Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-15T05:20:51.906Z Has data issue: false hasContentIssue false
  • English
  • Français

Qualité des soins dispensés en unités de courte durée gériatriques : la perspective des aidants familiaux

Published online by Cambridge University Press:  31 March 2010

Danièle Roberge ,
Francine Ducharme ,
Paule Lebel ,
Raynald Pineault  and
Jacynthe Loiselle
Danièle Roberge*
Affiliation:
Centre de recherche, Hôpital Charles LeMoyne, Greenfield Park, Canada
Francine Ducharme
Affiliation:
Faculté des sciences infirmières, Université de Montréal, Canada
Paule Lebel
Affiliation:
Institut universitaire de gériatrie de Montréal, Montréal, Canada
Raynald Pineault
Affiliation:
Centre de recherche du CHUM, Montréal, Canada
Jacynthe Loiselle
Affiliation:
Santé Québec, Montréal, Canada
*
Les demandes de tirés à part doivent être addressées à : / Requests for offprints should be sent to: Danièle Roberge, Ph.D., Centre de recherche, Hôpital Charles LeMoyne, 3120, boul. Taschereau, Greenfield Park (Québec) J4V 2H1. ([email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

Until now, family caregivers have been involved very little in the processes of assessing the quality of care delivered to a hospitalized relative. This study is the second phase of a broader research project whose aim is to develop measurement scales intended for elderly patients and their caregivers on their perceptions of the quality of services delivered in Geriatric Assessment Units. More specifically, the goal of this phase of the research is to document the criteria that caregivers use to judge the quality of these services: these criteria should constitute the content of the measurement scale that is intended for them. Four focus groups, bringing together 21 caregivers, allowed for the identification of 31 criteria of quality. These criteria have been classified according to six dimensions of quality: information, communication, attitude of staff, technical quality, continuity, and physical resources. The study highlights the dual concerns of participants: the well-being of the patient and support for caregivers. It shows that caregivers consider themselves to be clients of geriatric services.

Résumé

Jusqu'à ce jour, les aidants familiaux ont été peu impliqués dans les processus d'appréciation de la qualité des soins dispensés à leur proche hospitalisé. Cette étude est le second volet d'une recherche plus vaste visant à développer à l'intention des patients Çgés et de leurs aidants des instruments de mesure des perceptions qu'ils ont de la qualité des services dispensés en Unités de courte durée gériatriques (UCDG). Plus spécifiquement, cette étude a pour but de documenter les critères sur lesquels les aidants s'appuient lorsqu'ils ont à juger de la qualité de ces services: ces critères devant constituer le contenu d'un instrument de mesure leur étant destiné. Quatre focus groups réunissant 21 aidants ont permis d'identifier 31 critères de qualité. Les critères ont été regroupés sous six dimensions de la qualité: l'information, la communication, l'attitude du personnel, la qualité technique, la continuité et les ressources physiques. L'étude met en évidence la double préoccupation des participants: le bien-etre du proche Çgé et le soutien à accorder aux aidants familiaux. Elle souligne que les aidants familiaux se considèrent comme des clients des services gériatriques.

Keywords

qualitygeriatric careperceptionsfamily caregiversagingqualitésoins gériatriquesperceptionsaidants familiauxvieillissement
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 21 , Issue 3 , Fall/Automne 2002 , pp. 393 - 403
Copyright
Copyright © Canadian Association on Gerontology 2002

