Impact of the built environment and care services within rural nursing homes in China on quality of life for elderly residents

2017 ◽  
Vol 24 (6) ◽  
pp. 1170-1183 ◽  
Author(s):  
Jingyu Yu ◽  
Guixia Ma ◽  
Xiaoyan Jiang
Keyword(s):  
Quality Of Life ◽  
Nursing Homes ◽  
Built Environment ◽  
Indoor Environment ◽  
Healthcare Services ◽  
Content Type ◽  
Rural Nursing ◽  
Daily Care ◽  
Care Services

Purpose The ageing of rural Chinese populations is challenging health and social policy, driving growth in rural nursing homes. Living environment plays a role in enhancing elderly quality of life (QoL), however, the impact of the built environment and care services are under-studied. The purpose of this paper is to investigate the influence of the built environment and care services on the QoL of elderly people within rural nursing homes in China. Design/methodology/approach A total of 242 residents of nursing home were surveyed, of which 76 percent were male and 24 percent were female. In total, 25.6 percent were aged between 60 and 69, 40.1 percent between 70 and 79, 31 percent between 80 and 89, and 3.3 percent were 90 or above. Quantitative data were analyzed through factor analysis, reliability test and multiple regression modeling. Findings The authors identified six built environment factors (room distance, space, barrier-free design, indoor environment, fire safety, and support facilities) and three services factors (i.e. daily care services, cleaning services, and healthcare services). QoL was measured over four dimensions: QoL, physical health, psychological health, and social relationships. Elderly QoL could be accurately predicted from room distance, space, barrier-free design, indoor environment, daily care services, and cleaning services. Practical implications Interventions in design of the built environment and the provision of care services are proposed, including dimensions of living space, heating, and provisions for qualified care providers. Originality/value This paper provides a clear picture about elderly special requirements on their built environment and healthcare services, helping architects, engineers and facilities managers understand elderly needs and improve built environment during design and operation stages.

Cost effectiveness in palliative care setting

2018 ◽  
Vol 21 (2) ◽  
pp. 62-71
Author(s):  
Henry O’Lawrence ◽  
Rohan Chowlkar
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
End Of Life ◽  
Hospice Care ◽  
Home Health ◽  
Data Set ◽  
Content Type ◽  
Care Services ◽  
The Cost

Purpose The purpose of this paper is to determine the cost effectiveness of palliative care on patients in a home health and hospice setting. Secondary data set was utilized to test the hypotheses of this study. Home health care and hospice care services have the potential to avert hospital admissions in patients requiring palliative care, which significantly affects medicare spending. With the aging population, it has become evident that demand of palliative care will increase four-fold. It was determined that current spending on end-of-life care is radically emptying medicare funds and fiscally weakening numerous families who have patients under palliative care during life-threatening illnesses. The study found that a majority of people registering for palliative and hospice care settings are above the age group of 55 years old. Design/methodology/approach Different variables like length of stay, mode of payment and disease diagnosis were used to filter the available data set. Secondary data were utilized to test the hypothesis of this study. There are very few studies on hospice and palliative care services and no study focuses on the cost associated with this care. Since a very large number of the USA, population is turning 65 and over, it is very important to analyze the cost of care for palliative and hospice care. For the purpose of this analysis, data were utilized from the National Home and Hospice Care Survey (NHHCS), which has been conducted periodically by the Centers for Disease Control and Prevention’s National Center for Health Statistics. Descriptive statistics, χ2 tests and t-tests were used to test for statistical significance at the p<0.05 level. Findings The Statistical Package for Social Sciences (SPSS) was utilized for this result. H1 predicted that patients in the age group of 65 years and up have the highest utilization of home and hospice care. This study examined various demographic variables in hospice and home health care which may help to evaluate the cost of care and the modes of payments. This section of the result presents the descriptive analysis of dependent, independent and covariate variables that provide the overall national estimates on differences in use of home and hospice care in various age groups and sex. Research limitations/implications The data set used was from the 2007 NHHCS survey, no data have been collected thereafter, and therefore, gap in data analysis may give inaccurate findings. To compensate for this gap in the data set, recent studies were reviewed which analyzed cost in palliative care in the USA. There has been a lack of evidence to prove the cost savings and improved quality of life in palliative/hospice care. There is a need for new research on the various cost factors affecting palliative care services as well as considering the quality of life. Although, it is evident that palliative care treatment is less expensive as compared to the regular care, since it eliminates the direct hospitalization cost, but there is inadequate research to prove that it improves the quality of life. A detailed research is required considering the additional cost incurred in palliative/hospice care services and a cost-benefit analysis of the same. Practical implications While various studies reporting information applicable to the expenses and effect of family caregiving toward the end-of-life were distinguished, none of the previous research discussed this issue as their central focus. Most studies addressed more extensive financial effect of palliative and end-of-life care, including expenses borne by the patients themselves, the medicinal services framework and safety net providers or beneficent/willful suppliers. This shows a significant hole in the current writing. Social implications With the aging population, it has become evident that demand of palliative/hospice care will increase four-fold. The NHHCS have stopped keeping track of the palliative care requirements after 2007, which has a negative impact on the growing needs. Cost analysis can only be performed by analyzing existing data. This review has recognized a huge niche in the evidence base with respect to the cost cares of giving care and supporting a relative inside a palliative/hospice care setting. Originality/value The study exhibited that cost diminishments in aggressive medications can take care of the expenses of palliative/hospice care services. The issue of evaluating result in such a physically measurable way is complicated by the impalpable nature of large portions of the individual components of outcome. Although physical and mental well-being can be evaluated to a certain degree, it is significantly more difficult to gauge in a quantifiable way, the social and profound measurements of care that help fundamentally to general quality of care.

