scholarly journals Common Space Spatial Layout Transition in Japanese Nursing Home - By Space Syntax point of view

2018 ◽  
Vol 3 (7) ◽  
pp. 19-30 ◽  
Author(s):  
Lin Bai ◽  
Satoshi Nasu
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Large Scale ◽  
Publishing House ◽  
Space Syntax ◽  
Spatial Integration ◽  
Common Space ◽  
Dining Room ◽  
Community Space ◽  
Care Nursing

This article analyzes changes of common space spatial characteristics in Japanese nursing homes in the past 35 years, aims to provide a reference for future common space design. The analysis is done by using Space Syntax theory. Totally 62 nursing homes from Japanese architecture publications are selected and analyzed. The analysis shows that compared with classical large-scale care nursing homes, the spatial integration of community space in modern unit care nursing homes is increased by 15%, but service station and dining room are reduced about 10% and 13%, which indicates the spatial importance of community space in modern nursing homes. Keywords: DepthMapX, Common Space, Nursing Home, Convex Map, Space Syntax. eISSN 2514-751X © 2018. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open-access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.

scholarly journals Association between Common Space Occupancy and Spatial Configuration in Japanese Nursing Home

2019 ◽  
Vol 4 (14) ◽  
pp. 1-20
Author(s):  
Lin Bai ◽  
Satoshi Nasu
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Spatial Configuration ◽  
Publishing House ◽  
Space Syntax ◽  
Multiple Linear Regression Model ◽  
Spatial Integration ◽  
Large Area ◽  
Spatial Design ◽  
International Publishing

This paper explores the association between common facility space occupancy and spatial configuration and aims to have higher space occupancy by spatial design. The spatial configuration includes geometric metrics and topologic metrics from Space syntax theory.The association between space occupancy and spatial configuration in twelve nursing homes is evaluated using the multiple linear regression model. The results show that spatial integration, connectivity, and area size are significant factors to space occupancy correlation. Therefore, allocating space with higher spatial integration, more connectivity, and the large area size are three effective ways to increase space occupancy in Japanese nursing homes. Keywords: Space syntax; Space occupancy; Spatial configuration; Nursing home. eISSN 2514-751X © 2019. The Authors. Published for AMER, ABRA & cE-Bs by E-International Publishing House, Ltd., UK. This is an open-access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer-review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/aje-bs.v4i14.352

scholarly journals A Classification of Japanese Nursing Homes on the Spatial Layouts of Common Facilities: An analysis using Space Syntax Theory

2021 ◽  
Vol 6 (18) ◽  
Author(s):  
Lin Bai ◽  
Miao Cao
Keyword(s):  
Nursing Homes ◽  
Common Core ◽  
Publishing House ◽  
Space Syntax ◽  
Depth Map ◽  
Spatial Integration ◽  
The Core ◽  
The Common ◽  
Home Space ◽  
Core Facilities

This article analyzes the spatial layout in Japanese nursing homes, and to clarify the core space and spatial characteristics of the common facility. By using the Space Syntax DepthMapX tool, we analyzed 62 nursing homes from Japanese architecture publications. Then, we use the spatial integration metric to identify the core space and transition of the common core facilities. The result shows the core space changed from the corridor in the 1980s to the hall nowadays; the community space and physical training room have also become the common core facility in Japanese nursing homes. Keywords: Common Space, Core Space, Nursing Home, Space Syntax, Depth Map. eISSN 2514-751X © 2021. The Authors. Published for AMER ABRA by E-International Publishing House, Ltd., UK. This is an open-access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer-review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ajebs.v6i18.379

scholarly journals No Other Safe Care Option: Nursing Home Admission as a Last Resort Strategy

2020 ◽  
Vol 60 (8) ◽  
pp. 1504-1514
Author(s):  
Heather J Campbell-Enns ◽  
Megan Campbell ◽  
Kendra L Rieger ◽  
Genevieve N Thompson ◽  
Malcolm B Doupe
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Nursing Homes ◽  
Nursing Home Residents ◽  
Community Setting ◽  
Nursing Home Admission ◽  
Care Needs ◽  
Community Based ◽  
Field Notes ◽  
Care Nursing

