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Lydahl D. Good care and adverse effects: Exploring the use of social alarms in care for older people in Sweden. Health (London) 2024; 28:559-577. [PMID: 37391903 PMCID: PMC11149388 DOI: 10.1177/13634593231185260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/02/2023]
Abstract
In Nordic countries, 'welfare technology' is a concept used increasingly by policymakers when discussing the promise of digitalisation in care for older people. In this paper, I draw on data from 14 qualitative ethnographic interviews with employees in municipal eldercare in Sweden, as well as observations carried out at a nursing home, to suggest the importance of studying how good care is enacted through welfare technology, whilst simultaneously attending to the adverse effects sometimes consequent from these practices. In this article, I explore what values are supported when doing care with welfare technology, and what values are neglected in this process. The theoretical starting point for this article takes its inspiration from recent discussions of care within Science and Technology Studies (STS). Employing a double vision of care, the article argues for the importance of understanding how good care is enacted with technology, while also attending to what these care practices exclude and neglect. Focusing on the use of social alarms, the article shows that when doing care with such technology, values such as independence, safety and some forms of togetherness and availability were enhanced; while other values such as other forms togetherness and availability, a stress-free working environment and functionality were neglected.
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Fahsold A, Schmüdderich K, Roes M, Verbeek H, Palm R, Holle B. The Perspective of Residents Living With Dementia Toward Their Built Environment: A Walking Interview Study in German Nursing Homes. Innov Aging 2024; 8:igae058. [PMID: 39022667 PMCID: PMC11253206 DOI: 10.1093/geroni/igae058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2023] [Indexed: 07/20/2024] Open
Abstract
Background and Objectives In long-term care, the built environment can help residents maintain activities of daily living and thus positively influence their quality of life. The adequacy of the built environment can be systematically assessed using assessment tools. The German Environmental Audit Tool (G-EAT) was translated and psychometrically tested for the German setting. Previous research has shown that the perspective of people living with dementia has not been fully considered in this adaptation. To explore the residents' perspective, the question of how residents living with dementia experience the built environment of nursing homes was investigated. Research Design and Methods Walking interviews were conducted with residents. Inclusion criteria for participation were the presence of dementia (medically diagnosed or indicated by symptoms) and the ability to express themselves verbally in German. For data analysis, the audio material was transcribed and supplemented by the researchers' field notes and photographs. Data analysis followed an interpretative phenomenological approach. Results Fourteen residents from 2 nursing homes participated in the walking interviews. A total of 3 themes were identified: (1) being able to maintain the feeling "to refurnish" or having to let it go, (2) experiencing the limits and potentials of being independent because of the built environment, and (3) living in a community of residents. Discussion and Implications The perspective of the living environment of people living with dementia in nursing homes adds to the knowledge of assessment-based data. Boundaries between physical and social environments are experienced as fluid by residents. They do not see their living space as limited to their living unit but describe the nursing home as a living environment. This broadens the perspective of existing structural definitions in the setting.