Attitudes Toward Intelligent Technologies

2011 ◽  
pp. 231-252
Author(s):  
Lorenza Tiberio ◽  
Massimiliano Scopelliti ◽  
Maria Vittoria Giuliani
Keyword(s):  
Quality Of Life ◽  
Nursing Homes ◽  
Elderly People ◽  
Term Care ◽  
Care Services ◽  
Care Giving ◽  
Human Care

Nursing homes provide long-term care services and can help preserve the quality of life of elderly people subject to physical and cognitive impairments. In this chapter, we explore the role of intelligent technologies as a supplement to human care-giving and the potential to improve quality of life for both older adults and their caregivers in nursing homes. A study was conducted on elderly people’s and caregivers’ attitudes toward the use of intelligent technologies in nursing homes, with the aim of understanding in which domains of everyday activities the application of intelligent technologies can be more suitable. Results showed that attitude toward the application of intelligent technologies in nursing homes is positive, although multifaceted. Elderly people and caregivers considered intelligent technologies as relevant devices for the improvement of quality of life in different domains. Nonetheless, differences related to the role that technologies played in nursing homes clearly emerged.

Developing an integrated indoor built environment–quality of life model for the elderly in public and subsidized housing

2019 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mei-yung Leung ◽  
Ibukun Oluwadara Famakin ◽  
Chendi Wang
Keyword(s):  
Quality Of Life ◽  
Built Environment ◽  
Social Relationships ◽  
The Elderly ◽  
Walking Distance ◽  
Equation Modeling ◽  
Content Type ◽  
Environment Quality ◽  
Life Model

Purpose The growth rate of the aging population raises the demand for and challenges of public and subsidized (P&S) housing for the elderly. The decline in elderly ability increases their dependence on the quality of facilities provided by their residential apartment. Hence, the purpose of this paper is to develop an integrated indoor built environment–quality of life model for the elderly in P&S housing estates. Design/methodology/approach A questionnaire survey, including scales for 4 quality of life (QoL) domains (physical health, psychological health, social relationships and overall QoL), and 13 indoor built environment (BE) components were identified. In total, 365 survey data were collected from the elderly in 18 political districts of Hong Kong, while reliability analysis, multiple regression analysis and structural equation modeling were adopted in the data analysis. Findings Based on the congruence of results of these statistical analyses, it was revealed that: furniture and fixtures predict all the four QoL domains of the elderly; lighting and color induce social relationships; and overall QoL is predicted by distance and handrails. Originality/value Several recommendations were made in accordance with the research results, such as review minimum spacing requirements to provide walking distance for elderly physical activity, investigate the micro-climate for appropriate building orientation, consider the changing body size of the elderly for supply of furniture, use warm colors with high levels of illumination, and so on.

Attitudes Toward Intelligent Technologies

2012 ◽  
pp. 970-991
Author(s):  
Lorenza Tiberio ◽  
Massimiliano Scopelliti ◽  
Maria Vittoria Giuliani
Keyword(s):  
Quality Of Life ◽  
Nursing Homes ◽  
Elderly People ◽  
Term Care ◽  
Care Services ◽  
Care Giving ◽  
Human Care

Nursing homes provide long-term care services and can help preserve the quality of life of elderly people subject to physical and cognitive impairments. In this chapter, we explore the role of intelligent technologies as a supplement to human care-giving and the potential to improve quality of life for both older adults and their caregivers in nursing homes. A study was conducted on elderly people’s and caregivers’ attitudes toward the use of intelligent technologies in nursing homes, with the aim of understanding in which domains of everyday activities the application of intelligent technologies can be more suitable. Results showed that attitude toward the application of intelligent technologies in nursing homes is positive, although multifaceted. Elderly people and caregivers considered intelligent technologies as relevant devices for the improvement of quality of life in different domains. Nonetheless, differences related to the role that technologies played in nursing homes clearly emerged.

