Prioritizing quality of geriatric rehabilitation from the older adults’ perspective: A nominal group technique study

TL;DR

This study identifies key priorities for quality in geriatric rehabilitation based on the perspectives of older adults.

Contribution

The study uses the Nominal Group Technique to prioritize quality aspects in geriatric rehabilitation from older adults' viewpoints.

Findings

Five key priorities for quality in geriatric rehabilitation were identified, including good preparation and autonomy in decision-making.

Three overarching themes emerged: supportive environment, feeling heard, and the need for guidance and involvement.

The findings offer actionable directions for improving clinical practice in geriatric rehabilitation.

Abstract

To identify and prioritize aspects of quality in geriatric rehabilitation from the perspective of older adults.

Qualitative study using a structured Nominal Group Technique.

Three nominal group technique sessions were conducted in geriatric rehabilitation settings in the Netherlands.

We included older adults admitted to geriatric rehabilitation, Dutch proficiency, the ability to communicate and engage in group discussions, and an intention to return to independent living.

Participants engaged in structured nominal group technique sessions. Each session included five steps: introduction, idea generation, exchange of ideas, discussion, and ordering and ranking

Audio-recorded sessions were transcribed verbatim and analyzed using a combined inductive and deductive coding. Quality aspects were prioritized based on their summed ranking scores, relative importance, and selection frequency.

Eighteen older adults were included. Participants identified five key priorities for quality in geriatric rehabilitation: (1) good preparation with clear expectations, (2) well-organized therapy and care, (3) relationships with healthcare professionals that acknowledge individual needs, (4) clear, respectful communication, and (5) autonomy in treatment decision-making. The qualitative analysis supported these priorities with three overarching themes: the value of a supportive environment, feeling heard and understood, and the need for guidance and involvement.

This study provides priorities for improving quality in geriatric rehabilitation, according to the experiences of older adults and offers direction for implementation in clinical practice.

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