| Titre : | Exploring Narrative Approaches to Enhance Quality of Care for Older Adults in French nursing homes or "Établissements d'hébergement pour Personnes Âgées Dépendantes" (EHPAD):A Literature Review. |
| Auteurs : | Alimatou Dedji Barry ; Ecole des hautes études en santé publique (EHESP) (Rennes, FRA) |
| Type de document : | Mémoire |
| Année de publication : | 2024 |
| Description : | 43p. / fig., tabl. |
| Langues: | Anglais |
| Classement : | MPH/ (Mémoires MPH à partir de 2024) |
| Mots-clés : | Narration ; Entretien ; Qualité soins ; Personne âgée ; Maison retraite ; EHPAD ; Revue de littérature |
| Résumé : |
Background: An aging population in France poses significant challenges for healthcare systems, particularly in Établissements d'hébergement pour Personnes Âgées Dépendantes (EHPAD) or nursing homes. These shifting demographics and care quality issues in EHPAD require a revised approach to assessing resident needs and satisfaction toward person-centered care for the elderly. Traditional questionnaires often fail to capture residents' nuanced experiences and preferences, leading to inadequate care planning. This thesis explores the potential of narrative approaches to meet this need by enhancing the quality of care through more personalized interactions in long-term care setting.
Methods: A literature review of qualitative studies was conducted, focusing on narrative approaches used as an instrument to gain insight into the experiences of residents in aged care facilities. Databases like Medline, Embase, and Emcare were searched, including only studies that captured residents' perspectives. The review examines the impact of narrative approaches on residents’ care quality, staff satisfaction and outcomes in long-term care facilities, the essential structural and process factors for successful implementation, such as organizational culture and the potential adaptation of these approaches in France, guided by key success factors and international insights. Results: This literature review of 16 publications found that narrative approaches significantly enhance residents' quality of life by increasing engagement and enabling personalized care. These approaches empower residents to express their needs, informing care practices and improving staff responsiveness. Additionally, they contribute to professional development by providing caregivers with deeper insights into residents' preferences and improving organizational understanding of care. Effective implementation requires strong management support, comprehensive training, and a commitment to person-centered care among other factors. Conclusion: The literature review suggests that narrative approaches, if properly implemented, can transform care practices in French EHPAD by making them more resident-centered and responsive. |
| Diplôme : | Master MPH of public health |
| Plan de classement simplifié : | Master of Public Health - master international de Santé Publique (MPH) |
| En ligne : | https://documentation.ehesp.fr/memoires/2024/mph/alimatou_dedji_barry.pdf |
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