scholarly journals Nursing home quality of life in the Lebanon

2017 ◽  
Vol 18 (2) ◽  
pp. 145-156
Author(s):  
Marina Gharibian Adra ◽  
John Hopton ◽  
John Keady
Keyword(s):  
Quality Of Life ◽  
Nursing Home ◽  
Nursing Homes ◽  
Family Caregivers ◽  
Comparative Method ◽  
Nursing Home Residents ◽  
Care Staff ◽  
Care Practice ◽  
Content Type

Purpose 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. Design/methodology/approach 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. Findings 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. Originality/value 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.

Concepts of social sustainability based on social infrastructure and quality of life

Facilities ◽  
2020 ◽  
Vol 38 (11/12) ◽  
pp. 783-800 ◽  
Author(s):  
Bojan Grum ◽  
Darja Kobal Grum
Keyword(s):  
Quality Of Life ◽  
Built Environment ◽  
Social Inclusion ◽  
Social Sustainability ◽  
Well Being ◽  
Social Infrastructure ◽  
Public Infrastructure ◽  
Content Type ◽  
Sustainability Model

Purpose There is a lack of theoretical and empirical studies regarding concepts of social sustainability based on social infrastructure. The idea of understanding this paper is that quality social infrastructure leads to the general quality of people’s life in the built environment and that is rounded up to social sustainability. This paper aims to integrate these concepts into the network, hereinafter referred to as a social sustainability model. Design/methodology/approach The methodology used in this paper is desk research. The authors follow methodological steps in the building of conceptual network: setting up a research problem; choice of databases; reviewing the literature and categorizing the selected data; identifying and default conceptual definition; integrating the concepts; synthesis and making it all make sense; and assembly and validating the concept. Through that, a large volume of bibliographic materials was scanned, and a limited number of documents have been reviewed and critiqued. The documents have been selected from varied disciplines, including social infrastructure, quality of life, social sustainability, urban sociology, housing policy as among the articles. Findings The result is the model which represents the links between social infrastructure (utility equipment, public infrastructure, vital objects and fundamentals) and further between factors inside quality of life structure (users, quality of life, reflections). The result is the model which representing the links between social infrastructure (utility equipment, public infrastructure, vital objects and fundamentals) and further between factors inside well-being structure (users, quality of life, reflections). Research limitations/implications There is a potential risk of errors arising from the use of assumptions, limited desk reviews and data from secondary resources. Originality/value The authors portray the development of social sustainability model. Within this model, the authors can critically observe all levels within the existing built environment: user responses to the built environment, their satisfaction, social inclusion, health, etc. Within this model, they can observe the links between existing research, their frequency, capture, direction and not least to determine which areas have not been explored and where the lacks of research are. The conclusion outlines the framework and its main concepts of social sustainability based on social infrastructure and well-being, including their theoretical premises and components.

scholarly journals Quality of life and associated factors amongst older adults in a remote community, Nepal

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Saurav Chandra Acharya Samadarshi ◽  
Pimsurang Taechaboonsermsak ◽  
Mathuros Tipayamongkholgul ◽  
Korravarn Yodmai
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Older Adults ◽  
The Elderly ◽  
Healthcare Services ◽  
Cross Sectional ◽  
Remote Community ◽  
Content Type ◽  
The Government

PurposeThe purpose of the study is to assess the quality of life (QOL) of older adults and explore factors associated with it.Design/methodology/approachA cross-sectional study was conducted in a remote community in Nepal. A total of 671 older adults aged 60 years were enrolled in the study. QOL was measured by WHOQOL-OLD questionnaire. Data were analyzed using multiple logistic regression.FindingsMost participants were female (53.0%), illiterate (70.6%), married (64.2%) and living with family (59.3%). Among participants, 82.4% had fair QOL, and the autonomy domain received the lowest score (average = 10.98). After adjusting the model, the elderly aged <70 years had 11.07 times better QOL (aOR = 11.070; 95% CI = 2.546–48.123), elderly with high sufficient income had 2.73 times better QOL (aOR = 2.738; 95% CI = 1.183–6.337) and elderly free from depression had 9.45 times better QOL (aOR = 9.452; 95% CI = 3.466–25.773) compared to their counterparts. The elderly receiving social support had 9.97 times better QOL than those who did not (aOR = 9.976; 95% CI = 3.152–31.574), and those able to afford healthcare services had 4.69 times better QOL than those who could not afford it (aOR = 4.694; 95% CI = 1.046–21.063).Originality/valueThe five predictors – age, income sufficiency, depression, social support and healthcare service affordability – were found to significantly affect QOL. This study suggests special care strategies for vulnerable older adults addressing the issues that affect geriatric depression. This article provides relevant information to the government to consider increment of income, encourage family and community for social support and make health services affordable for older adults.

