["Good vision in care facilities" : Qualitative evaluation study from the perspective of the vision officers].

Abstract

Background: Visual impairment increases with age and can adversely affect the quality of life of older people. Ophthalmological care in nursing homes is often inadequate, leading to poor detection and treatment of visual problems. The prevention program "Good vision in care facilities" ("Gutes Sehen in Pflegeeinrichtungen") of the Institute for the Blind Foundation (Blindeninstitutsstiftung) aims to promote the eye health of residents through targeted measures and the training of qualified vision officers.

Objective: The aim was to evaluate the prevention program from the perspective of the vision officers, focusing on their role, the performance of vision assessments, the improvement of the living environment and the qualification measures.

Method: A qualitative evaluation study was conducted through guideline-based interviews with eight vision officers from seven nursing homes. The data were analyzed using Mayring's structured content analysis.

Results: Vision officers consider their role to be important but the success of implementation depends on the available resources. The performance of vision assessment varies due to cognitive impairment and motivation of the residents. Barriers to accessibility were primarily addressed when minimal effort was required. Face to face training sessions contribute significantly to awareness due to their practical content and interaction.

Conclusion: The sustainable implementation of the prevention program requires resource allocation by nursing home management. The qualification of several vision officers in each facility could increase the success of the program. Alternative methods of vision assessment for cognitively impaired residents should be developed.