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Affiliation(s)
- Anne Fahsold
- Deutsches Zentrum für Neurodegenerative Erkrankungen e.V., Standort Witten, Northrine-Westfalia, Germany
- Department of Nursing Science, Faculty of Health, Witten/Herdecke University, Northrine-Westfalia, Germany
| | - Kathrin Schmüdderich
- Deutsches Zentrum für Neurodegenerative Erkrankungen e.V., Standort Witten, Northrine-Westfalia, Germany
- Department of Nursing Science, Faculty of Health, Witten/Herdecke University, Northrine-Westfalia, Germany
| | - Martina Roes
- Deutsches Zentrum für Neurodegenerative Erkrankungen e.V., Standort Witten, Northrine-Westfalia, Germany
- Department of Nursing Science, Faculty of Health, Witten/Herdecke University, Northrine-Westfalia, Germany
| | - Hilde Verbeek
- Department of Health Services Research, Maastricht University, Limburg, The Netherlands
| | - Rebecca Palm
- Department of Nursing Science, Faculty of Health, Witten/Herdecke University, Northrine-Westfalia, Germany
- Department of Health Services Research, Carl von Ossietzky University Oldenburg, Lower Saxony, Germany
| | - Bernhard Holle
- Deutsches Zentrum für Neurodegenerative Erkrankungen e.V., Standort Witten, Northrine-Westfalia, Germany
- Department of Nursing Science, Faculty of Health, Witten/Herdecke University, Northrine-Westfalia, Germany
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Bae S, Kim D. Improving home-like environments in long-term care units: an exploratory mixed-method study. Sci Rep 2024; 14:13243. [PMID: 38853152 PMCID: PMC11162995 DOI: 10.1038/s41598-024-62328-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Accepted: 05/15/2024] [Indexed: 06/11/2024] Open
Abstract
Although the number of older adults requiring care is rapidly increasing, nursing homes have long faced issues such as the absence of a home-like environment. This exploratory mixed-method study investigated how residents (n = 15) in a long-term care unit in South Korea perceive home-like features and privacy in their living spaces. The results indicated that most participants were satisfied with the homeliness and privacy of their environment, but some were unhappy with the level of privacy. Most participants had low scores on the Geriatric Depression Scale and the Pittsburgh Sleep Quality Index, indicating low levels of depression and sleep disorders. Sleep quality was affected by factors such as sensory environment, staff visits, and room temperature. Although participants appreciated social support and private rooms, they expressed a desire for larger rooms. Overall, this study provides preliminary insights into older adults' views on their living spaces in long-term care with implications for improving their quality of life.
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Affiliation(s)
- Suyeon Bae
- Department of Housing and Interior Design, Age Tech-Convergence Major, Kyung Hee University, Seoul, South Korea.
| | - Dayoung Kim
- Department of Housing and Interior Design, Age Tech-Convergence Major, Kyung Hee University, Seoul, South Korea
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Sun X, Cheng Y, Tao Z. Spatial accessibility and equity of residential care facilities in Beijing from 2010 to 2020. Health Place 2024; 86:103219. [PMID: 38467103 DOI: 10.1016/j.healthplace.2024.103219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2023] [Revised: 01/19/2024] [Accepted: 02/18/2024] [Indexed: 03/13/2024]
Abstract
In recent years, the aging population in Beijing has rapidly increased and the demand for residential care facilities (RCFs) has also risen. As RCFs have quickly developed, the question of whether residential care resources dynamically match the changes in the demand of the elderly population is an urgent issue that must be addressed. This study analyzes the spatiotemporal variation in the supply and demand of RCFs, applies a Gaussian two-step floating catchment area method with a multi-level search radius to measure the spatial accessibility of RCFs in Beijing in 2010 and 2020, and evaluates the equity of spatial accessibility. The results show that the elderly population was decentralized from the central urban area to New Urban Development Area. However, the distribution of RCF beds shows further agglomeration towards the central urban area. The accessibility of residential care resources in the central urban area and New Urban Development Area has increased, while accessibility in Ecological Protection Area has decreased. The spatial disparities in accessibility have been reduced and the spatial equity in accessibility has been improved over the past decade. The findings provide policy recommendations for the future allocation of RCFs by considering the spatiotemporal changes in the distribution of the supply and demand of residential care resources.
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Affiliation(s)
- Xinxin Sun
- Faculty of Geographical Science, Beijing Normal University, No.19, Xinjiekouwai St., Beijing, China
| | - Yang Cheng
- Faculty of Geographical Science, Beijing Normal University, No.19, Xinjiekouwai St., Beijing, China.
| | - Zhuolin Tao
- Faculty of Geographical Science, Beijing Normal University, No.19, Xinjiekouwai St., Beijing, China
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Falcão Duarte C, Daalhuizen J, Schwennesen N. Ambiguities in Preventing Infections in Nursing Homes: Care Workers Experiences and Implications for Future Policies. J Aging Soc Policy 2024:1-22. [PMID: 38393974 DOI: 10.1080/08959420.2024.2320049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Accepted: 01/16/2024] [Indexed: 02/25/2024]
Abstract
Preventing infections in nursing homes is highly challenging, given the ambiguous nature of nursing homes as care institutions and places to live. Yet, little is known about how care workers experience preventing infections in this context. Understanding the ambiguities experienced by care workers in nursing homes when enacting infection prevention is crucial to preparing for future health crises. This study investigates and identifies the ambiguities care workers faced and experienced when preventing infections during the COVID-19 pandemic. Interviews and observations were combined to capture narratives and behaviors related to infection prevention and care work. By using thematic analysis, three types of ambiguity were identified: (a) an Ambiguous sense of purpose, (b) Environmental ambiguity, and (c) Information ambiguity. The findings provide a nuanced understanding of the ambiguities care workers face and experience in nursing homes when preventing infections and indicate that such ambiguities impact their behaviors and attitudes. From this study, it is possible to conclude that policymakers must consider nursing homes' ambiguous characteristics in infection prevention programs.
