An Exploratory Study of Patterns of Social Interaction, Organization, and Facility Design in Three Nursing Homes

1973 ◽  
Vol 4 (4) ◽  
pp. 319-333 ◽  
Author(s):  
Lorraine Hiatt Snyder

Three Medicare-certified nursing homes are studied to determine factors of the organization, physical and social environment, and of the individuals that promote or deter social interaction. Social interaction is examined according to three phases: the tendency to congregate, the ability to impersonally interact with others, and the capacity to converse. Since conversation has been linked by others to rehabilitation, its promotion is stressed. Suggestions are made for creating a more functional social setting for the elderly, researching the behavioral basis for nursing home design, and for developing more meaningful building codes. This exploratory study serves as an example of how systematic environmental analysis may provide the direction necessary for implementing an extended care facility's goals.

1997 ◽  
Vol 36 (1) ◽  
pp. 77-87 ◽  
Author(s):  
Nicholas G. Castle

Long-term care institutions have emerged as dominant sites of death for the elderly. However, studies of this trend have primarily examined nursing homes. The purpose of this research is to determine demographic, functional, disease, and facility predictors and/or correlates of death for the elderly residing in board and care facilities. Twelve factors are found to be significant: proportion of residents older than sixty-five years of age, proportion of residents who are chair- or bed-fast, proportion of residents with HIV, bed size, ownership, chain membership, affiliation with a nursing home, number of health services provided other than by the facility, the number of social services provided other than by the facility, the number of social services provided by the facility, and visits by Ombudsmen. These are discussed and comparisons with similar studies in nursing homes are made.


2022 ◽  
Vol 8 (1) ◽  
pp. 51-66
Author(s):  
Vesna Žegarac Leskovar ◽  
Vanja Skalicky Klemenčič

Currently, many older people live in institutions for various social and health reasons. In Slovenia, this proportion is almost 5% of the population aged 65 and over. In the COVID-19 pandemic, the elderly proved to be the most vulnerable social group, as they are exposed to a number of comorbidities that increase the risk of mortality. At that time, nursing homes represented one of the most critical types of housing, as seen from a disproportionate number of infections and deaths among nursing home residents worldwide, including Slovenia. During the emergency, a number of safety protocols had to be followed to prevent the spread of infection. Unfortunately, it turned out that while the safety measures protected the nursing home residents, they also had a negative effect on their mental health, mainly due to isolation and social distancing. It follows that especially in times of epidemics of infectious respiratory diseases, the quality of life in nursing homes requires special attention. In this context, it is also necessary to consider whether and how an appropriate architectural design can help mitigating the spread of infections, while at the same time enable older people to live in dignity and with a minimum of social exclusion. To this end, the present study examined 97 nursing homes in Slovenia, analysing the number of infections in nursing homes and their correlation with the degree of infection in the corresponding region in Slovenia. Additionally, 2 nursing homes were studied in more detail with the use of newly developed “Safe and Connected” evaluation tool, analysing the architectural features of each building. The advantages identified so far include living in smaller units, single rooms with balconies, the possibility of using green open spaces and the use of an adequate ventilation. Conclusions of this study are useful for further consideration of design of new nursing homes and the refurbishment of existing ones.


2020 ◽  
Vol 8 (1) ◽  
pp. 82
Author(s):  
Anindita Nova Ardhani ◽  
Yudi Kurniawan

The aim of this study was to see the meaning of life in the elderly who live in the nursing home. The benefits that are expected to have in this research include theoretical benefits, which are expected to be a reference material for the development of developmental psychology, especially psychogerontology and practical benefits to be a reference material for psychologists, therapists, counselors, assistants, and readers in an effort to increase the meaning of life. in the elderly in general and in the elderly who live in nursing homes in particular. The subject criteria for the study were the elderly who were still able to communicate with and in good general condition. These criteria are determined on the basis of consideration because this study was conducted using interviews as a method of data collection. The results of this study indicate that the elderly who live in nursing homes have a good life meaning.Keywords: nursing homes, parents, the meaning of life,


