Models of care and interventions to improve person-centred care for older people in long-term care facilities

Aims: To critically appraise and synthesis the evidence about the effects and experiences of care models and interventions to improve person-centred care for older people in long-term care facilities.Design: A mixed methods systematic review, following the Joanna Briggs Institute guidance, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses.Data sources: MEDLINE, PubMed, CINAHL, PsycINFO, Embase, Web of Science, Cochrane Library, and Thaijo were searched to identify relevant primary research published in English and Thai from January 2000 to February 2024.Review methods: All relevant primary research with quantitative, qualitative, and mixed methods design was included. A convergent synthesis approach was used to synthesise and integrate findings. Results: 4,070 records were identified, of which 30 studies were retained: 12 quantitative, nine qualitative, and nine mixed methods studies. The evidence revealed five themes: (1) personalised preference, social engagement, and well-being; (2) autonomy and dignity; (3) a home-like environment; (4) family involvement and satisfaction; and (5) organisational and staff support.Conclusion: This review indicated that person-centred care models and interventions could improve residents’ quality of life, autonomy, and promote individual care provision, create an environment based on individual needs, and involve families in care, although challenges such as staff shortages and lack of managerial support may hinder successful implementation. Future work is required to evaluate and identify effective strategies to strengthen organisational support, including leadership development, staff retention, and resource allocation, and evaluate how organisational culture influences the adoption and success of person-centred care practices.Impact: The review provides valuable insights and a comprehensive understanding of the care models and interventions specifically designed to improve person-centred care and enhance the quality of life for older people in long-term care facilities.