Quality of Life in Care Homes

A special issue of Nursing Reports (ISSN 2039-4403). This special issue belongs to the section "Nursing Care for Older People".

Deadline for manuscript submissions: 1 June 2026 | Viewed by 2021

Special Issue Editors


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Guest Editor
School of Nursing and Midwifery, Queen’s University Belfast, Belfast BT9 7BL, UK
Interests: care of older people; nursing homes; palliative care; dementia; delirium; Parkinson’s disease; stroke; heart failure; diabetes care; nursing education; digital health

E-Mail Website
Guest Editor
School of Nursing and Midwifery, Queen's University, Belfast BT9 7BL, UK
Interests: care of older people; care homes; chronic illness; healthcare education

Special Issue Information

Dear Colleagues,

This collection will focus on quality of life in care home settings. Care home settings, including both residential and nursing facilities, provide vital long-term, intermediate and respite care to millions of people globally. Moreover, in contrast to other care settings, a care home is a place where people primarily live. Despite their significant importance to society, however, care homes experience many unique challenges, including underfunding, inadequate staffing and often poor integration with wider health and social care systems. Set against this backdrop of challenges, care homes also provide care to residents with increasingly complex conditions.

We welcome primary research, review papers, quality improvement studies adhering to the SQUIRE 2.0 reporting framework and protocols that contribute to the evidence on quality of life in care homes, nursing homes, long-term care facilities, assisted living, skilled nursing facilities, residential aged care, adult care homes and related settings. This collection will also accept discursive commentaries which aim to progress international understanding about quality of life in care homes and similar environments. If you wish to discuss your manuscript, please contact S.Craig@qub.ac.uk and/or Gary.Mitchell@qub.ac.uk.

Dr. Stephanie Craig
Dr. Gary Mitchell
Guest Editors

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Keywords

  • care homes
  • nursing homes
  • residential homes
  • long-term care settings
  • older people
  • quality of life
  • healthcare

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Published Papers (2 papers)

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Research

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12 pages, 361 KB  
Article
Development and Validation of the Evaluating Attitudes, Training and Skills in Dysphagia Care (EATS) Questionnaire Among Nursing Home Nurses in Singapore
by Laurence Lean Chin Tan, Yujun Lim, Gerlie Contreras Magpantay and James Alvin Low
Nurs. Rep. 2025, 15(11), 405; https://doi.org/10.3390/nursrep15110405 - 17 Nov 2025
Viewed by 757
Abstract
Background: Dysphagia is prevalent among nursing-home residents and contributes to complications such as aspiration pneumonia, malnutrition, and diminished quality of life. Nurses’ knowledge and attitudes strongly influence care quality, yet few validated tools exist to assess these domains in long-term care. Objective: [...] Read more.
Background: Dysphagia is prevalent among nursing-home residents and contributes to complications such as aspiration pneumonia, malnutrition, and diminished quality of life. Nurses’ knowledge and attitudes strongly influence care quality, yet few validated tools exist to assess these domains in long-term care. Objective: This study aimed to develop and validate the Evaluating Attitudes, Training and Skills in Dysphagia Care (EATS) Questionnaire for nursing home nurses in Singapore. Methods: A cross-sectional study involving 111 nurses from three nursing homes was conducted. The EATS questionnaire was adapted from a hospice-based tool, refined through experts’ and users’ feedback, and subjected to psychometric testing. Analyses included item difficulty and discrimination for the knowledge component, exploratory factor analysis for the attitude component, and internal-consistency reliability. Construct validity was examined by comparing knowledge and attitude scores across nursing seniority and experience. Results: The final questionnaire comprised 22 knowledge and 18 attitude items that loaded onto three factors—Barriers to Dysphagia Care, Patients’ Preferences and Nurses’ Confidence, and Personal Choice. The attitude scale showed moderate internal consistency, and the knowledge items demonstrated acceptable performance for discrete factual content. Senior nurses scored higher in knowledge, confirming construct validity. The tool revealed persistent misconceptions and gaps in recognising subtle clinical signs of dysphagia. Conclusions: The EATS Questionnaire is a valid and pragmatic instrument for assessing dysphagia-related knowledge and attitudes among nursing home nurses. It provides actionable insights for designing targeted education and improving resident safety in long-term care settings. Full article
(This article belongs to the Special Issue Quality of Life in Care Homes)
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Review

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14 pages, 489 KB  
Review
Educational Interventions for Chronic Obstructive Pulmonary Disease (COPD) in Care Homes: A Near-Empty Scoping Review Revealing a Major Evidence Gap
by Bronach Campbell, Gary Mitchell, Stephanie Craig and Tara Anderson
Nurs. Rep. 2026, 16(2), 43; https://doi.org/10.3390/nursrep16020043 - 29 Jan 2026
Viewed by 788
Abstract
Background/Objectives: Chronic Obstructive Pulmonary Disease (COPD) is highly prevalent among individuals residing in care homes, where effective disease management can enhance quality of life by slowing disease progression. Care home staff are central to COPD management in these settings, and their capacity to [...] Read more.
Background/Objectives: Chronic Obstructive Pulmonary Disease (COPD) is highly prevalent among individuals residing in care homes, where effective disease management can enhance quality of life by slowing disease progression. Care home staff are central to COPD management in these settings, and their capacity to deliver optimal care may be strengthened through targeted education and training interventions. This scoping review aimed to synthesise existing evidence on education and training intended to enhance COPD care delivery by care home staff. Methods: A scoping review was conducted in accordance with Joanna Briggs Institute (JBI) guidelines and reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) framework. Four electronic databases (CINAHL, EMBASE, MEDLINE, and PsycINFO) were systematically searched for studies evaluating educational or training interventions regarding COPD for care home staff. Results: Only one study met the eligibility criteria for inclusion. This mixed methods study encompassed both a randomised control trial and semi-structured interviews, evaluating the effects of a COPD education programme for healthcare professionals working in a care home setting. This education intervention led to increased COPD-related knowledge and improved support for staff managing residents with COPD. Conclusions: Evidence for educational interventions for care home staff caring for individuals with COPD is extremely limited. While the included study shows potential for educational programmes, substantial gaps persist. Further research is needed to develop, implement, and rigorously assess education and training interventions to support high-quality COPD care in care homes. Full article
(This article belongs to the Special Issue Quality of Life in Care Homes)
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