Improving the quality of care in nursing homes Insights from qualitative and longitudinal research

Elderly people living Nursing homes in particular are prone to unethical practices due to their physical and cognitive limitations. Many of these residents have difficulty with self-care and decision-making, often requiring assistance with daily activities. The organizational structure and policies of nursing homes can remove their autonomy, increasing their vulnerability. Furthermore, family involvement in decision-making is often limited, leaving many without proper support in their care. In nursing homes, qualitative research plays a key role in understanding residents’ lived experiences and the quality of care they receive. Methods such as ethnography and grounded theory can provide deep insights into institutional cultures and care processes, which can help improve conditions for residents. This research is important given the challenges in maintaining high-quality care and effectively meeting residents’ needs. Methology: Alternative: Nutritional imbalance, Activity intolerance, Urinary incontinence, Disturb sleep, Sociocultural, Psychological. Evaluation Preference: Nursing diagnosis, nursing goal, Nursing Intervention, Nursing outcomes. The results showed that disturbed sleep ranked highest and functional endurance ranked lowest. The institutional nature of nursing homes often exacerbates these problems, as many residents struggle with dementia or other significant cognitive and physical limitations. This reliance on institutional care reduces their ability to make independent decisions or manage their own care, often resulting in little involvement of family members in the decision-making process.