scholarly journals Assessing the physical environment of older people’s residential care facilities: development of the Swedish version of the Sheffield Care Environment Assessment Matrix (S-SCEAM)

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Susanna Nordin ◽  
Marie Elf ◽  
Kevin McKee ◽  
Helle Wijk
Keyword(s):  
Residential Care ◽  
Physical Environment ◽  
Swedish Version ◽  
Care Environment ◽  
Residential Care Facilities ◽  
Environment Assessment ◽  
Care Facilities ◽  
Assessment Matrix

The Influence of Physical Environmental Factors on Older Adults in Residential Care Facilities in Northeast China

2021 ◽  
pp. 193758672110367
Author(s):  
Mu Jingyi ◽  
Zhang Shanshan ◽  
Yue Wu
Keyword(s):  
Older Adults ◽  
Environmental Factors ◽  
Residential Care ◽  
Physical Environment ◽  
Thermal Environment ◽  
Negative Impact ◽  
Lighting Condition ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Physical Environmental Factors

Objectives: To evaluate the aspects of the objective physical environments of five residential care facilities (RCFs) for older adults and the residents’ subjective perceptions of these aspects. Background: The physical environment in RCFs impacts the health and comfort of the residents. However, the design standards for RCFs lack details which can result in insufficient living conditions. Methods: Through questionnaire surveys, older adults’ satisfaction on the degree of the light, acoustic, and thermal environment in the facilities was obtained. Indoor lighting condition was measured by an illuminance meter in lux, sound pressure level (SPL) with sound level meters in dBA, and temperature in °C with a temperature data logger, and an audiometer was used to test the hearing of the older adults. Results: A total of 480 questionnaires were obtained. Results show that (a) older adults need an appropriate light environment to avoid the negative impact of limited light, (b) poor acoustic environment could affect their mood and health, and (c) when the room temperature is within the range of 20–26 °C (68–78.8 °F), they feel most comfortable. When the appropriate temperature and humidity, balanced illumination, and SPL meet the needs of older adults, it can provide a more comfortable physical environment for them. Conclusion: Examining the interaction between the physical environmental factors that affect older adults in RCFs is important for the design of residential housing and provides more theoretical support for research on the influence of the physical environment on the quality of life of older adults.

scholarly journals Exploring how residential care facilities can enhance the autonomy of people with dementia and improve informal care

Dementia ◽  
2021 ◽  
pp. 147130122110305
Author(s):  
Jogé Boumans ◽  
Leonieke C van Boekel ◽  
Marjolein EA Verbiest ◽  
Caroline A Baan ◽  
Katrien G Luijkx
Keyword(s):  
Residential Care ◽  
Informal Care ◽  
Physical Environment ◽  
Informal Caregivers ◽  
Realist Evaluation ◽  
Care Provision ◽  
Residential Care Facilities ◽  
Staff Members ◽  
People With Dementia ◽  
Care Facilities

Background and objectives Residential care facilities (RCFs) strive to enhance autonomy for people with dementia and to enhance informal care provision, although this is difficult. This study explored how RCF staff can enhance autonomy and improve informal care by looking at the influence of interactions (contact and approachability between residents, staff members and informal caregivers) and the physical environment, including the use of technologies. Research design and methods A realist evaluation multiple-case study was conducted using document analyses, eight semi-structured interviews with staff members and relatives and 56 hours of observations of residents across two RCFs aiming to provide person-centred care. Realist logic of analysis was performed, involving Context-Mechanism-Outcome configurations. Findings The behaviour, attitudes and interactions of staff members with residents and informal caregivers appeared to contribute to the autonomy of people with dementia and enhance informal care provision. The physical environment of the RCFs and the use of technologies were less relevant to enhancing autonomy and informal care provision, although they can support staff members in providing person-centred care in daily practice. Discussion and implications The findings add to those of other studies regarding the importance of interaction between residents, staff members and informal caregivers. The findings provide insight for other RCFs on how successfully to enhance autonomy for their residents and to improve informal care provision, as well as, more broadly, how to implement person-centred care.