Respecting privacy in care services

2019 ◽  
Vol 21 (6) ◽  
pp. 276-284
Author(s):  
Peter Bates ◽  
Brendan McLoughlin
Keyword(s):  
Quality Of Life ◽  
Human Rights ◽  
Residential Care ◽  
Data Privacy ◽  
Human Services ◽  
Right To Privacy ◽  
Human Right ◽  
Content Type ◽  
Care Services

Purpose In care homes concerns about abuse have established a culture where all information pertaining to a person must be shared, and little attention is paid to privacy in its broader sense. The purpose of this paper is to take a human rights perspective and consider how information governance may impact on the health, well-being and quality of life of residents. It proposes a proactive approach and presents a template for a privacy impact assessment which services could use to improve their approach to privacy, protecting the human rights of those in their care, contributing to their independence and improving outcomes. Design/methodology/approach A review of historical and current thinking about the value of privacy in human services and wider society leads to a series of challenges to the way in which privacy is upheld in residential care services. Findings Recent preoccupations with data privacy have led to a myopic neglect of broader considerations of privacy. Whilst it continues to be important to protect the confidentiality of personal data and to ensure that residents are protected from abuse, human services that provide 24 hour care in congregated settings must not neglect broader components of privacy. Research limitations/implications Privacy impact assessments have been widely used to check whether data privacy is being upheld. The broader concept that might be termed “Big Privacy” is introduced within which data privacy is but one section. It is suggested that big privacy is severely compromised in residential care settings, thus denying residents their human right to privacy. The extent of such violation of rights should be investigated. Practical implications Having set out the potential reach of the human right to privacy, important work needs to be done to find out how privacy might be upheld in the real world of congregate residential care. Some service providers may have solutions to the organisational challenges, have addressed staff training needs and revised risk assessment strategies so that privacy is upheld alongside other rights. Social implications Nearly half a million people live in congregate residential care settings in England, and deprivation of privacy is argued to be a significant deprivation of human rights. Occasional tragedies and scandals in congregate settings create pressure for increasing the level of surveillance, and the right to privacy is sacrificed. This paper offers a challenge to this process, arguing that competing rights need to be balanced and privacy is an essential component of a decent quality of life. Originality/value Personal growth and development depends to some extent on choice and control over access to privacy. Recent changes in the law regarding data protection have narrowed our thinking about privacy until it is a small concept, largely concerned with data handling. This paper invites consideration of big privacy, and invites congregate residential care settings to consider how a deep and broad definition of privacy could transform these services.

scholarly journals Factors influencing the quality of life among Indonesian elderly

2018 ◽  
Vol 32 (5) ◽  
pp. 326-333
Author(s):  
Bayu Anggileo Pramesona ◽  
Surasak Taneepanichskul
Keyword(s):  
Quality Of Life ◽  
Treatment Strategies ◽  
Healthcare Services ◽  
Health Concern ◽  
Sample Collection ◽  
Content Type ◽  
Factors Influencing ◽  
Significant Public Health Concern ◽  
Significant Public Health

Purpose In spite of being a significant public health concern, quality of life (QoL) amongst elderly in nursing home (NH) settings is rarely analyzed. The purpose of this paper is to examine the level of QoL and factors influencing QoL amongst elderly NH residents in Indonesia. Design/methodology/approach A survey was conducted amongst 181 elderly at three NHs in three districts in Yogyakarta province, Indonesia. Purposive sampling was used for the study site and sample collection. Face-to-face interviews were performed using the WHO Quality of Life BREF Indonesian version questionnaire to assess elderly QoL. Multivariate linear regression was performed to determine the factors influencing the QoL amongst elderly NH residents. Findings The response rate was 66.3 percent. A total of 64.1 percent of elderly had a fair level of QoL, whereas 16.6 percent still had a poor level of QoL. A total of 86.7 percent of elderly lived in an NH due to compulsion, and more than half (53.6 percent) perceived inadequacy of care. The QoL was significantly low amongst those who live in NHs due to compulsion, no social support resources, not receiving any kind of support, having three chronic diseases and perceived inadequacy of care (p<0.05). Multivariate analysis revealed that perceived adequacy of care reasons for living in NH was associated with QoL (p<0.001). Originality/value Perceived adequacy of care and reason for living in an NH were highlighted as predictors of QoL amongst elderly NH residents. Improving adequate healthcare services and developing treatment strategies to enforce the adaptation process is required in order to maintain the QoL in elderly NH residents.

Sign in / Sign up

Export Citation Format

Share Document