scholarly journals The association between the physical environment and the well-being of older people in residential care facilities: A multilevel analysis

2017 ◽  
Vol 73 (12) ◽  
pp. 2942-2952 ◽  
Author(s):  
Susanna Nordin ◽  
Kevin McKee ◽  
Helle Wijk ◽  
Marie Elf
Keyword(s):  
Older People ◽  
Multilevel Analysis ◽  
Residential Care ◽  
Physical Environment ◽  
Well Being ◽  
Residential Care Facilities ◽  
Care Facilities

scholarly journals Factors Associated with Older Peoples′ Perceptions of Dignity and Well-being at Residential Care Facilities

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 976-976
Author(s):  
Charlotte Roos ◽  
Moudud Alam ◽  
Anna Swall ◽  
Anne-Marie Boström ◽  
Lena Hammar
Keyword(s):  
Older People ◽  
Residential Care ◽  
Well Being ◽  
Cross Sectional ◽  
Care Environment ◽  
Residential Care Facilities ◽  
Self Rated Health ◽  
Care Facilities ◽  
Being There ◽  
Mealtime Environment

Abstract Dignity and well-being should be promoted in care of older people living at residential care facilities (RCFs). In addition, care should be person-centred. Dignity and well-being can be interpreted as person-centred outcomes. Older people living at RCFs experience a lack of dignity and well-being. To promote this, it is important to understand the associated factors to target. The aim of this study was to examine the associations between perceived dignity and well-being and factors related to attitudes of staff, the care environment and individual issues (age, gender, self-rated health and dementia) among older people living at RCFs. A national cross-sectional study was conducted retrospectively. All older people 65 years and older (n=71,696) living at RCFs in 2018 were invited to respond to the survey. The survey included the areas: self-rated health, indoor-outdoor-mealtime environment, performance of care, treatment from staff, safety, social activities, availability of staff and care in its entirety. Age, gender and diagnosed dementia were collected from two national databases. Data was analysed using ordinal logistic regression models. The result indicated that respondents who had experienced disrespectful treatment, who did not thrive in the indoor-outdoor-mealtime environment, who rated their health as poor and respondents with dementia had higher odds of being dissatisfied with dignity and well-being. There is a need to improve the prerequisites of staff regarding respectful attitudes and to improve the care environment. The Person-centred Practice framework, targeting the prerequisites of staff and the care environment, can be used as a theoretical framework for designing future improvements.

scholarly journals The physical environment, activity and interaction in residential care facilities for older people: a comparative case study

2016 ◽  
Vol 31 (4) ◽  
pp. 727-738 ◽  
Author(s):  
Susanna Nordin ◽  
Kevin McKee ◽  
Maria Wallinder ◽  
Lena von Koch ◽  
Helle Wijk ◽  
...  
Keyword(s):  
Older People ◽  
Residential Care ◽  
Physical Environment ◽  
Comparative Case Study ◽  
Residential Care Facilities ◽  
Care Facilities

scholarly journals Older People’s Perceptions of what is Needed to Experience Dignity and Well-being at Residential Care Facilities

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 984-984
Author(s):  
Charlotte Roos ◽  
Anna Swall ◽  
Lena Hammar ◽  
Anne-Marie Boström ◽  
Bernice Skytt
Keyword(s):  
Older People ◽  
Residential Care ◽  
Well Being ◽  
Care Environment ◽  
Residential Care Facilities ◽  
Central Values ◽  
Care Facilities ◽  
Analyse Data ◽  
Practice Framework ◽  
People’S Perceptions

