Portuguese Older Persons' Views about Living in a Nursing Home: Challenges to the Rehabilitation of the Image of LTC in Post-Pandemic Times

Int J Environ Res Public Health. 2022 Aug 24;19(17):10566. doi: 10.3390/ijerph191710566.

Abstract

This paper addresses the broad topic of what older people think about nursing homes in Portugal. In the aftermath of the COVID-19 pandemic and considering the tragic events taking place in nursing homes, the challenge of reimagining the sector involves not only improving procedures and models of care, making sure they meet what citizens consider adequate, but also rehabilitating the image people have about nursing homes and rebuilding trust. Current and future decisions about how one meets LTC needs is influenced by the extent to which individuals see the alternatives as adequate. The paper presents evidence collected from a qualitative study run just before the COVID-19 pandemic began, with a sample of 45 community-dwelling individuals aged 60 plus, in Portugal. Opinions and views about nursing homes were collected and the results point to enduring negative aspects that are considered at odds with what constitutes adequate care. The paper discusses in length what those aspects are and concludes that future reforms of the nursing homes sector in Portugal need to consider what current and future users think and feel about that specific type of service. Debates in Portugal tend to be more focused on discussions about expanding the sector and less on aspects of quality of care. Views and opinions of interviewed participants, however, suggest that people may be more worried about quality of care.

Keywords: COVID-19; long-term care; nursing homes; older people’s views; violence and abuse.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • COVID-19* / epidemiology
  • Humans
  • Nursing Homes
  • Pandemics*
  • Portugal
  • Skilled Nursing Facilities

Grants and funding

The article reports findings that are part of the PhD Thesis in sociology of the first author, funded with a PhD scholarship from the Foundation for Science and Technology (SFRH/BD/130439/2017). The empirical materials used in this article proceeded from the HARMED study - Harmed: Socio-economic and health determinants of elder abuse - which was funded by the Portuguese Foundation for Science and Technology: FCT PTDC/IVC-SOC/6782/2014 and ERDF (POCI-01-0145-FEDER-016670).