Author(s):  
I. Zhdanova ◽  
A. Kuznecova ◽  
P. Mihaylina

The article focuses on the study of modern approaches in the typology of nursing homes. Global data on the increase in the share of older people in the total population are presented. In addition, Rosstat data confirm the relevance of studying this topic. Examples of foreign experience in designing and building homes for the elderly show the developed functional composition of the premises, along with the function of accommodation and care - health care, leisure, trade, sports, food and multifunctional spaces to ensure social interaction of different groups of the population. The research reveals a method of "functional improvement" aimed at developing optimal functional interactions between public and residential spaces. A concept project for a "dynamic" scheme has been developed, showing the inclusion of residential blocks in a multifunctional complex. The chosen functional organization allows the creation of private spaces for residents of retirement age and walking areas for visitors to the complex. It is determined that in Russia it is necessary to implement modern approaches adapted to Russian conditions, based on foreign experience. This will enhance the consumer quality of the facility and the comfort level of the elderly, which will undoubtedly provide social interaction through the introduction of educational and leisure functions, as well as improve the ecological and aesthetic qualities of the environment.


2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
I. Icelli

In Turkey, in the families who moved from rural settlements into city, the young peoples go to work and the grand parents take care of the little children at home. When the grand parents become old, there will be no one who can take care of them. This situation shows two solutions: to move back to their native environment or to be settled in a nursing home. If they have no where to go, these nursing homes are their only chance.The private nursing and caring homes, from the point of quality, are not in the same equality. The low-quality institutions are more familiar to the abuse. The residents of these institutions expect kindness, affection and warmth, but they never receive these expectations.A new kind of elderly abuse in Turkey is the Automatic Transfer Machines thefts. On the paydays the thief comes next to the machine, offers help to the elderly who came to take his retirement salary from the machine; the thief takes the ATM card, put in the hole, ask the password, enter it and take the money and run with a high speed. The poor old person looks after.There are no criminal codes yet which cover the elderly abuse in Turkey. Those kinds of incidents are taken as ordinary police incidents. The administration is now in preparation of a new program and a new regulation.


2016 ◽  
Vol 145 (4) ◽  
pp. 739-745 ◽  
Author(s):  
R. D. VAN GAALEN ◽  
H. A. HOPMAN ◽  
A. HAENEN ◽  
C. VAN DEN DOOL

SUMMARYA recent countrywide MRSA spa-type 1081 outbreak in The Netherlands predominantly affected nursing homes, generating questions on how infection spreads within and between nursing homes despite a low national prevalence. Since the transfer of residents between nursing homes is uncommon in The Netherlands, we hypothesized that staff exchange plays an important role in transmission. This exploratory study investigated the extent of former (last 2 years) and current staff exchange within and between nursing homes in The Netherlands. We relied on a questionnaire that was targeted towards nursing-home staff members who had contact with residents. We found that 17·9% and 12·4% of the nursing-home staff formerly (last 2 years) or currently worked in other healthcare institutes besides their job in the nursing home through which they were selected to participate in this study. Moreover, 39·7% of study participants worked on more than one ward. Our study shows that, in The Netherlands, nursing-home staff form a substantial number of links between wards within nursing homes and nursing homes are linked to a large network of healthcare institutes through their staff members potentially providing a pathway for MRSA transmission between nursing homes and throughout the country.


2021 ◽  
Vol 9 (E) ◽  
pp. 1393-1397
Author(s):  
Nurvi Susanti ◽  
Zulfan Saam ◽  
Nofrizal Nofrizal ◽  
Zahtamal Tamal ◽  
Nofri Hasrianto

The aspects of emotion, memory, motivation and independence are psychological conditions that are often experienced by the elderly who live in nursing homes. experienced by the elderly who are in the nursing home environment. This study aims to describe the psychological condition of the elderly in the Husnul Khotimah Pekanbaru social home for 35 elderly and 45 elderly Sabai Nan Aluih Pariaman nursing home. This research is a descriptive survey. The research subjects were 80 elderly who were taken with the total sampling technique. Data were collected using questionnaire sheets and descriptive analysis, this study shows that the psychological condition of the elderly which includes emotional aspects of the nursing home in the second category of the Husnul Khotimah nursing home is (69%) and the Sabai Nan Aluih nursing home is 73%.(80%) in the Husnul Khotimah nursing home and 69% in the good category in the Sabai Nan Aluih nursing home. Motivational aspectat both nursing homes is in the moderate category (51%) The independence aspect is in the good category (80%) in the Husnul Khotimah nursing home while the sufficient category is 67% in the Sabai Nan Aluih nursing home. Broadly speaking, the aspects of emotion, memory, motivation are good categories, category motivation is sufficient and the category independence is good at the Husnul Khotimah nursing home and sufficient at the Sabai Nan Aluih nursing home.