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Affiliation(s)
- Carolina Falcão Duarte
- Department of Technology, Management and Economics, Technical University of Denmark, Lyngby, Denmark
| | - Jaap Daalhuizen
- Department of Technology, Management and Economics, Technical University of Denmark, Lyngby, Denmark
| | - Nete Schwennesen
- Department of People and Technology, Roskilde University, Roskilde, Denmark
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Hockley J, Watson J, Johnston L, Shenkin SD. Practicalities of promoting practice-based learning in end of life care for care home staff: Lessons from "online" supportive conversations and reflection sessions. Int J Older People Nurs 2024; 19:e12598. [PMID: 38268311 DOI: 10.1111/opn.12598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 09/24/2023] [Accepted: 12/18/2023] [Indexed: 01/26/2024]
Abstract
INTRODUCTION Deaths in care homes and "at home" are anticipated to account for a third of UK deaths by 2040. Currently, palliative and end of life care are not part of statutory training in care homes. Reflective practice is a tool that can facilitate practice-based learning and support. Following a feasibly study to test "online" supportive conversations and reflection sessions (OSCaRS) to support care home staff in relation to death/dying during the first months of the COVID pandemic, a one-year practice development follow-up project was undertaken with the aim to create a team of NHS/specialist palliative care (SPC)-based facilitators to lead and support OSCaRS provision in up to 50 care homes in one region in Scotland-the focus of this paper. METHODS Forty care home managers attended an on-line session explaining the project, with a similar session held for 19 NHS/SPC-based nurses external to care homes. Those interested in facilitating OSCaRS then attended three education sessions. DATA COLLECTED records of all activities; reflective notes on OSCaRS organised/delivered; a summary of each OSCaRS reflection/learning points; final interviews with NHS/SPC trainee facilitators. RESULTS A total of 19 NHS/SPC facilitators delivered one or more OSCaRS in 22 participating care homes. However, as of January 2022 only six trained facilitators remained active. Out of the 158 OSCaRS arranged, 96 took place with a total of 262 staff attending. There were three important aspects that emerged: the role, remit, and resources of NHS/SPC supporting OSCaRS; requirements within care homes for establishing OSCaRS; and, the practice-based learning topics discussed at each OSCaRS. CONCLUSION Attempts to establish a team of NHS/SPC facilitators to lead OSCaRS highlights that end of life care education in care homes does not clearly fall within the contractual remit of either group or risks being missed due to more pressing priorities.
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Affiliation(s)
- Jo Hockley
- Usher Institute, University of Edinburgh, Edinburgh, Scotland
| | - Julie Watson
- School of Health in Social Sciences, University of Edinburgh, Edinburgh, Scotland
| | - Lucy Johnston
- School of Health & Social Care, Edinburgh Napier University, Edinburgh, Scotland
| | - Susan D Shenkin
- Usher Institute, University of Edinburgh, Edinburgh, Scotland
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Dando LL, Velitario AM, Mallillin LLD, Celdran MCB, Alcantara JC. Mindful self-care and mental well-being of university health educators and professionals in Hail Region, Saudi Arabia. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2023; 12:351. [PMID: 38144026 PMCID: PMC10743852 DOI: 10.4103/jehp.jehp_1771_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Accepted: 02/09/2023] [Indexed: 12/26/2023]
Abstract
BACKGROUND Psychological stress is a familiar occurrence as it is linked with a sense of lack of control when up fronted with uncertainty. The study examines the mindful self-care practices of health educators and professionals in various domains and determines their relationship to the self-perceived level of mental well-being. MATERIALS AND METHODS The study employs the quantitative descriptive approach. It was conducted in the Hail region in the academic year 2020-2021 and was participated by 91 respondents from various colleges. Self-care practices and mental well-being of health educators and professionals were determined using the Mindful Self-Care Scale and the Warwick Edinburgh Mental Well-being Scale. Pearson correlation (2-tailed) was performed to assess the significant relationship between self-care behavior and mental well-being. Post-hoc test for correlation was conducted between the mean rating for each variable for self-care behavior and the mean rating for mental well-being. This was tested at an appropriate probability value of 0.01 and 0.05. RESULTS The overall mean for self-care behaviors of the respondents was 3.96 (SD 0.81) while the overall mental well-being score was 51.90 (SD 8.0). This was considered as average mental well-being, not indicative of possible/clinical depression. A significant relationship exists between the overall rating for self-care behavior and the overall rating for mental well-being (r = 0.661, P value < 0.001). Furthermore, with a correlation score of 0.661, the two variables have a moderately strong and significant positive relationship. CONCLUSIONS The study affirmed the relationship between mindful self-care behaviors and mental well-being. Engaging in self-care practices regularly and frequently can develop one's well-being.
