Models of Care and Interventions to Improve Person-Centred Care for Older People in Long-Term Care Facilities: A Mixed Methods Systematic Review.

In 30 seconds

This mixed methods systematic review examined care models and interventions intended to improve person-centred care for older people in long-term care facilities. Searches identified 30 studies: 12 quantitative, nine qualitative, and nine mixed methods. Across the evidence, five themes concerned personalised preferences and well-being, autonomy and dignity, home-like environments, family involvement, and organisational and staff support. The review concluded that these approaches could improve quality of life and autonomy and support individualised care, while staff shortages and limited managerial support may impede implementation.

Key findings

• The review included 30 studies: 12 quantitative, nine qualitative, and nine mixed methods.
• Five themes covered personal preferences and well-being, autonomy and dignity, home-like environments, family involvement, and organisational and staff support.
• Person-centred models and interventions could improve residents’ quality of life and autonomy and promote individualised care.
• Staff shortages and lack of managerial support may hinder successful implementation.

Why it matters

The synthesis brings together evidence on both outcomes and experiences of person-centred care in long-term care facilities. It highlights that individualised care involves more than resident-level interventions: family participation, the care environment, and organisational conditions also feature in the evidence. These findings can inform consideration of implementation needs while underscoring that effective strategies for organisational support remain to be evaluated.

What to keep in mind

The review included varied quantitative, qualitative, and mixed methods studies; the abstract does not report a pooled effect estimate or quantify the benefits of the interventions.