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Concept mapping study of positive patient experiences among family members of nursing home residents in South Korea
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Hyoungshim Choi, InJa Choi, Jui Kim
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Received February 6, 2026 Accepted May 23, 2026 Published online June 8, 2026
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DOI: https://doi.org/10.4040/jkan.26021
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 Abstract
 ePub
- Purpose
Describing the quality of care provided to older adults in nursing homes is challenging when residents have severe cognitive decline. Evaluation within a patient-centered care framework can be strengthened by incorporating the perspectives of residents’ family members.
Methods
Data were collected from May 8, 2023, to July 18, 2023, through interviews with 19 family members of nursing home residents aged 65 years or older who had lived in the facility for at least 30 days. Interview data were used to develop empirical statements on the nature of residents’ experiences as perceived by family members. These data were then analyzed using concept mapping to identify components of positive patient experiences from the perspectives of family members of nursing home residents in Korea.
Results
Multidimensional scaling and hierarchical cluster analysis yielded 59 core statements, two dimensions, and four clusters of positive service experiences. The two dimensions were type of support (physical vs. emotional) and centrality of care (resident-centered vs. family-centered). The four clusters of positive patient experiences were “facility management focused on quality of life,” “active communication and engagement,” “respect and trust,” and “professional and personalized care.”
Conclusion
These findings provide insight into the experiences valued by family members of older adults in nursing homes. The concept map may inform development of a patient experience index tailored to family members of nursing home residents.
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