Abstract Background and Objectives Nursing homes are intended for older adults with the highest care needs. However, approximately 12% of all nursing home residents have similar care needs as older adults who live in the community and the reasons they are admitted to nursing homes is largely unstudied. The purpose of this study was to explore the reasons why lower-care nursing home residents are living in nursing homes. Research Design and Methods A qualitative interpretive description methodology was used to gather and analyze data describing lower-care nursing home resident and family member perspectives regarding factors influencing nursing home admission, including the facilitators and barriers to living in a community setting. Data were collected via semistructured interviews and field notes. Data were coded and sorted, and patterns were identified. This resulted in themes describing this experience. Results The main problem experienced by lower-care residents was living alone in the community. Residents and family members used many strategies to avoid safety crises in the community but experienced multiple care breakdowns in both community and health care settings. Nursing home admission was a strategy used to avoid a crisis when residents did not receive the needed support to remain in the community. Discussion and Implications To successfully remain in the community, older adults require specialized supports targeting mental health and substance use needs, as well as enhanced hospital discharge plans and improved information about community-based care options. Implications involve reforming policies and practices in both hospital and community-based care settings.

scholarly journals Qualities of the environment that support a sense of home and belonging in nursing homes for older people

2020 ◽  
pp. 1-22 ◽  
Author(s):  
Karin Johansson ◽  
Lena Borell ◽  
Lena Rosenberg
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Everyday Life ◽  
Spatial Dynamics ◽  
Nursing Home Residents ◽  
Everyday Practices ◽  
Analytic Process ◽  
Communal Areas ◽  
Dining Room ◽  
Sense Of Home

Abstract The aim of this study was to contribute with knowledge about how a sense of home and belonging is enacted and can be supported in everyday life, with a particular focus on the relationships that connect everyday life and the environment in nursing home contexts. The concepts ‘a sense of home’ and ‘belonging’ were chosen with the ambition to grasp values grounded in experiences and everyday practices, with an openness for various aspects that can support an enjoyable life and comfort for nursing home residents. The study focused on communal areas, e.g. dining room, kitchen, corridors and gardens, that serve as arenas where nursing home residents’ everyday lives expand beyond the private room. Ethnographic methods were applied to identify and explore situations where a sense of home and belonging were enacted in nursing homes that had been acknowledged as good examples of nursing home environments. Through the analytic process, four qualities were identified: (a) a cornerstone for stability and everydayness, (b) the beating heart, (c) spatial dynamics, and (d) magnetic places. Following from the chosen methodology, the findings provide a situated understanding of how communal areas in nursing homes can invite a sense of home and belonging for the residents.

scholarly journals Large-scale silane bead-based SARS-CoV-2 testing of a nursing home in Spain identifies a viral reservoir during lockdown period

2021 ◽  
Author(s):  
Nicholas D. Weber ◽  
Ainhoa Goñi-Salaverri ◽  
Jose A. Rodríguez ◽  
Juan Pablo Unfried ◽  
Daniel Alameda ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Large Scale ◽  
Magnetic Beads ◽  
Rna Extraction ◽  
Academic Research ◽  
High Sensitivity ◽  
Viral Reservoir ◽  
Clinical Samples ◽  
Clinical Surveillance

