Engaging life in two Irish nursing home units for people with dementia: Quantitative comparisons before and after implementing household environments

Morgan‐Brown, Mark; Newton, Roger F.; Ormerod, Marcus

doi:10.1080/13607863.2012.717250

Cited by 46 publications

(48 citation statements)

References 35 publications

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“…Closer proximity in the four other venues seemed to lead to more spontaneous interactions between the staff and the residents. However, while the physical characteristics of a room can affect staff and resident interaction, the organisational and relational care practices of a setting are also critical (Chaudhury, Cooke, Cowie, & Razaghi, 2017;Morgan-Brown & Chard, 2014;Morgan-Brown et al, 2013;Røen, et al, 2017) and further examination of these factors could explain the discrepancy in results. Social interaction, interactive occupation, informal group situations, and especially structured group situations depend on the facilitation of staff.…”

Section: Discussionmentioning

confidence: 99%

“…The ATOSE was developed for a PhD study which investigated the impact of changing the physical, operational, and social environments of two private traditional style Irish nursing homes to create more person-centred and "homelike" environments. These planned interventions created statistically significant increases in resident interaction and engagement with their environments (Morgan-Brown, 2013;Morgan-Brown & Chard, 2014;Morgan-Brown, Newton, & Ormerod, 2013).…”

Section: The Atose and Other Observational Assessmentsmentioning

confidence: 99%

“…The resident, staffing and visitor groups do not need to be matched and the numbers within the room will naturally vary during the course of the observations. The development, reliability, and validity of the ATOSE have been described elsewhere (Morgan-Brown, 2013;Morgan-Brown & Brangan, 2016;Morgan-Brown & Chard, 2014;Morgan-Brown et al, 2013). Content validity was determined by adhering to the recommendations of Robson () for an observational assessment in order for it to be reliable, accurate, and straightforward to complete.…”

Section: Study Design and Data Collectionmentioning

confidence: 99%

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Engagement and social interaction in dementia care settings. A call for occupational and social justice

Morgan‐Brown

Brangan

McMahon

et al. 2018

Health Soc Care Community

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As full citizens, people with dementia are entitled to engage in social and occupational activities in residential care settings. Limitation or deprivation of choice and experience of valued occupations has been described elsewhere as occupational injustice. This research frames the unmet needs of people with dementia for occupation and social interaction, as issues of human rights and citizenship. It identifies a gap in current measurement tools of engagement in residential settings and in response, presents the Assessment Tool for Occupational and Social Engagement (ATOSE) as an objective measure of engagement. It examines results from a study of five residential care settings in Ireland using the ATOSE which included 73 residents with dementia and/or enduring mental health diagnoses. Residents spent on average, 38% of their time engaged and 62% of their time not engaged while in their communal sitting rooms. The ATOSE observations supported the rights of residents as citizens to have low levels of engagement addressed. A critical gerontology lens is employed to discuss concepts of citizenship, occupational justice, and social justice in the context of this research project.

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Section: Discussionmentioning

confidence: 99%

Section: The Atose and Other Observational Assessmentsmentioning

confidence: 99%

Section: Study Design and Data Collectionmentioning

confidence: 99%

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Engagement and social interaction in dementia care settings. A call for occupational and social justice

Morgan‐Brown

Brangan

McMahon

et al. 2018

Health Soc Care Community

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“…Of the studies reporting positive changes, the physical and psychosocial benefits of a household model approach to care are emphasised [62]. For example, Morgan-Brown, Newton and Ormerod [63] measured resident social and activity engagement in two Irish care homes preand post-implementation of a household design. The changes included adopting an open plan design with a unit kitchen, employing staff in a homemaker role and transforming task-based provision to person-centred care.…”

Section: The Emergence Of the Culture Change Movement: Towards The Homentioning

confidence: 99%

“…The changes included adopting an open plan design with a unit kitchen, employing staff in a homemaker role and transforming task-based provision to person-centred care. Within both facilities, engagement with interactive occupation (defined as activity such as participating in a game or craft activity) and social interaction significantly increased following implementation of a household design [63]. Other reported positive benefits associated with small-scale living arrangements in include higher motor functioning and mobility; less anxiety, and depression [62].…”

Section: The Emergence Of the Culture Change Movement: Towards The Homentioning

confidence: 99%

An Examination of How the ‘Household Model' of Care Can Contribute to Positive Ageing for Residents in the ‘Fourth Age’

Ahmed¹,

Ormandy²,

Seekles³

2018

obm geriatr

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Background: Promoting a good quality of life for the oldest members of society has become a top priority as evidenced in UK policy. The 'household' model is a departure from traditional approaches to care provision since it offers person-centred support-combing health and social care-to older people in specially-designed, small, homelike environments. Having gained increasing popularity in care homes across developed countries, the impact of this model of service delivery on residents' quality of life and its contribution to positive ageing is of increasing interest. Belong is a not-for-profit, UK care organisation currently operating several villages under the household model. The villages comprise independent living apartments (bought or rented) and residential/nursing care households offering 24 hours personalised, on-site care for residents. In each village there is a range of facilities open to the public (including a Bistro, hairdressers and gym facilities) and a domiciliary community service. Methods: In this paper we present new data generated from qualitative interviews with a sample of household residents in the 'Fourth Age' and relatives across two villages in the North West of England, UK.

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Home‐ and community‐level predictors of social connection in nursing home residents: A scoping review

Clemens

Aelick

Babineau

et al. 2022

Health Science Reports

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Background and Aims: Social connection is associated with better physical and mental health and is an important aspect of the quality of care for nursing home residents. The primary objective of this scoping review was to answer the question: what nursing home and community characteristics have been tested as predictors of social connection in nursing home residents? The secondary objective was to describe the measures of social connection used in these studies.Methods: We searched MEDLINE(R) ALL (Ovid), CINAHL (EBSCO), APA PsycINFO (Ovid), Scopus, Sociological Abstracts (ProQuest), Embase and Embase Classic (Ovid), Emcare Nursing (Ovid), and AgeLine (EBSCO) for research that quantified associations between nursing home and/or community characteristics and resident social connection. Searches were limited to English-language articles published from database inception to search date (July 2019) and update (January 2021). Results:We found 45 studies that examined small-scale home-like settings (17 studies), facility characteristics (14 studies), staffing characteristics (11 studies), care philosophy (nine studies), and community characteristics (five studies). Eight studies assessed multiple home or community-level exposures. The most frequent measures of social connection were study-specific assessments of social engagement (11 studies), the Index of Social Engagement (eight studies) and Qualidem social relations (six studies), and/or social isolation (five studies) subscales. Ten studies assessed multiple social connection outcomes. Conclusion:Research has assessed small-scale home-like settings, facility characteristics, staffing characteristics, care philosophy, and community characteristics as predictors of social connection in nursing home residents. In these studies, there was no broad consensus on best approach(es) to the measurement of social connection.Further research is needed to build an evidence-base on how modifiable built

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Engaging life in two Irish nursing home units for people with dementia: Quantitative comparisons before and after implementing household environments

Cited by 46 publications

References 35 publications

Engagement and social interaction in dementia care settings. A call for occupational and social justice

Engagement and social interaction in dementia care settings. A call for occupational and social justice

An Examination of How the ‘Household Model' of Care Can Contribute to Positive Ageing for Residents in the ‘Fourth Age’

Home‐ and community‐level predictors of social connection in nursing home residents: A scoping review

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