Public Defence: Irene Mari Røen - Health Care Services

M.Sc. Irene Mari Røen at Institute of Clinical Medicine will be defending the thesis “Pathways through care - organizational-, staff- and patient characteristics, person centred care, and its association with quality of life in Norwegian nursing homes” for the degree of PhD (Philosophiae Doctor).

Trial Lecture – time and place

See Trial Lecture.

Adjudication committee

  • First opponent: Professor Per-Olof Sandman, Department of Nursing, Umeå University, Sweden
  • Second opponent: Associate Professor Linn-Heidi Lunde, Faculty of Psychology, University of Bergen
  • Third member and chair of the evaluation committee: Professor Turid Birgitte Boye, Faculty of Medicine, University of Oslo

Chair of the Defence

Researcher Lars Lien, Faculty of Medicine, University of Oslo

Principal Supervisor

Research Leader Sverre Bergh, Department of old age psychiatry, Innlandet Hospital Trust

Summary

An important goal in caring for people with dementia is to sustain or increase their
experience of quality of life (QoL). Paying attention to the factors that influence the personal
and emotional experiences of having dementia is important in the planning and delivering of care for people with dementia.

The overall objective was, in a longitudinal design, to explore the association
between organisational, staff and patient characteristics, person-centred care (PCC) and
QoL during the disease course of patients with dementia in Norwegian nursing homes, and,
by this, contribute to the planning of care and treatment for persons with dementia.

The majority of the patients we followed from admission to NH had good QoL over
the observation period of 30 months, and it was mainly the patient characteristics
that influenced on the QoL trajectory.

Poor patient QoL was associated with more pain, more severe dementia, more
affective symptoms, poorer staff job satisfaction, poorer ADL function, and more severe NPS.
Even though there was no significant association between the patients’ QoL and PCC, there
was an association between the patients’ QoL and the staff’s job satisfaction.
The degree of PCC in the unit was associated with several staff characteristica. Three years
or more of health-related education, a lower level of quantitative demands and role conflict, a higher level of perception of mastery, empowering leadership, innovative climate and
perception of group work, in addition to the type of unit and the physical environment in the
NH unit designed for people with dementia. Better job satisfaction among the staff was
also associated with a higher degree of PCC in the unit.
As dementia is a chronic disease, focus on symptom relief and QoL is important. To improve the patients’ QoL, efforts should focus on reducing pain, reducing NPS and improving ADL function for the patient, as well as improving the job satisfaction of the staff.

Additional information

Contact the research support staff.

Published Mar. 14, 2019 10:03 AM - Last modified Mar. 18, 2019 11:33 AM