PURPOSE Quality of life has been defined in various ways by nursing home stakeholders over the years. As such, analyzing the levels of agreement or disagreement among these stakeholders to ascertain if staff and leadership align with resident-identified factors for "good" quality of life has become important to include in the literature. This study sought to identify contributory factors to resident quality of life, as well as analyze areas of commonality in qualitative responses. METHODS Semi-structured interviews were conducted at 46 Midwestern nursing homes, with residents (n = 138), nursing assistants (n = 138), social workers (n = 46), activities directors (n = 46), and administrators (n = 46), on whether each stakeholder felt residents had a good quality of life and the factors contributing to resident quality of life. RESULTS Overall, the majority of residents perceived their quality of life as "good," though differences were noted in their main contributing factors when compared to staff members' and management's perspectives. Findings also demonstrated that nursing assistants most closely aligned with resident perspectives. CONCLUSIONS Given the implications of resident satisfaction with quality of life on multiple facets of a nursing home (e.g., survey process, financial reimbursement), it remains ever critical for management to engage residents and to truly listen to resident perspectives to enhance and ensure an optimal quality of life.

中文翻译：

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从多个利益相关者的角度对养老院居民的生活质量进行定性分析。

目的多年来，养老院利益相关者已通过各种方式定义了生活质量。因此，分析这些利益相关者之间的同意或不同意程度，以确定员工和领导层是否与居民确定的“良好”生活质量因素相吻合，已成为重要的文献内容。这项研究试图确定居​​民生活质量的成因，并分析定性反应中的共同点。方法在46个中西部养老院中进行了半结构化访谈，其中包括居民（n = 138），护理助理（n = 138），社会工作者（n = 46），活动主管（n = 46）和管理人员（n = 46），每个利益相关者是否认为居民拥有良好的生活质量以及影响居民生活质量的因素。结果总体上，尽管与员工和管理层的观点相比，他们的主要贡献因素存在差异，但大多数居民都认为他们的生活质量为“良好”。研究结果还表明，护理助手与住院医师的观点最为接近。结论鉴于居民对生活质量的满意度对疗养院多个方面的影响（例如，调查过程，财务报销），对于管理层来说，让居民参与并真正听取居民的观点以增强并确保最佳选择仍然至关重要生活质量。和管理层的观点。研究结果还表明，护理助手与住院医师的观点最为接近。结论鉴于居民对生活质量的满意度对疗养院多个方面的影响（例如，调查过程，财务报销），对于管理层来说，让居民参与并真正听取居民的观点以增强并确保最佳选择仍然至关重要。生活质量。和管理层的观点。研究结果还表明，护理助手与住院医师的观点最为接近。结论鉴于居民对生活质量的满意度对疗养院多个方面的影响（例如，调查过程，财务报销），对于管理层来说，让居民参与并真正听取居民的观点以增强并确保最佳选择仍然至关重要。生活质量。