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Affiliation(s)
- Lea L. Dando
- Department of Medical-Surgical, College of Nursing, University of Hail, Hail, Saudi Arabia
- Department of Medical-Surgical, College of Health and Sciences, Camarines Sur Polytechnic Colleges, Nabua, Camarines Sur, Philippines
| | - Anamarie M. Velitario
- Department of Medical-Surgical, College of Nursing, University of Hail, Hail, Saudi Arabia
| | | | | | - Jerold C. Alcantara
- Department of Medical Laboratory Science, College of Applied Medical Science, University of Hail, Hail, Saudi Arabia
- College of Medical Laboratory Science, Lorma Colleges, San Fernando City, La Union 2500, Philippines
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Orr N, Abbott R, Bethel A, Paviour S, Whear R, Garside R, Coon JT. What are the effects of animals on the health and wellbeing of residents in care homes? A systematic review of the qualitative and quantitative evidence. BMC Geriatr 2023; 23:170. [PMID: 36964508 PMCID: PMC10038779 DOI: 10.1186/s12877-023-03834-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Accepted: 02/16/2023] [Indexed: 03/26/2023] Open
Abstract
BACKGROUND There is some evidence to suggest that animal-assisted interventions can have beneficial impact for residents in long-term care, but the focus of the evidence has largely been on behavioural and psychosocial measured outcomes. Animals, either as companion animals or in the form of pet/animal-assisted therapy, may provide benefits in the form of social contact, as well as opportunities for sensory experiences and meaningful engagement not picked up by outcome tools. This review aimed to create a state-of-knowledge synthesis, bringing together qualitative and quantitative findings, on the impact of animal-human interaction on care home residents and care home staff. METHODS Fourteen databases were searched from inception to July 2020. Forward and backward citation chasing of included articles was conducted. Screening was undertaken independently by a team of reviewers. Thematic synthesis and meta-analysis were used to synthesise the qualitative and quantitative data. RESULTS Thirty-four studies, published in 40 articles (20 qualitative and 20 quantitative) were included. Five themes relating to resident wellbeing were identified in the qualitative evidence synthesis. These were animals as 'living beings', reminiscence and storytelling, caring (as 'doing' and 'feeling'), respite (from loneliness, institutionalisation, and illness), and sensory engagement. A sixth theme related to staff perceptions and wellbeing, and a seventh to animal health and wellbeing. Maintaining identity was identified as an overarching theme. The majority of randomised trials had small sample sizes and were rated as low quality, mostly showing no evidence of beneficial effect. There was, however, limited evidence of a positive effect of pet/animal interaction on outcomes of loneliness, anxiety and depression, supporting the themes of respite and sensory engagement. CONCLUSIONS The presence of animals can significantly impact the health and wellbeing of some care home residents. Residents had meaningful relationships with animals and derived pleasure and comfort from them. Interacting with animals offered residents a way to maintain a sense of self in the care homes, and with support, residents with dementia could also express their identities. Facilitating residents to interact with animals as part of person-centred care may also help residents to feel 'at home' in the care home. TRIAL REGISTRATION PROSPERO registration no: CRD42017058201.
