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Aim <p>To systematically review how quality care is defined and operationalised in research focused on care home residents living with dementia.</p> Methods <p>A search of PubMed, Web of Science, PsycInfo, CINAHL, Scopus, and Embase identified studies that focused on quality care in residential dementia settings between January 2011 and July 2023. A convergent synthesis design was used to analyse both qualitative and quantitative data.</p> Results <p>Fourteen studies met the inclusion criteria. Across the quantitative studies, sixteen categories were identified as measures of quality care, with medical indicators such as medication and nutrition being the most frequent. Qualitative studies’ definitions emphasised relational aspects, including residents’ lived experiences and expectations of care.</p> Conclusion <p>There are some&#xa0;discrepancies between the&#xa0;definitions and operationalisations of quality care in dementia care home research, with many&#xa0;measures&#xa0;focused on biomedical metrics and physical health. The review underscores the need for a more integrated framework that balances medical metrics with person-centred, experiential indicators. Greater use of mixed-methods approaches could enhance the development of quality assessment models to ensure a comprehensive evaluation of quality care in dementia settings.</p>

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A systematic review of how quality of care for care home residents living with dementia is defined and operationalised in research

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年9月10日

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  • Kiera Kenny,
  • Helen Odell-Miller,
  • Russell Kabir,
  • Ming-Hung Hsu

摘要

Aim

To systematically review how quality care is defined and operationalised in research focused on care home residents living with dementia.

Methods

A search of PubMed, Web of Science, PsycInfo, CINAHL, Scopus, and Embase identified studies that focused on quality care in residential dementia settings between January 2011 and July 2023. A convergent synthesis design was used to analyse both qualitative and quantitative data.

Results

Fourteen studies met the inclusion criteria. Across the quantitative studies, sixteen categories were identified as measures of quality care, with medical indicators such as medication and nutrition being the most frequent. Qualitative studies’ definitions emphasised relational aspects, including residents’ lived experiences and expectations of care.

Conclusion

There are some discrepancies between the definitions and operationalisations of quality care in dementia care home research, with many measures focused on biomedical metrics and physical health. The review underscores the need for a more integrated framework that balances medical metrics with person-centred, experiential indicators. Greater use of mixed-methods approaches could enhance the development of quality assessment models to ensure a comprehensive evaluation of quality care in dementia settings.