Nursing Home vs. Assisted Living

Msw, James M. Brandi; Kelley‐Gillespie, Nancy; Liese, Lawrence H.; Farley, O. William

doi:10.1300/j081v18n01_05

Cited by 9 publications

(4 citation statements)

References 9 publications

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“…When comparing ALF and NH residents generally, some have noted better quality of life and lower depression and anxiety in ALFs, 21,46 while others found similar rates of depression across ALF and NHs. 25,46 High-quality family-centered care is contingent on successful collaborative efforts between all care team members, including family caregivers, to promote tailored and personalized care provision, which can subsequently improve patients' health. The benefits of good communication on both family and paid caregiver outcomes are well-established.…”

Section: Discussionmentioning

confidence: 99%

“…39,45 Despite offering distinct philosophies of care, it is unclear how mental health varies across care settings, namely NHs and ALFs. When comparing ALF and NH residents generally, some have noted better quality of life and lower depression and anxiety in ALFs, 21,46 while others found similar rates of depression across ALF and NHs. 25,46 High-quality family-centered care is contingent on successful collaborative efforts between all care team members, including family caregivers, to promote tailored and personalized care provision, which can subsequently improve patients' health.…”

Section: Discussionmentioning

confidence: 99%

“…Despite offering distinct philosophies of care, it is unclear how mental health varies across care settings, namely NHs and ALFs. When comparing ALF and NH residents generally, some have noted better quality of life and lower depression and anxiety in ALFs, 21,46 while others found similar rates of depression across ALF and NHs 25,46 …”

Section: Discussionmentioning

confidence: 99%

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Staying in the loop: Quality of family‐paid caregiver communication and influences on resident mental health in long‐term care

Falzarano

Cimarolli

Siedlecki

2022

J American Geriatrics Society

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Background Considerable research has examined communication dynamics among family members and staff in nursing homes (NHs) and has demonstrated that better communication is associated with more optimal mental health outcomes in both family caregivers and paid caregivers. However, the literature on how communication dynamics influence mental health in long‐term care residents is limited and it has yet to be determined how communication impacts residents across care contexts, such as assisted living facilities (ALFs). The purpose of this study is to examine family caregivers' perceptions of communication with paid caregivers and its influence on long‐term care resident outcomes and to compare how results differ across care settings (NHs vs. ALFs). Methods Data were drawn from a subsample of the National Health and Aging Trends Study (NHATS) and the National Study on Caregiving (NSOC). The sample consisted of 142 NHATS participants residing in long‐term care (n = 93 ALF residents; n = 49 NH residents) with an eligible family caregiver who participated in the NSOC. Family caregivers' perceived quality of communication was assessed via questions regarding the frequency, availability, and helpfulness of communication with paid caregivers. Resident mental health was assessed via measures of positive and negative affect, depressive symptoms, and anxiety. Results Across the total sample, greater availability of communication between paid and family caregivers was associated with lower depressive symptoms and negative affect in residents. When examining how these relationships varied across care settings, communication was a stronger predictor of fewer depressive symptoms among residents in ALF settings. Conclusions Study findings provide insights into how interpersonal dynamics between family and paid caregivers influence resident mental health and underscore the importance of enhanced communication among all members of the primary care team, that is, paid caregivers, residents, and their family members.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Staying in the loop: Quality of family‐paid caregiver communication and influences on resident mental health in long‐term care

Falzarano

Cimarolli

Siedlecki

2022

J American Geriatrics Society

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“…A study revealed that 71% of people living there for six months responded that they felt sad about the decision to move, while about 73% of those living at home with care for six months felt happy ( Figure 3) (Jörgensen, 2006). Supported housing has been reported to provide greater quality of life (QoL) than residen al care interna onally (Brandi et al, 2003). However, the experience of residents in supported housing in New Zealand is not so posi ve.…”

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confidence: 99%