AbstractBackgroundSpain is one of the countries most heavily affected by the COVID-19 pandemic. As in other countries such as UK and USA, nursing homes have been an important human reservoir for the virus and the population with the highest mortality worldwide. The presence of asymptomatic carriers within nursing homes is one of the factors that could provoke new outbreaks during the relaxing of lockdown measures.MethodsWe developed a high-throughput protocol for RNA extraction of patient samples based on silane magnetic beads in multi-well plates. The sensitivity, specificity and reproducibility rates were assessed using positive and negative clinical samples from the Clinica Universidad de Navarra, Spain. We utilized the protocol to test a pilot cohort of 138 residents and 87 staff from a nursing home in Northern Navarre, Spain.FindingsOur protocol showed high sensitivity (100%), specificity (96·0%) and linear correlation with PCR cycle threshold values obtained with a standard testing kit (R2 = 0·807, p=3E-05). Testing of 225 individuals from the nursing home revealed 63 residents (46%) and 14 staff (16%) positive for SARS-CoV-2. Only 18 of the positive residents (28·6%) were symptomatic at time of testing. During follow-up, 6 PCR-negative symptomatic residents were retested and resulted positive. One-month mortality among positive residents was higher than in negative residents (15·9% vs 1·3%), regardless of age or comorbidities.InterpretationRapid silane bead-based RNA extraction expanded the testing capabilities and COVID-19 patients were promptly identified. Personal and public health measures were enacted to avoid spreading and tighten clinical surveillance. The ability to easily adapt the technical capabilities of academic research centers to large-scale testing for SARS-CoV-2 could provide an invaluable tool for ensuring a safe lifting of lockdown in countries with high numbers of cases.FundingEuropean Molecular Biology Organization and Genomics Unit, Cima Universidad de Navarra.

scholarly journals Predictors of Nursing Home Covid-19 Cases: a Community Vulnerability Approach

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1023-1023
Author(s):  
Matthew Peterson ◽  
Larry Lawhorne
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Large Scale ◽  
Vulnerability Index ◽  
Study Data ◽  
Urban Setting ◽  
Social Vulnerability Index ◽  
Community Factors ◽  
For Profit ◽  
Urban Rural

Abstract It is well known that the Covid-19 pandemic has placed considerable burden on nursing homes, including from resident, facility, and community perspectives, among others. This study examined facility and community factors that were related to incident Covid-19 cases in nursing home facilities. N=12,473 US nursing homes were included in this study. Data from June 2020 - January 2021 from several publicly available sources were combined to create a dataset that included facility name, size, ownership, mortality rate, Covid case rate, personal protective equipment (PPE) and staff shortages, % white residents, and % Medicaid residents. Community factors included core-based statistical area (CBSA) Covid case rates, urban/rural, CBSA death rates, and the CDC’s Social Vulnerability Index (SVI). Zero-inflated Poisson regression models were used to determine predictors of 8-month Covid case counts, normalized by facility size. Results indicated that higher staff shortages, poorer facility rating, for-profit ownership, proportionally more Medicaid and non-white residents were all significantly associated with higher Covid case rates over 8 months (all P < 0.0001). Significant community level predictors of higher cases included urban setting and higher SVI. PPE shortages was not associated with higher case counts. Of all the factors included, SVI was the strongest predictor of Covid case counts. This large US study assists in determining critical facility and community factors that predict increasing Covid burden in nursing homes. Particularly, SVI is an important factor in determining facility and public health policy, and targeting resources in large scale health crises such as the Covid-19 pandemic.

scholarly journals Nursing home staff networks and COVID-19

2020 ◽  
Vol 118 (1) ◽  
pp. e2015455118
Author(s):  
M. Keith Chen ◽  
Judith A. Chevalier ◽  
Elisa F. Long
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Large Scale ◽  
Early Report ◽  
Care Center ◽  
Nursing Facilities ◽  
Term Care ◽  
Skilled Nursing ◽  
Staff Members ◽  
Control And Prevention

Nursing homes and other long-term care facilities account for a disproportionate share of COVID-19 cases and fatalities worldwide. Outbreaks in US nursing homes have persisted despite nationwide visitor restrictions beginning in mid-March. An early report issued by the Centers for Disease Control and Prevention identified staff members working in multiple nursing homes as a likely source of spread from the Life Care Center in Kirkland, WA, to other skilled nursing facilities. The full extent of staff connections between nursing homes—and the role these connections serve in spreading a highly contagious respiratory infection—is currently unknown given the lack of centralized data on cross-facility employment. We perform a large-scale analysis of nursing home connections via shared staff and contractors using device-level geolocation data from 50 million smartphones, and find that 5.1% of smartphone users who visited a nursing home for at least 1 h also visited another facility during our 11-wk study period—even after visitor restrictions were imposed. We construct network measures of connectedness and estimate that nursing homes, on average, share connections with 7.1 other facilities. Traditional federal regulatory metrics of nursing home quality are unimportant in predicting outbreaks, consistent with recent research. Controlling for demographic and other factors, a home’s staff network connections and its centrality within the greater network strongly predict COVID-19 cases.

