scholarly journals Nursing Home Residents Aged over 80—A Cross-Sectional Analysis on Which Activity Traits Correlate to Positive Affect

2020 ◽  
Vol 17 (24) ◽  
pp. 9583
Author(s):  
Melanie Zirves ◽  
Holger Pfaff
Keyword(s):  
Nursing Home ◽  
Positive Affect ◽  
Nursing Home Residents ◽  
Care Facility ◽  
Well Being ◽  
Independent Effect ◽  
Activity Participation ◽  
Computer Assisted ◽  
Subjective Well Being ◽  
Cross Sectional

Admission to a care facility is assumed to enhance depressive symptoms and dependent behavior in old age. In this context, the relevance of participation in activities that make everyday life in a care facility more pleasant has been pointed out. This study examines if there is a relationship between participation in different activities as well as the frequency of this participation and the positive affect of nursing home residents aged over 80. Data from the unique cross-sectional representative study ‘Quality of life and subjective well-being of the very old in North Rhine-Westphalia’ in Germany (n = 150, aged 90.15 years in average) were used. The data were collected between 08/2017 and 02/2018 using computer-assisted personal interviewing. The variability in and frequency of activity participation functioned as independent, and positive affect as dependent variable. Multiple regression analysis was performed. Residents’ predicted positive affect significantly increased with a higher variability in activity participation. There was no independent effect of frequency in participation. Our findings indicate that there is a significant and positive relationship between participating in a high number of different activities and the overall positive affect of residents aged over 80 years. This does not hold true for the frequency of participation.

Positive Aging in Nursing Home Residents

GeroPsych ◽  
2017 ◽  
Vol 30 (2) ◽  
pp. 71-78 ◽  
Author(s):  
Ulrich Wiesmann ◽  
Marie-Luise Becker ◽  
Hans-Joachim Hannich
Keyword(s):  
Nursing Home ◽  
Sense Of Coherence ◽  
Psychological Health ◽  
Nursing Home Residents ◽  
Well Being ◽  
Cross Sectional Study ◽  
Subjective Well Being ◽  
Subjective Age ◽  
Cross Sectional ◽  
Positive Aging

Abstract. The main objective of nursing homes is to enable their residents a good life despite their existing physical, mental, and social health problems. In this cross-sectional study, we explored the mechanisms of positive aging in nursing-home residents from a salutogenic perspective. We interviewed 190 individuals (155 women) with a mean age of M = 84.3 years (SD = 7.60) and assessed selected resistance resources (subjective age, social network characteristics), the sense of coherence, and positive aging (psychological health and subjective well-being). The sense of coherence fully mediated perceived availability of social support and a younger age identification effects on positive aging. In line with salutogenic theory, it represents a superordinate concept which pools resource influences on positive aging.

scholarly journals Does Comprehensive Culture Change Adoption via the Household Model Enhance Nursing Home Residents’ Psychosocial Well-being?

2017 ◽  
Vol 1 (2) ◽  
Author(s):  
Linda Hermer ◽  
Natasha S Bryant ◽  
Madeline Pucciarello ◽  
Carolina Mlynarczyk ◽  
Bridget Zhong
Keyword(s):  
Nursing Home ◽  
Positive Affect ◽  
Culture Change ◽  
Nursing Home Residents ◽  
Well Being ◽  
Institutional Control ◽  
Household Model ◽  
Implementation Assessment ◽  
Task Oriented ◽  
Design And Methods

Abstract Background and Objectives Several studies suggest that to substantially improve residents’ psychosocial well-being, traditional-model nursing homes should redesign themselves as small, homelike “households” along with comprehensively adopting other aspects of “culture change,” a set of reforms meant to improve residents’ quality of life. But this evidence mainly comes from qualitative studies. This comparative, observational study tested quantitatively whether residents in a household-model nursing home that had comprehensively adopted culture change reforms displayed greater positive affect, increased cognitive engagement, more extensive social interactions with staff and greater use of the environment than did residents at partial culture-change-adopting facilities with traditional, institutional environments. Research Design and Methods Household-model residents were matched on clinical and demographic factors with residents at two institutional control facilities that had partially adopted culture change and were observed for 8 hours each. To provide potentially converging evidence, aides and nurses were also observed. Finally, a culture change implementation assessment was conducted. Results The implementation assessment showed that the household-model home had implemented culture change beyond national norms, whereas the control facilities were U.S.-typical partial adopters. It also revealed that household-model staff cared for residents in a more person-centered manner. Observation analyses revealed that household-model residents spent less time idle and less time stationary at wheelchair hubs. Moreover, although household-model residents did not spend the most time in the dining area overall, they spent the greatest percentage of time there talking with staff, displaying positive affect, and displaying active engagement. Finally, household-model residents and staff spent the most time in task-oriented interactions, including personal care. Discussion and Implications These results suggest that the intended psychosocial benefits materialize in household-model facilities, particularly in the dining area and in resident–staff relationships. The findings raise the possibility that facilities may be able to achieve these outcomes without entirely redesigning their environment.

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