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Affiliation(s)
- Noreen Orr
- NIHR ARC South West Peninsula (PenARC), College of Medicine & Health, Evidence Synthesis Team, University of Exeter, South Cloisters, St. Luke's Campus, Exeter, EX1 2LU, Devon, UK.
| | - Rebecca Abbott
- NIHR ARC South West Peninsula (PenARC), College of Medicine & Health, Evidence Synthesis Team, University of Exeter, South Cloisters, St. Luke's Campus, Exeter, EX1 2LU, Devon, UK
| | - Alison Bethel
- NIHR ARC South West Peninsula (PenARC), College of Medicine & Health, Evidence Synthesis Team, University of Exeter, South Cloisters, St. Luke's Campus, Exeter, EX1 2LU, Devon, UK
| | - Sarah Paviour
- College of Medicine and Health, University of Exeter, Exeter, UK
| | - Rebecca Whear
- NIHR ARC South West Peninsula (PenARC), College of Medicine & Health, Evidence Synthesis Team, University of Exeter, South Cloisters, St. Luke's Campus, Exeter, EX1 2LU, Devon, UK
| | - Ruth Garside
- European Centre for Environment and Human Health, University of Exeter Medical School, Royal Cornwall Hospital, Knowledge Spa, Truro, Cornwall, TR1 3HD, UK
| | - Joanna Thompson Coon
- NIHR ARC South West Peninsula (PenARC), College of Medicine & Health, Evidence Synthesis Team, University of Exeter, South Cloisters, St. Luke's Campus, Exeter, EX1 2LU, Devon, UK
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Ng L, Oliver E, Laver K. Beyond garden design: A review of outdoor occupation in hospital and residential care settings for people with dementia. Aust Occup Ther J 2023; 70:97-118. [PMID: 35773964 DOI: 10.1111/1440-1630.12826] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Revised: 06/06/2022] [Accepted: 06/12/2022] [Indexed: 01/31/2023]
Abstract
INTRODUCTION Access to outdoor space is widely recommended for people with dementia. However, there is limited information on the occupations of people with dementia within these spaces. We sought to review the research literature to identify the occupations of people with dementia in outdoor spaces in residential aged care and/or hospitals and report on features that support occupational participation as well as the benefits of occupational participation in these spaces. METHODS Scoping review. We searched electronic databases involving health, design, and horticulture literature. Studies were included if they involved people with dementia and considered occupations within gardens or garden-like spaces of hospitals, subacute rehabilitation facilities, or residential aged care. RESULTS We identified 19 articles meeting the review criteria. Outdoor spaces for people with dementia varied in design and supported a range of occupations with the most common being social occupations, gardening, and physical activities. Quantitative studies suggested that benefits of outdoor occupations for people with dementia were improvements in activity participation, social connection, mood, agitation, light exposure, and sleep. Qualitative studies supported these findings and identified additional perceived benefits such as engagement, maintaining identity, health, and reduced levels of distress. Benefits were also reported for families and staff. CONCLUSIONS Current literature shows that many occupations can be done outside and that these are beneficial for people with dementia. Despite the wide range of benefits, multiple studies reported that outdoor spaces remain under-utilised. More work is required to design spaces for occupational engagement, support access to outdoor spaces, and promote occupational participation.
