Determinants of the quality of care relationships in long-term care: A systematic review

Aukelien Scheffelaar*, Nanne Bos, Michelle Hendriks, Sandra van Dulmen, Katrien Luijkx

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

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Abstract

Background: 

The quality of a care relationship between a client and a care professional is seen as fundamental if high-quality care is to be delivered. This study reviews studies about the determinants of the quality of the client-professional relationship in long-term care.

Methods: 

A systematic review was performed using the electronic databases of Medline, Psycinfo, CINAHL and Embase. The review focused on three client groups receiving long-term care: physically or mentally frail elderly, people with mental health problems and people with physical or intellectual disabilities. Included studies concern clients receiving inpatient or outpatient care and care professionals who provided recurring physical and supporting care for a long period of time. The studies we included contained primary empirical data, were written in English and were published in peer-reviewed journals. Data extraction was carried out by two researchers independently.

Results: 

Thirty-two studies out of 11,339 initial hits met the inclusion criteria. In total, 27 determinants were revealed, six at the client level, twelve at the professional level, six between the client and care professional levels and three at the contextual level. The data analysis showed that most determinants were relevant in more than one client group.

Conclusions: 

This is the first review that looked at determinants of the quality of the care relationship for three large client groups receiving long-term care. It suggests that the current client group-specific focus in research and quality improvement initiatives for care relationships might not be needed. Care organisations can use the findings of this review as guidance on determinants to look for when mapping the quality of a care relationship in order to get a picture of specific points of attention for quality improvement.

Original languageEnglish
Article number903
Number of pages23
JournalBMC Health Services Research
Volume18
DOIs
Publication statusPublished - 2018

Keywords

  • Care relationship
  • Client-professional relationship
  • Quality of care
  • Determinants
  • Client perspective
  • Professional perspective
  • Long-term care
  • PATIENTS EXPERIENCES
  • NURSING-HOMES
  • AGED CARE
  • NURSES
  • PROFESSIONALS
  • PERCEPTIONS
  • COMMUNITY
  • WORKERS
  • STAFF
  • PERSPECTIVES

Cite this

Scheffelaar, Aukelien ; Bos, Nanne ; Hendriks, Michelle ; van Dulmen, Sandra ; Luijkx, Katrien. / Determinants of the quality of care relationships in long-term care : A systematic review. In: BMC Health Services Research. 2018 ; Vol. 18.
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abstract = "Background: The quality of a care relationship between a client and a care professional is seen as fundamental if high-quality care is to be delivered. This study reviews studies about the determinants of the quality of the client-professional relationship in long-term care.Methods: A systematic review was performed using the electronic databases of Medline, Psycinfo, CINAHL and Embase. The review focused on three client groups receiving long-term care: physically or mentally frail elderly, people with mental health problems and people with physical or intellectual disabilities. Included studies concern clients receiving inpatient or outpatient care and care professionals who provided recurring physical and supporting care for a long period of time. The studies we included contained primary empirical data, were written in English and were published in peer-reviewed journals. Data extraction was carried out by two researchers independently.Results: Thirty-two studies out of 11,339 initial hits met the inclusion criteria. In total, 27 determinants were revealed, six at the client level, twelve at the professional level, six between the client and care professional levels and three at the contextual level. The data analysis showed that most determinants were relevant in more than one client group.Conclusions: This is the first review that looked at determinants of the quality of the care relationship for three large client groups receiving long-term care. It suggests that the current client group-specific focus in research and quality improvement initiatives for care relationships might not be needed. Care organisations can use the findings of this review as guidance on determinants to look for when mapping the quality of a care relationship in order to get a picture of specific points of attention for quality improvement.",
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author = "Aukelien Scheffelaar and Nanne Bos and Michelle Hendriks and {van Dulmen}, Sandra and Katrien Luijkx",
year = "2018",
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Determinants of the quality of care relationships in long-term care : A systematic review. / Scheffelaar, Aukelien; Bos, Nanne; Hendriks, Michelle; van Dulmen, Sandra; Luijkx, Katrien.

In: BMC Health Services Research, Vol. 18, 903, 2018.

Research output: Contribution to journalArticleScientificpeer-review

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T1 - Determinants of the quality of care relationships in long-term care

T2 - A systematic review

AU - Scheffelaar, Aukelien

AU - Bos, Nanne

AU - Hendriks, Michelle

AU - van Dulmen, Sandra

AU - Luijkx, Katrien

PY - 2018

Y1 - 2018

N2 - Background: The quality of a care relationship between a client and a care professional is seen as fundamental if high-quality care is to be delivered. This study reviews studies about the determinants of the quality of the client-professional relationship in long-term care.Methods: A systematic review was performed using the electronic databases of Medline, Psycinfo, CINAHL and Embase. The review focused on three client groups receiving long-term care: physically or mentally frail elderly, people with mental health problems and people with physical or intellectual disabilities. Included studies concern clients receiving inpatient or outpatient care and care professionals who provided recurring physical and supporting care for a long period of time. The studies we included contained primary empirical data, were written in English and were published in peer-reviewed journals. Data extraction was carried out by two researchers independently.Results: Thirty-two studies out of 11,339 initial hits met the inclusion criteria. In total, 27 determinants were revealed, six at the client level, twelve at the professional level, six between the client and care professional levels and three at the contextual level. The data analysis showed that most determinants were relevant in more than one client group.Conclusions: This is the first review that looked at determinants of the quality of the care relationship for three large client groups receiving long-term care. It suggests that the current client group-specific focus in research and quality improvement initiatives for care relationships might not be needed. Care organisations can use the findings of this review as guidance on determinants to look for when mapping the quality of a care relationship in order to get a picture of specific points of attention for quality improvement.

AB - Background: The quality of a care relationship between a client and a care professional is seen as fundamental if high-quality care is to be delivered. This study reviews studies about the determinants of the quality of the client-professional relationship in long-term care.Methods: A systematic review was performed using the electronic databases of Medline, Psycinfo, CINAHL and Embase. The review focused on three client groups receiving long-term care: physically or mentally frail elderly, people with mental health problems and people with physical or intellectual disabilities. Included studies concern clients receiving inpatient or outpatient care and care professionals who provided recurring physical and supporting care for a long period of time. The studies we included contained primary empirical data, were written in English and were published in peer-reviewed journals. Data extraction was carried out by two researchers independently.Results: Thirty-two studies out of 11,339 initial hits met the inclusion criteria. In total, 27 determinants were revealed, six at the client level, twelve at the professional level, six between the client and care professional levels and three at the contextual level. The data analysis showed that most determinants were relevant in more than one client group.Conclusions: This is the first review that looked at determinants of the quality of the care relationship for three large client groups receiving long-term care. It suggests that the current client group-specific focus in research and quality improvement initiatives for care relationships might not be needed. Care organisations can use the findings of this review as guidance on determinants to look for when mapping the quality of a care relationship in order to get a picture of specific points of attention for quality improvement.

KW - Care relationship

KW - Client-professional relationship

KW - Quality of care

KW - Determinants

KW - Client perspective

KW - Professional perspective

KW - Long-term care

KW - PATIENTS EXPERIENCES

KW - NURSING-HOMES

KW - AGED CARE

KW - NURSES

KW - PROFESSIONALS

KW - PERCEPTIONS

KW - COMMUNITY

KW - WORKERS

KW - STAFF

KW - PERSPECTIVES

U2 - 10.1186/s12913-018-3704-7

DO - 10.1186/s12913-018-3704-7

M3 - Article

VL - 18

JO - BMC Health Services Research

JF - BMC Health Services Research

SN - 1472-6963

M1 - 903

ER -