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Nursing home quality of life in the Lebanon

Marina Gharibian Adra (Hariri School of Nursing, American University of Beirut, Beirut, Lebanon)
John Hopton (School of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK)
John Keady (Division of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK)

Quality in Ageing and Older Adults

ISSN: 1471-7794

Article publication date: 12 June 2017




The purpose of this paper is to explore perceptions, perspectives and meaning of quality of life for a sample of older residents, care staff and family caregivers in two nursing homes in Lebanon.


A classic grounded theory study was conducted between 2010 and 2011 in two nursing homes in Beirut. The semi-structured interviews were undertaken with a theoretical sample of 20 residents, 8 family caregivers and 11 staff. The constant comparative method was used to analyze the data.


Three distinct but interrelated properties of quality of life emerged from this process: “maintaining self,” “maintaining identity” and “maintaining continuity”. The dynamics that exist within and between each of these properties provide an indicator about shared and distinct meanings and the implications for care practice.

Research limitations/implications

The study was conducted in one city in Lebanon; accordingly, the transferability of findings may be challenging.

Practical implications

Implications for nursing and nursing policy – improving Lebanese national standards and regulations applicable to nursing home residents may help to enhance residents’ care needs and quality of life.

Social implications

There was limited guidance aimed at helping older residents to voice and increase their choice and control.


This paper provides new insights into the process of outlining the properties attached to the phenomenon of quality of life in nursing homes in Lebanon. It will be of interest to those in nursing home care as well as to policy makers.



Adra, M.G., Hopton, J. and Keady, J. (2017), "Nursing home quality of life in the Lebanon", Quality in Ageing and Older Adults, Vol. 18 No. 2, pp. 145-156.



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Copyright © 2017, Emerald Publishing Limited

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