Assessing quality of life in nursing home residents: a systematic review of measurement tools.

Background and Objectives Nursing homes (NHs) are key to supporting older adults' quality of life (QoL). With many QoL instruments available, selecting an appropriate tool is challenging. This study inventories instruments used with NH residents and examines whether they conceptualize QoL as a multi...

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Publicado en:Gerontologist Vol. 66; no. 7; pp. 1 - 22
Autores principales: Gruyaert, Candice, Pattyn, Eva, Leemans, Kathleen, Deschodt, Mieke, Smedt, Delphine De, Trybou, Jeroen
Formato: Artículo
Publicado: Oxford University Press / USA Jul2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2026
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      pub: Oxford University Press / USA
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        10.1093/geront/gnag066
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        atl: Assessing quality of life in nursing home residents: a systematic review of measurement tools.
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        au:
          Gruyaert, Candice
          Pattyn, Eva
          Leemans, Kathleen
          Deschodt, Mieke
          Smedt, Delphine De
          Trybou, Jeroen
        affil:
          Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
          Flemish Institute for Quality of Care vzw, Ghent, Belgium
          Department of Public Health and Primary Care, KU Leuven, Leuven, BelgiumCompetence Center of Nursing, University Hospital Leuven, Leuven, Belgium
      su:
        Nursing care facilities
        Patient-centered care
        Quality of life
        Psychosocial factors
        Old age
        Nursing home residents
        Medical information storage & retrieval systems
        CINAHL database
        Questionnaires
        Long-term health care
        Descriptive statistics
        Systematic reviews
        MEDLINE
        Thematic analysis
      sug:
        subj:
          Nursing care facilities
          Patient-centered care
          Quality of life
          Psychosocial factors
          Old age
          Nursing Care Facilities (Skilled Nursing Facilities)
          Community care facilities for the elderly
          Nursing home residents
          Medical information storage & retrieval systems
          CINAHL database
          Questionnaires
          Long-term health care
          Descriptive statistics
          Systematic reviews
          MEDLINE
          Thematic analysis
      keyword:
        aged
        copyrightHolder:The Gerontological Society of America
        copyrightYear:2026
        Evaluation
        https://dx.doi.org/10.1093/geront/gnag066
        inLanguage:en
        internship and residency
        long-term care
        medical residencies
        national health service (uk)
        nursing homes
        Person-centered care
        publisher:Oxford University Press
        quality of life
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42082392/
        aged
        copyrightHolder:The Gerontological Society of America
        copyrightYear:2026
        Evaluation
        https://dx.doi.org/10.1093/geront/gnag066
        inLanguage:en
        internship and residency
        long-term care
        medical residencies
        national health service (uk)
        nursing homes
        Person-centered care
        publisher:Oxford University Press
        quality of life
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42082392/
      ab: Background and Objectives Nursing homes (NHs) are key to supporting older adults' quality of life (QoL). With many QoL instruments available, selecting an appropriate tool is challenging. This study inventories instruments used with NH residents and examines whether they conceptualize QoL as a multidimensional construct. Research Design and Methods A systematic review was conducted to identify QoL instruments used in NHs. 5 databases were searched in March 2025 using terms related to "elderly," "nursing home," "questionnaire," "psychometrics," and "quality of life." Empirical English- or Dutch-language studies were eligible, with no geographic or date restrictions. Reference and citation searches were added. Quality was assessed using the COSMIN Risk of Bias checklist, and questionnaire characteristics and QoL subdomains were analyzed using a QoL concept map. Results A total of 15,516 records were identified (MEDLINE n  = 4,536; Web of Science n  = 4,738; CINAHL n  = 1,395; Scopus n  = 3,395; and Embase n  = 1,452), of which 6,680 duplicates were removed. After screening 8,836 titles and abstracts, 370 full texts were assessed, yielding 28 eligible studies. Most questionnaires were setting-specific, QoL-focused, and designed for self-report. Across all instruments, 157 unique themes were mapped onto 7 QoL dimensions; "context and environment" and "social relationships" were most common, whereas "relationship with staff" and "physical health" were addressed less often. Discussion and Implications This study provides an overview of conceptual and practical diversity in QoL tools for NH residents. It highlights the absence of a standardized, comprehensive tool tailored to both residents and the NH context.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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