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 How Can Autonomy Be Maintained and Informal Care Improved for People With Dementia Living in Residential Care Facilities: A Systematic Literature Review

2018 ◽  
Vol 59 (6) ◽  
pp. e709-e730 ◽  
Author(s):  
Jogé Boumans ◽  
Leonieke C van Boekel ◽  
Caroline A Baan ◽  
Katrien G Luijkx
Keyword(s):  
Literature Review ◽  
Residential Care ◽  
Informal Care ◽  
Physical Environment ◽  
Care Delivery ◽  
Care Provision ◽  
Residential Care Facility ◽  
Residential Care Facilities ◽  
People With Dementia ◽  
Care Facilities

Abstract Background and Objectives For people with dementia living in residential care facilities, maintaining autonomy and receiving informal care are important. The objective of this review is to understand how caregiving approaches and physical environment, including technologies contribute to the maintenance of autonomy and informal care provision for this population. Research Design and Methods A literature review of peer-reviewed articles published between January 1995 and July 2017 was performed. Realist logic of analysis was used, involving context, mechanism and outcome configurations. Results Forty-nine articles were included. The improvement of the relationship between residents and formal/informal caregivers is important. This increases the knowledge (sharing) about the resident and contributes to their autonomy. A social, flexible, and welcoming attitude of the formal caregiver improves the provision of informal care. Specially designed spaces, for instance, therapeutic gardens, create activities for residents that remind them of themselves and contribute to their autonomy. Use of technologies reduces caregiver’s time for primary tasks and therefore enables secondary tasks such as interaction with the residents. Discussion and Implications The results revealed how residential care facilities could maintain autonomy of their residents and improve informal care delivery using caregiving approaches and the physical environment including technologies. The results are supporting toward each other in maintaining autonomy and also helped in enhancing informal care provision. For residential care facilities that want to maintain the autonomy of their residents and improve informal care delivery, it is important to pay attention to all aspects of living in a residential care facility.

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.

Exploring Environmental Variation in Residential Care Facilities for Older People

2016 ◽  
Vol 10 (2) ◽  
pp. 49-65 ◽  
Author(s):  
Susanna Nordin ◽  
Kevin McKee ◽  
Helle Wijk ◽  
Marie Elf
Keyword(s):  
Residential Care ◽  
Environmental Quality ◽  
Older Persons ◽  
Building Design ◽  
Well Being ◽  
Swedish Version ◽  
Residential Care Facilities ◽  
Person Centered Care ◽  
Care Facilities ◽  
Centered Care

Objective: The aim of this study was to explore variation in environmental quality in Swedish residential care facilities (RCFs) using the Swedish version of the Sheffield Care Environment Assessment Matrix (S-SCEAM). Background: Well-designed physical environments can positively impact on health and well-being among older persons with frail health living in RCFs and are essential for supporting person-centered care. However, the evidence base for informing the design of RCFs is weak, partly due to a lack of valid and reliable instruments that could provide important information on the environmental quality. Methods: Twenty RCFs were purposively sampled from several regions, varying in their building design, year of construction, size, and geographic location. The RCFs were assessed using S-SCEAM and the data were analyzed to examine variation in environmental quality between and within facilities. Results: There was substantial variation in the quality of the physical environment between and within RCFs, reflected in S-SCEAM scores related to specific facility locations and with regard to domains reflecting residents’ needs. In general, private apartments and dining areas had high S-SCEAM scores, while gardens had lower scores. Scores on the safety domain were high in the majority of RCFs, whereas scores for cognitive support and privacy were relatively low. Conclusions: Despite high building standard requirements, the substantial variations regarding environmental quality between and within RCFs indicate the potential for improvements to support the needs of older persons. We conclude that S-SCEAM is a sensitive and unique instrument representing a valuable contribution to evidence-based design that can support person-centered care.

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