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Affiliation(s)
- Lorraine Ng
- Flinders Health and Medical Research Institute, Flinders University, Bedford Park, South Australia, Australia.,Queen Elizabeth Hospital, Central Adelaide Local Health Network, Woodville South, South Australia, Australia
| | - Eliza Oliver
- Flinders Health and Medical Research Institute, Flinders University, Bedford Park, South Australia, Australia
| | - Kate Laver
- Flinders Health and Medical Research Institute, Flinders University, Bedford Park, South Australia, Australia
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Palmgren M, Rosenberg L, Gaber SN, Johansson K. Family members' reasoning in relation to pleasant environments in nursing homes. DEMENTIA 2023; 22:235-251. [PMID: 36427294 PMCID: PMC9772895 DOI: 10.1177/14713012221142474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The physical environment plays an important role in how everyday life is shaped and experienced for persons living in nursing homes as well as for the residents' family and friends. Still, there is a scarcity of research exploring the perspectives of family members of residents regarding everyday life in common areas in nursing homes. In this study, we chose the term, 'a pleasant place', with the ambition of remaining open to various ideas and aspects that family members perceive as relevant when reasoning about the nursing home environment. The study aimed to explore how family members of nursing home residents reason in relation to pleasant places in nursing homes. Four focus group sessions were conducted with a total of 14 family members. Data were analysed using qualitative content analysis. The analysis resulted in four themes. 'A door ajar', highlighted the importance of a nursing home environment that provides potential opportunities for pleasurable everyday moments. 'Why does it have to be so ugly?', revealed how family members perceived institutional logics as guiding the design of the nursing homes, which were misaligned with the logics of a pleasant place. 'A place to care for?', emphasised the physical environment as an integrated aspect of care, in terms of being carefully arranged and used with sensitivity. Finally, 'allegiance to the place' showed that despite the family members' recognitions of shortcomings in the nursing home physical environments, their allegiance to the place provided a sense of the nursing home as a pleasant place. The study contributes knowledge regarding the perceived value of the design of the physical environment in nursing homes, particularly in common areas, as an integral aspect of care, and moves beyond the ideas of homelike and non-institutional nursing home environments.
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Affiliation(s)
| | - Lena Rosenberg
- Department of Rehabilitation, School of Health and Welfare, Jönköping University, Jönköping, Sweden.,Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, NVS, 27106Karolinska Institutet, Stockholm, Sweden
| | - Sophie Nadia Gaber
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, NVS, 27106Karolinska Institutet, Stockholm, Sweden.,Department of Health Care Sciences, Marie Cederschiöld University, Stockholm, Sweden
| | - Karin Johansson
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, NVS, 27106Karolinska Institutet, Stockholm, Sweden
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Matarese M, Mauro L, Notarnicola I, Cinque A, Bonacci S, Covelli G, Casciato S. Experiences of health care personnel with promoting a sense of home for older adults living in residential care facilities: a qualitative systematic review. JBI Evid Synth 2022; 20:2826-2866. [PMID: 35975298 DOI: 10.11124/jbies-21-00452] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
OBJECTIVE The objective of this review was to evaluate the experiences of health care personnel with promoting a sense of home for older adults living in residential care facilities. INTRODUCTION Moving to a residential care facility represents a critical moment for older adults. It disrupts the continuity of their lives and distances them from significant people and objects. Health care personnel working in residential care facilities can help create a sense of home for residents. There is a lack of qualitative reviews reporting health care personnel's experiences with promoting a sense of home for older adults living in residential care settings. INCLUSION CRITERIA Qualitative studies exploring the experiences of health care personnel with promoting a sense of home for people aged 65 and older living in residential care facilities, including, but not limited to, nursing homes, residential care homes, retirement homes, assisted-living facilities, and skilled nursing facilities were included in the review. METHODS This review followed a meta-aggregation approach according to JBI methodology for systematic reviews of qualitative evidence. PubMed, CINAHL, Embase, PsycINFO, Scopus, Web of Science, and ILISI databases were searched, as well as Google Scholar, OpenGrey, and ProQuest Dissertations and Theses Global. Studies published in English, Italian, French, Portuguese, or Spanish were considered for inclusion. Study selection, critical appraisal, data extraction, and data synthesis were conducted by 2 independent reviewers using the JBI approach and JBI standardized tools. Finally, the ConQual approach was used to assess the confidence level in the study findings. RESULTS Seven studies conducted in Canada, the United States, the United Kingdom, Sweden, and the Netherlands between 2014 and 2020 were included. The studies reported the experiences of nurses, nurse aides, and directors of facilities. From the aggregation of 69 findings, 14 categories were generated that were then grouped into 3 synthesized findings describing the experiences of health care personnel as follows: the promotion of residents' sense of home in residential care facilities is influenced by i) the built environment, including private, single rooms with bathrooms, homelike-domestic spaces, personalization of residents' rooms, homelike interior and exterior design, and non-hospital-like environment; ii) the national and local policy and regulations, and work organization, as well as leadership of managers and directors; and iii) the facilities' care culture, including philosophy of care, maintaining autonomy of residents and ties with the community, participation in domestic and recreational activities, and family relationships. Based on the ConQual scores, the confidence level in the synthesized findings was graded as low. CONCLUSIONS According to health care personnel, the physical environment, interpersonal and social aspects, regulations, work organization, and the facilities' care culture can contribute to creating a sense of home for older adults in residential care facilities. The evidence derived from this review can help health care personnel, facility directors, and policy-makers identify the changes that should be implemented to promote a sense of home in older adults residing in care facilities. SYSTEMATIC REVIEW REGISTRATION NUMBER PROSPERO CRD42020214383.