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bardin, L. (1989). L'analyse de contenu (5e éd.). Paris: Presses Universitaires de France.Google Scholar
Bull, M.J. (1994). Patients' and professionals' perceptions of quality in discharge planning. Journal of Nursing Care, 8(2), 47–61.Google ScholarPubMed
Bull, M.J., Hansen, H.E., & Gross, C.R. (2000). Predictors of elder and family caregiver satisfaction with discharge planning. Journal of Cardiovascular Nursing, 14(3), 76–87.Google Scholar
Calnan, M. (1988). Lay evaluation of medicine and medical practice: Report of a pilot study. International Journal of Health Services, 18, 311–322.Google Scholar
Carey, M.A. (1994). The groups effect in focus groups: Planning, implementing and interpreting focus group research. In Critical Issues in Qualitative Research Methods (pp. 224–241). Beverly Hills, CA: Sage Publications.Google Scholar
Clare, J., & Hofmayer, A. (1998). Discharge planning and continuity of care for aged people: Indicators of satisfaction and implications for practice. Australian Journal of Advanced Nursing, 16(1), 7–13.Google ScholarPubMed
Cleary, P., & Edgman-Levitan, S. (1997). Health care quality: Incorporating consumer perspectives. Journal of the American Medical Association, 278, 1608–1612.CrossRefGoogle ScholarPubMed
Congdon, J.A. (1994). Managing the incongruities: The hospital discharge experience for elderly patients, their families and nurses. Applied Nursing Research, 3(1), 125–131.CrossRefGoogle Scholar
Contandriopoulos, A.P., Kergoat, M.J., Latour, J., Lebel, P., Leduc, N. et Roberge, D. (1999). L'évaluation de la prise en charge des personnes Çgées fragiles par les unités de courte durée gériatriques. Rapport R99-07. Groupe de recherche interdisciplinaire en santé, Université de Montréal.Google Scholar
Dening, T., & Lawton, C. (1998). The role of carers in evaluating mental health services for older people. International Journal of Geriatric Psychiatry, 13, 863–870.Google Scholar
Ducharme, F., Pérodeau, G. et Trudeau, D. (2000). Perceptions, stratégies adaptatives et attentes des femmes Çgées aidantes familiales dans la perspective du virage ambulatoire. Revue canadienne de santé mentale communautaire, 19(3), 79–103.Google Scholar
Durand, P., Plamondon, M. et Alberton, M. (1991). Les Unités de Courte Durée Gériatriques au Québec. Bilan descriptif d'une tournée de vingt-quatre centres hospitaliers de courte durée. Tournée conjointe Ministère de la santé et des services sociaux—Conseil régional de la santé et des services sociaux 03 (région de Québec)-06 (région de Montréal).Google Scholar
Ellis, R., & Whittington, D. (1993). Quality assurance in health care. In Ellis, R. & Whittington, D. (Eds.), Quality assurance handbook (pp. 1–8). London: Edward Arnold.Google Scholar
Fakhoury, W.K. (1998). Satisfaction with palliative care: What should we be aware of? International Journal of Nursing Studies, 35(3), 171–176.CrossRefGoogle ScholarPubMed
Greaves, G., & Lewis, P. (1998). The experience of clients and informal caregivers with community health care services. Healthcare Management Forum, 11(4), 33–39.Google Scholar
Grimmer, K.A., Moss, J.R., & Gill, T.K. (2000). Discharge planning quality from the carer perspective. Quality of Life Research, 9, 1005–1013.CrossRefGoogle ScholarPubMed
Guba, E., & Lincoln, Y. (1989). Fourth generation evaluation. Newbury Park, CA: Sage Publications.Google Scholar
Haddad, S., Roberge, D. et Pineault, R. (1997). Comprendre la qualité: en reconnaître la complexité. Ruptures, 4(1), 59–78.Google Scholar
Hedges, G., Grimmer, K., Moss, J., & Falco, J. (1999). Performance indicators for discharge planning: A focused review of the literature. Australian Journal of Advanced Nursing, 16(4), 20–28.Google Scholar
Jones, D., & Lester, C. (1994). Hospital care and discharge: Patients' and carers' opinions. Age and Aging, 23, 91–96.CrossRefGoogle ScholarPubMed
Keating, N., Fast, J., Frederick, J., Cranswick, K. et Perrier, C. (1999). Soins aux personnes Çgées au Canada: contexte, contenu et conséquences. Ottawa: Division des statistiques sociales, du logement et des familles, Statistiques Canada.Google Scholar
Kergoat, M.-J., Latour, J., Giroux, F., Robillard, A. et Lebeuf, C. (1996). Les unités d'évaluation gériatrique: le modèle québécois en milieu urbain, deux études de cas. L'Année Gérontologique, 43–61.Google Scholar
Kristjanson, L. (1986). Indicators of quality of palliative care from a family perspective. Journal of Palliative Care, 1, 8–17.CrossRefGoogle ScholarPubMed
Kristjanson, L. (1989). Quality of terminal care: Salient indicators identified by families. Journal of Palliative Care, 5, 21–30.CrossRefGoogle ScholarPubMed
Laitinen, P. (1994). Elderly patients' and their informal caregivers' perceptions of care given: The study-control program ward design. Journal of Advanced Nursing, 20, 71–76.Google Scholar
Lavizzo-Mourey, R.J., Zinn, J., & Taylor, L. (1992). Ability of surrogates to represent satisfaction of nursing care home residents with quality of care. Journal of the American Geriatric Society, 40, 39–47.CrossRefGoogle ScholarPubMed
Leininger, M. (1997). Overview of the theory of culture care with the ethnonursing research method. Journal of Transcultural Nursing, 8(2), 32–51.CrossRefGoogle ScholarPubMed
Morgan, D.L. (1998). Planning focus groups. Thousand Oaks, CA: Sage Publications.CrossRefGoogle Scholar
Morse, J. (1994). Critical issues in qualitative research methods. Thousand Oaks, CA: Sage.Google Scholar
Moser, D.K., Dracup, K.A., & Mardsen, C. (1993). Needs of recovering cardiac patients and their spouses: Compared views. International Journal of Nursing Studies, 30(2), 105–114.CrossRefGoogle ScholarPubMed
Palmer, H.R. (1991). Considerations in defining quality of health care. In Striving for quality in health care: An inquiry into policy and practice. Ann Arbor, MI: Health Administration Press.Google Scholar
Preston, C., Cheater, F., Baker, R., & Hearnshaw, H. (1999). Left in limbo: Patients' views on care across the primary/secondary interface. Quality in Health Care, 8(1), 16–21.Google Scholar
Roberge, D., Loiselle, J., Lebel, P., Ducharme, F. et Pineault, R. (1998). Qualité des soins dispensés en unités de courte durée gériatriques: la perspective des patients. La revue canadienne du vieillissement, 17, 123–142.Google Scholar
Sitzia, J., & Wood, N. (1997). Patient satisfaction: a review of issues and concepts. Social Science and Medecine, 45, 1829–1843.CrossRefGoogle ScholarPubMed
Thompson, A.G.H. (1986). The soft approach to quality of hospital care. Health Care Management, 10(40), 59–67.Google Scholar
vom Eigen, K.A., Walker, J.D., Edgman-Levitan, S., Cleary, P., & Delbanco, T.L. (1999). Carepartner experience with hospital care. Medical Care, 37(1), 33–38.CrossRefGoogle ScholarPubMed
Walker, E., & Dewar, B.J. (2001). How do we facilitate carers' involvement in decision making? Journal of Advanced Nursing, 34, 329–337.CrossRefGoogle ScholarPubMed
Williams, S.J., & Calnan, M. (1991). Convergence and divergence: Assessing criteria of consumer satisfaction across general practice, dental and hospital care settings. Social Science and Medecine, 33, 707–716.CrossRefGoogle ScholarPubMed