Quality Improvement in Caring for Older Persons Living in A Residential Care Facilities (RCF)

Sunday, November 1, 2009: 3:25 PM

Hilda Kleynhans, PhD
Nursing, University of the North West, Potchefstroom, South Africa

Learning Objective 1: understand the expectations and needs of the older person living in a RCF.

Learning Objective 2: understand what active ageing means and how to facilitate it for the older person.

BACKGROUND
The current worldwide trend of aging populations is having a profound impact on the care of older persons.  Health and social resources are coming under strain. In an effort to avoid a looming crisis in elderly care, the study examines and describes the perceptions, expectations and needs of the older person to ensure the quality of care in residential care facilities.
PURPOSE
The purpose of the study was to conceptualize and to describe guidelines for the improvement of the quality of care for the older persons living in RCF.  The guidelines were deductively inferred from the results of the emic perspective.
METHOD
All residential care facilities in the Southern district of the North West Province, South Africa were included in the study.  A purposive sample according to specific criteria was selected.  Data was collected by means of in-depth interviews with a phenomenological – interpretive approach.  Data analysis was done by using a combined method of Tesch (Creswell, 1994:145-155), Kvale, (1996:189-237) and Krueger (1998:17).

FINDINGS

Results show that a mutli-disciplinary approach is needed to care for the older person in all his/her dimensions. More  and beter training for the caregivers are imperative.

CONCLUSIONS
A paradigm shift is needed to provide quality care for the older person based on their expectations and needs.  The acknowledgement of the rights of the older person is essential, with a shift from passive care of the older person to a person centered approach.