2017 ◽  
Vol 1 (1) ◽  
pp. 116
Author(s):  
Ayu Eka Permatasari ◽  
Samsunuwiyati Marat ◽  
Meiske Y. Suparman

Aging process on elderly can be challenging. Elderly who lives with their family can enjoy happiness and independent live. But, it is different with elderly who lives in a nursing home. Elderly who live in a nursing home often feel lonely, lack of activity, and experience stress to depression. They tend to show symptoms of depression which are sense of helplessness, avoidance of social interaction, experience physical complaints such as headaches, back pain, digestive disorders, and indisgestion. This research is aimed to know whether the application of art therapy can reduce depression on the elderly who lives in a nursing homes. Art therapy intervention with with drawing and coloring methods were chosen because it can be applied to individual of all ages. This intervention is aimed to express feelings, changing negative thoughts, and to be able to more recognize them selves. Participants of this research were 3 elderly who live in nursing homes. The intervention was conducted for 12 sessions. The results were being measured by comparing the pretest-posttest score of Geriatric Depression Scale (GDS). After the intervention was conducted, all participants showed reducing score of depression on GDS on posttest score. During the intervention, all participant also showed process of increasing expressions on their artwork. The results also indicated changes of their behaviors such as increasing social interaction.Keywords: Art therapy, Elderly, Depression, Gerontology, Nursing homes.


2021 ◽  
Vol 12 ◽  
Author(s):  
Peng Cui ◽  
Jun Zhang ◽  
Ting Ting Li

Nursing homes are the facilities where the elderly conduct their daily activities. This may lead to a complicated acoustic environment which would potentially affect the ability of the elderly to function. In this study, the main indoor public space of a nursing home in Harbin was taken as the research object, and the methods of field observation, sound measurement, and questionnaire survey were used to explore the sound perception and preference of the elderly. The results revealed that in terms of the temporal and spatial distribution of sound pressure level (SPL), the unit living space had the highest SPL, which was above 60 dB (A). The reverberation time (RT) of the unit living space, medical and health care center corridor, was 2.15 and 2.13 s, respectively, at a frequency of 1,000 Hz, which was within the discomfort range. The results also revealed that an acoustic environment had a strong correlation with humidity and a weak correlation with temperature. However, no significant correlation could be assessed with a luminous environment. The elderly people were generally willing to accept the natural sound sources. The factors of gender and offspring numbers had no significant impact on the evaluation of acoustic environment comfort, whereas marriage and income status affected the comfort. This study may help improve the quality of life of the elderly in the nursing home and provide a reference for the construction and design of pension facilities.


2019 ◽  
Author(s):  
Haneen Ali ◽  
Huiyang Li

Abstract Background and Objectives: The call light system is one of the major communication technologies that links the nursing home staff to the needs of the residents. By providing residents with the ability to request assistance, the system becomes an indispensable resource for patient-focused healthcare. However, there is little known about how the call light systems are being used in nursing homes and how the system contributes to the safety and the quality of care for seniors. Therefore, the aims of this study are to understand the nursing home staff experience while using the call light systems and to uncover the usability issues associated with the implemented systems. Method: A mix of 150 hours of hypothetic-deductive (unstructured) and 90 hours of standard-procedure (structured) observational study were conducted in four different nursing homes. The data collected includes insights into the nursing homes work system and the process of locating and responding to call lights. Results: The data shows that the highest alarm rate is before and after meal times. The nursing staff exceeded the allotted time set by administration 50% of the time. Additionally, the staff canceled 10% of the call lights and did not immediately assist residents due to high workloads. Further, the staff forgot to come back to assist residents over 3% of the time. Usability issues such as broken parts, lack of feedback, lack of prioritization, and low/no discriminability are contributing to the long response time. More than 8% of the time, residents notified the staff about call lights after they waited for a long time, as these residents were left unattended. Conclusion: Nursing homes that are still using old call light systems risk the continuation of usability issues that can affect performance of the staff and contribute to a decline in staff and resident outcomes. While the healthcare industry has been at the forefront of technological advancements and implementation, it is important to recognize the influence of technology in the quality of service delivery for the elderly population in nursing homes and to the nursing homes staff working conditions.


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