Davies, M., Zúñiga, F., Verbeek, H., Simon, M., & Staudacher, S. (2023). Exploring interrelations between person-centered care and quality of life following a transition into long-term residential care: A meta-ethnography. The Gerontologist, 63(4), 660-673.

Background and Objectives Globally, a culture change in long-termresidential care (LTRC) moving toward person-centered care (PCC) has occurredin an attempt to improve resident quality of life (QoL). However, a clearunderstanding of how different aspects contributing to a PCC approach areinterrelated with resident QoL is still lacking. This review exploresinterrelating aspects between PCC and QoL in LTRC using qualitativesynthesis. Research Design and Methods Ten relevant primary studies wereidentified from a search of interdisciplinary research databases providingqualitative information. Studies were critically reviewed for key themes andconcepts by the research team. We used a meta-ethnography approach toinductively interpret findings across multiple studies and reinterpreted theinformation using a constructivist approach. Results We identified 5second-order constructs sharing commonalities suggesting interrelationsbetween PCC and QoL: (a) maintaining dignity, autonomy, and independence; (b)knowing the whole person; (c) creating a “homelike” environment; (d)establishing a caring culture; and (e) integrating families and nurturinginternal and external relationships. Synthesis translation led to thefollowing third-order constructs: (a) personalizing care within routines, (b)optimizing resident environments, and (c) giving residents a voice.Discussion and Implications There are many interrelating aspects of PCC andQoL following a permanent transition into LTRC, but successful implementationof PCC, which enhances QoL, presents challenges due to organizationalroutines and constraints. However, by prioritizing resident voices to includetheir needs and preferences in care, QoL can be supported following atransition into LTRC.