Abstract Dignity and well-being are central values in care of older people living in residential care facilities. In addition, care of older people living in residential care facilities should be person-centred. Dignity and well-being can according to the person-centred practice framework be interpreted as person-centred outcomes. Despite this older people living in residential care facilities have described that they not fully experience dignity and well-being and improvements are needed. To improve care it is important to know what to target. The aim of this qualitative study was therefore to describe residents’ perceptions and experiences of what is needed to live with dignity and a sense of well-being. Interviews were carried out with older people living at residential care facilities (n=20). Inductive content analysis was used to analyse data and one overarching theme and three categories emerged. The result revealed the importance of, and that staff and the care environment supported, to manage daily life by oneself, to be shown respect and to belong to a social context. For older people to experience the person-centred outcomes dignity and well-being managers at residential care facilities need to develop and support the staff prerequisites related to knowledge, skills and attitudes and to improve the care environment. According to the person-centred practice framework, the staff prerequisites and the care environment must be taken into account to achieve the person-centred outcomes dignity and well-being.

Effectiveness of an innovative and comprehensive eye care model for individuals in residential care facilities: results of the residential ocular care (ROC) multicentred randomised controlled trial

2020 ◽  
pp. bjophthalmol-2019-315620
Author(s):  
Ryan Eyn Kidd Man ◽  
Alfred Tau Liang Gan ◽  
Marios Constantinou ◽  
Eva K Fenwick ◽  
Edith Holloway ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Usual Care ◽  
Residential Care ◽  
Controlled Trial ◽  
Well Being ◽  
Vision Impairment ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Randomised Controlled ◽  
The Impact

BackgroundTo assess the clinical and patient-centred effectiveness of a novel residential ocular care (ROC) model in Australian individuals residing in residential care.MethodsIn this prospective, multicentred, randomised controlled trial conducted in 38 Australian aged-care facilities (2015–2017), 178 visually impaired individuals living in residential care facilities (mean age ±SD: 83.9±8.6 years; 65.7% women) were cluster randomised to ROC (n=95) or usual care (n=83) pathways. The ROC arm comprised a tailored and comprehensive within-site eye examination and care rehabilitation pathway, while usual care participants were given a referral to an external eyecare provider. Outcomes included presenting distance and near visual acuity (PNVA); Rasch-transformed Reading, Emotional and Mobility scores from the Impact of Vision Impairment questionnaire; quality of vision (QoV comprising Rasch-transformed Frequency, Severity and Bother domains) scores; Euroqol-5-Dimensions (raw scores); Cornell Scale for Depression (raw scores) and 6-month falls frequency, assessed at baseline and 6 months post intervention. Within-group and between-group comparisons were conducted using linear mixed models, adjusted for baseline differences in characteristics between the two arms.ResultsAt 6 months, intention-to-treat analyses showed significant between-group improvements in ROC residents compared with usual care for PNVA, Emotional and QoV scores (all p<0.05) These significant findings were retained in per-protocol analyses. No other between-group changes were observed.ConclusionOur ROC model was effective in improving near vision, emotional well-being and perceived burden of vision-related symptoms in residential care dwellers in Australia with vision impairment. Future studies to evaluate the cost effectiveness and implementation of ROC in Australia are warranted.

Managing for quality aged residential care with a migrant workforce

2015 ◽  
Vol 22 (1) ◽  
pp. 32-48 ◽  
Author(s):  
Nyemudzai Esther Ngocha-Chaderopa ◽  
Bronwyn Boon
Keyword(s):  
Qualitative Study ◽  
Residential Care ◽  
Care Delivery ◽  
Quality Care ◽  
Well Being ◽  
Residential Care Facilities ◽  
Local Labour ◽  
Care Workers ◽  
Care Facilities ◽  
Adequate Staffing

AbstractGiven the growing demand for aged residential care facilities in Western industrialised economies, the adequate staffing of these facilities is a growing concern. Increasingly migrant care workers are being employed to fill the local labour shortfall. In this paper we present findings of a qualitative study exploring how managers of aged residential care facilities work to ensure consistent delivery of quality care through their migrant care workers. The issues raised by the 16 managers cluster around three themes: communication and language barriers; racism by residents, families and managers; and underemployment of tertiary qualified migrant care workers. In addition to issues of quality care delivery, concerns around migrant employee well-being are seen to be difficult to avoid.

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