Psychological and Nutritional Effects of Redecorating the Physical Environment in Nursing Homes

2015 ◽  
pp. 28-32
Author(s):  
Bertil Steen ◽  
Rikard K�ller
Keyword(s):  
Nursing Homes ◽  
Physical Environment ◽  
Nutritional Effects

scholarly journals The Physical Environment of Nursing Homes for People with Dementia: Traditional Nursing Homes, Small-Scale Living Facilities, and Green Care Farms

Healthcare ◽  
2018 ◽  
Vol 6 (4) ◽  
pp. 137 ◽  
Author(s):  
Bram de Boer ◽  
Hanneke Beerens ◽  
Melanie Katterbach ◽  
Martina Viduka ◽  
Bernadette Willemse ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Physical Environment ◽  
Well Being ◽  
Nursing Home Care ◽  
Small Scale ◽  
People With Dementia ◽  
Different Types ◽  
Centered Care ◽  
Green Care Farms

It is well recognized that the physical environment is important for the well-being of people with dementia. This influences developments within the nursing home care sector where there is an increasing interest in supporting person-centered care by using the physical environment. Innovations in nursing home design often focus on small-scale and homelike care environments. This study investigated: (1) the physical environment of different types of nursing homes, comparing traditional nursing homes with small-scale living facilities and green care farms; and (2) how the physical environment was being used in practice in terms of the location, engagement and social interaction of residents. Two observational studies were carried out. Results indicate that the physical environment of small-scale living facilities for people with dementia has the potential to be beneficial for resident’s daily life. However, having a potentially beneficial physical environment did not automatically lead to an optimal use of this environment, as some areas of a nursing home (e.g., outdoor areas) were not utilized. This study emphasizes the importance of nursing staff that provides residents with meaningful activities and stimulates residents to be active and use the physical environment to its full extent.

scholarly journals THE PHYSICAL ENVIRONMENT OF GREEN CARE FARMS: A COMPARISON WITH EXISTING NURSING HOMES

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 1311-1311
Author(s):  
B. de Boer ◽  
J. Hamers ◽  
S. Zwakhalen ◽  
H. Verbeek
Keyword(s):  
Nursing Homes ◽  
Physical Environment ◽  
Green Care Farms

scholarly journals A Visual Analysis on How the Physical Environment Conditions Relatives’ Involvement in Nursing Homes

SAGE Open ◽  
2017 ◽  
Vol 7 (4) ◽  
pp. 215824401774039
Author(s):  
Jessica Holmgren
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Physical Environment ◽  
Visual Analysis ◽  
Nursing Home Residents ◽  
Well Being ◽  
Care Environment ◽  
Cultural Symbols ◽  
Information Displays ◽  
Physical Care

This study seeks to describe how the composition of the physical care environment conditions relatives’ involvement in nursing home institutions. It is well known that the physical care environment in institutions has a significant impact on the well-being of residents and the work satisfaction of nursing staff. Less explored is how physical care environmental factors are related to the involvement of relatives in nursing homes. A visual analysis of 52 photographs from three nursing homes in Sweden shows how the physical environment acts to condition the involvement of relatives through the use of design, information displays, and cultural symbols. Although various aspects of the physical environment promoted participation of relatives, that engagement was based on certain limited concepts of involvement. This suggests that other conceptual frameworks of involvement in nursing homes are possible, and that these might encourage other aspects of involvement from the relatives of nursing home residents.

Residential Characteristics, Social Factors, and Mortality Among Adults With Intellectual Disabilities: Transitions Out of Nursing Homes

2009 ◽  
Vol 47 (6) ◽  
pp. 447-465 ◽  
Author(s):  
Kelly Hsieh ◽  
Tamar Heller ◽  
Sally Freels
Keyword(s):  
Nursing Homes ◽  
Intellectual Disabilities ◽  
Family Involvement ◽  
Adaptive Behavior ◽  
Social Factors ◽  
Physical Environment ◽  
Community Integration ◽  
Personal Characteristics ◽  
Residential Characteristics ◽  
Adults With Intellectual Disabilities

Abstract The present study examined the degree to which residential characteristics and social factors are associated with mortality, after controlling for personal characteristics, among adults with intellectual disabilities who have resided in nursing homes (facilities providing skilled care and related services) at baseline in the Chicago area. Initial assessments were conducted on 330 residents, and 2 follow ups were performed over 10 years. Seventy-one residents had died by the end of the study. The variables examined included personal characteristics of age, gender, intellectual level, health, and adaptive behavior; residential characteristics of type of residence, size of facility, attractiveness of physical environment (cleanliness, conditions, and aesthetic appeal), and diversity of physical environment (personalization of residents' rooms and distinctiveness of all living spaces); and social factors of family involvement and community integration. The results indicated, beyond age, adaptive behavior, and health, that size of residences, residential characteristics, and social factors are related to mortality.

scholarly journals Person-centered care in Norwegian nursing homes and its relation to organizational factors and staff characteristics: a cross-sectional survey

2017 ◽  
Vol 30 (9) ◽  
pp. 1279-1290 ◽  
Author(s):  
Irene Røen ◽  
Øyvind Kirkevold ◽  
Ingelin Testad ◽  
Geir Selbæk ◽  
Knut Engedal ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Nursing Homes ◽  
Physical Environment ◽  
Organizational Factors ◽  
Structural Factors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Person Centered Care ◽  
People With Dementia ◽  
Centered Care