scholarly journals CCRC Common Facility Spatial Structure: A Study by Space Syntax

2017 ◽  
Vol 2 (5) ◽  
pp. 1-13
Author(s):  
Lin BAI ◽  
Satoshi Nasu
Keyword(s):  
Open Access ◽  
Spatial Structure ◽  
Peer Review ◽  
Publishing House ◽  
Space Syntax ◽  
Common Space ◽  
International Publishing ◽  
Open Access Article

Spatial structure of 56 CCRCs(Continue Care Retirement Committee) which are mainly selected from AIA contest project are analyzed by using space syntax theory. Based on the result of common facility allocation and spatial centrality, three common facility allocation types and six route space integration models are defined. While the analysis shows the central allocation with route connected to a common facility being the highest integration place is the predominant spatial structure of common facility in US CCRCs, the combination of each common facility allocation type and route space integration models provide the fashion of common facility spatial structure in US CCRCs today. Keywords: CCRC, common facility, common space, space syntax. eISSN 2514-751X © 2017 The Authors. Published for AMER ABRA by e-International Publishing House, Ltd., UK. This is an open-access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.

scholarly journals Determinants of Successful Nursing Home Accreditation

2021 ◽  
Vol 58 ◽  
pp. 004695802110599
Author(s):  
Shu-Chuan Yeh ◽  
Shwu-Feng Tsay ◽  
Wen Chun Wang ◽  
Ying-Ying Lo ◽  
Hon-Yi Shi
Keyword(s):  
Quality Control ◽  
Nursing Home ◽  
Nursing Homes ◽  
Integrated Care ◽  
Organizational Factors ◽  
Minor Role ◽  
Person Centered Care ◽  
Nursing Skills ◽  
Centered Care ◽  
Care Nursing

Objectives: This study examined the factors associated with better accreditation outcomes among nursing homes. Method: A total of 538 nursing homes in Taiwan were included in this study. Measures included accreditation scores, external factors (household income, Herfindahl–Hirschman Index, old-age dependency ratio, population density, and number of older adult households), organizational factors (hospital-based status, chain-affiliated status, occupancy rate, the number of registered nurses or nurse aides per bed, and bed size), and internal factors (accountability, deficiencies, person-centered care, nursing skills, quality control, and integrated care). Results: Bed size, hospital-based status, accountability, deficiencies, person-centered care, nursing skills, quality control, and integrated care were found to predict accreditation. Conclusion: Among all variables in this study, the quality indicators contributed to the most variation, followed by organizational factors. External environmental factors played a minor role in predicting accreditation. A focus on quality of care would benefit not only the residents of a nursing home but also facilitate its accreditation.

Attitudes toward Exercise in Institutions for Elderly Residents

1987 ◽  
Vol 81 (7) ◽  
pp. 328-329 ◽  
Author(s):  
S. Rapp; C. Carlson
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Behavioral Change ◽  
Large Scale ◽  
Nursing Home Residents ◽  
Pilot Project ◽  
Small Scale ◽  
Residents Attitudes

Increasing behaviors to promote health, such as exercise, among nursing homes for elderly residents is a widely acknowledged goal (Craig, 1982). Research suggests that behavioral technologies can be useful for increasing exercise in this population (Perkins, Rapp, Carlson, & Wallace, 1986). However, before implementing sometimes elaborate behavioral change programs, it is helpful to assess the staff's and residents’ attitudes toward the proposed change. The present study followed a small-scale pilot project that increased stationary bike riding by 74 percent for 8 nursing home residents. Before attempting a large-scale intervention, however, the authors decided to evaluate the staff's and residents’ attitudes toward the exercise.

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