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Affiliation(s)
- Maria Matarese
- CECRI Evidence-based practice group for Nursing Scholarship: A JBI Affiliated Group, Rome, Italy.,Research Unit of Nursing Sciences (RUNS), Campus Bio-Medico University of Rome, Rome, Italy
| | - Lucia Mauro
- CECRI Evidence-based practice group for Nursing Scholarship: A JBI Affiliated Group, Rome, Italy.,San Camillo-Forlanini Hospital of Rome, Italy
| | - Ippolito Notarnicola
- CECRI Evidence-based practice group for Nursing Scholarship: A JBI Affiliated Group, Rome, Italy.,Centre of Excellence for Nursing Scholarship, Ordine delle Professioni Infermieristiche (OPI) of Rome, Italy
| | - Alessandro Cinque
- CECRI Evidence-based practice group for Nursing Scholarship: A JBI Affiliated Group, Rome, Italy.,Giovanni-Addolorata Hospital of Rome, Italy
| | - Sara Bonacci
- Azienda Regionale Emergenza Sanitaria (ARES) 118, Rome, Italy
| | | | - Stefano Casciato
- CECRI Evidence-based practice group for Nursing Scholarship: A JBI Affiliated Group, Rome, Italy.,Centre of Excellence for Nursing Scholarship, Ordine delle Professioni Infermieristiche (OPI) of Rome, Italy
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Mathias DV, Stellenberg| PEL, van der Heever DM. Situation Analysis of Healthcare Standards and Criteria That Contribute to the Care of Residents in Homes for Older People in Tanzania. Gerontol Geriatr Med 2022; 8:23337214221141272. [PMCID: PMC9716609 DOI: 10.1177/23337214221141272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Revised: 10/10/2022] [Accepted: 11/04/2022] [Indexed: 12/05/2022] Open
Abstract
Problems experienced in homes for older people in Tanzania highlighted the need for a situation analysis of healthcare standards to identify the baseline of care provided to residents in these homes. This study conducted a situation analysis of structure healthcare standards and associated criteria with the aim of contributing to improved quality of care for residents in homes for older people in Tanzania. Thirty-two homes for older people in Tanzania were audited using an audit instrument that included seven fields, 26 structure standards, and 262 associated criteria. The analysis showed that overall, the homes were non-compliant with healthcare structure standards and associated criteria. The Tanzanian Government should urgently introduce measures to address the missing standards and associated criteria.
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Affiliation(s)
- Dr Victor Mathias
- Aga Khan University, Dar es Salaam, Tanzania,Victor Mathias, Aga Khan University, Dar es Salaam Campus, P. O. Box 38129, Tanzania. Emails: ;
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“If There Isn’t Love, It Isn’t Home”: An Exploration of Relationship Qualities and the Meaning of Home for Residents in Aged Care. RELIGIONS 2022. [DOI: 10.3390/rel13070604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Exploring the meaning of home is essential for the quality of life and well-being of older people in residential aged care. ‘Home’ is a spiritual concept that is deeply personal and important for older people. Using a qualitative, phenomenologically-based methodology, the meaning of home for ten older people living in residential aged care in Australia was examined using in-depth interviews to draw out the depth of meaning around the home. A key finding of the study showed that ‘home’ means connection through meaningful relationships and meaningful connection to place. The current paper focuses on meaningful relationships required for an older person to feel ‘at home’ in residential aged care. Drawing on residents’ personal narratives, fresh insights are provided into essential relationship qualities, and suggestions are made on how quality relationships can be facilitated and maintained, both for and by residents, to increase a sense of homeliness in residential aged care.
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