sidents and ways in which nurses promote QOL. A convenience sample of 10 residents aged 65 and older (80% female) and nine nurses (n = five registered general nurses and four enrolled nurses) were interviewed u sing a semi-structured schedule. Interview data were analysed using an analytic induction method of content analysis. While theme frequency and examples differed, themes common to both residents and nurses were individuality, professionalism, connectedness, and physical functioni ng. Resident responses tended to be personal, succinct, and sometimes negative. Nurses' responses were more positive, detailed, and reflecti ve of general professional responsibilities. Implications for nursing education, research, and practice are discussed. Improvement in QOL wi ll be addressed differently based on social and cultural settings. How ever, there may be commonalities that are applicable across cultures.