ABSTRACTBackground:Person-centered care (PCC) is regarded as good quality care for persons with dementia. This study aimed to explore and understand the association between PCC and organizational, staff and unit characteristics in nursing homes (NHs).Methods:Staff from 175 NH units in Norway (n = 1,161) completed a survey, including measures of PCC and questions about staff characteristics and work-related psychosocial factors. In addition, data about organizational and structural factors and assessment of the physical environment in the units were obtained. The distribution of these factors in regular units (RUs) and special care units (SCUs) is described, and the differences between the two types of units are analyzed. Furthermore, multilevel linear regression analyses explored the extent to which variables were associated with PCC.Results:Higher levels of PCC were associated with a greater job satisfaction, three years or more of health-related education, a lower level of quantitative demands and role conflict, a higher level of perception of mastery, empowering leadership, innovative climate and perception of group work, in addition to the type of unit and the physical environment in the NH unit designed for people with dementia. SCU and staff job satisfaction explained most of the variation in PCC.Conclusion:This study shows an association between PCC and organizational, staff and unit characteristics in NH. These findings indicate that providing PCC in NH care is closely linked to how the staff experiences their job situation in addition to both organizational and structural factors and the physical environment. Attention needs to be given to such factors when planning NH care.

scholarly journals Restoring trust: COVID-19 and the future of long-term care in Canada

FACETS ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 651-691 ◽  
Author(s):  
Carole A. Estabrooks ◽  
Sharon E. Straus ◽  
Colleen M. Flood ◽  
Janice Keefe ◽  
Pat Armstrong ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Physical Environment ◽  
Long Term Care ◽  
Task Force ◽  
Term Care ◽  
Policy Makers ◽  
Societal Challenges ◽  
Recommendations For Action ◽  
Working Groups

The Royal Society of Canada Task Force on COVID-19 was formed in April 2020 to provide evidence-informed perspectives on major societal challenges in response to and recovery from COVID-19. The Task Force established a series of working groups to rapidly develop policy briefings, with the objective of supporting policy makers with evidence to inform their decisions. This paper reports the findings of the COVID-19 Long-Term Care (LTC) working group addressing a preferred future for LTC in Canada, with a specific focus on COVID-19 and the LTC workforce. First, the report addresses the research context and policy environment in Canada’s LTC sector before COVID-19 and then summarizes the existing knowledge base for integrated solutions to challenges that exist in the LTC sector. Second, the report outlines vulnerabilities exposed because of COVID-19, including deficiencies in the LTC sector that contributed to the magnitude of the COVID-19 crisis. This section focuses especially on the characteristics of older adults living in nursing homes, their caregivers, and the physical environment of nursing homes as important contributors to the COVID-19 crisis. Finally, the report articulates principles for action and nine recommendations for action to help solve the workforce crisis in nursing homes.

Furniture in Swedish Nursing Homes: A Design Perspective on Perceived Meanings within the Physical Environment

2014 ◽  
Vol 39 (2) ◽  
pp. 17-35 ◽  
Author(s):  
Oskar Jonsson ◽  
Britt Östlund ◽  
Anders Warell ◽  
Elisabeth Dalholm Hornyánszky
Keyword(s):  
Nursing Homes ◽  
Physical Environment ◽  
Design Perspective

scholarly journals The Changing Adoption of Culture Change Practices in U.S. Nursing Homes

2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Julie C Lima ◽  
Margot L Schwartz ◽  
Melissa A Clark ◽  
Susan C Miller
Keyword(s):  
Nursing Homes ◽  
Physical Environment ◽  
Culture Change ◽  
Panel Study ◽  
Factors Associated ◽  
Centered Care ◽  
Nationally Representative ◽  
Practice Implementation ◽  
Over Time ◽  
Domain Scores

Abstract Background and Objectives The study aimed to: (i) describe whether culture change (CC) practice implementation related to physical environment, resident-centered care, and staff empowerment increased within the same nursing homes (NHs) over time; and (ii) identify factors associated with observed increases. Research Design and Methods This was a nationally representative panel study of 1,584 U.S. NHs surveyed in 2009/2010 and 2016/2017. Survey data were merged with administrative, NH, and market-level data. Physical environment, staff empowerment, and resident-centered care domain scores were calculated at both time points. Multivariate logistic regression models examined factors associated with domain score increases. Results Overall, 22% of NHs increased their physical environment scores over time, 32% their staff empowerment scores, and 44% their resident-centered care scores. However, 32%–68% of NHs with below median baseline scores improved their domain scores over time compared with only 11%–21% of NHs with baseline scores at or above the median. Overall, NHs in states with Medicaid pay-for-performance (with CC components), in community care retirement communities, with special care units and higher occupancy had significantly higher odds of increases in physical environment scores. Only baseline domain scores were associated with increases in staff empowerment and resident-centered care scores. Discussion and Implications This is the first nationally representative panel study to assess NH CC adoption. Many NHs increased their CC practices, though numerous others did not. While financial incentives and indicators of financial resources were associated with increase in physical environment scores, factors associated with staff empowerment and resident-centered care improvements remain unclear. Studies are needed to assess whether the observed increases in CC adoption are associated with greater quality of life and care gains for residents and whether there is a threshold effect beyond which the efficacy of additional practice implementation may be less impactful.

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