Situating Eden—Culture change in residential aged care: A scoping review

Abstract

Objective This review explored the knowledge of the Eden Alternative [Eden] as a well‐being model for aged care and the current research of relationship‐centred care in a residential setting to identify gaps in the literature. Methods The search commenced in July 2017 and was updated in January 2020. Eight electronic databases were systematically searched for peer‐reviewed studies published in English between 2000 and 2020. The search revealed 13 papers for final inclusion. Results The Eden model has the potential to reduce loneliness, helplessness and boredom in older people. Implementation requires committed leadership and the inclusion of residents, families and staff in decision‐making. Conclusions There remain gaps in the empirical evidence of the benefit of the Eden model. The challenge is for researchers to provide rigorous study design that can evidence well‐being outcomes for residents with complex needs.

Factors that influence the implementation of innovation in aged care: a scoping review

“…Of the 2530 retrieved studies, 193 were ultimately included 6,7,11–201 . The PRISMA-ScR diagram (Figure 1) shows the study selection process and reasons for full-text exclusion.…”

The experience of entering residential aged care: The views of residents, family members and staff—an Appreciative Inquiry

“…21 A literature review of culture change models in the United States, the UK, Canada and Australia demonstrated that collaborative relationships between residents, staff and family members are indicators of a successful aged care culture. 22 Involvement of family in the coordination of resident care was found to have positive benefits for both the resident and family dynamics and the relationship with staff and the service. 16,23 Overall, prioritising staff-family relationships has been found to reduce negative outcomes and to have a beneficial effect on not only the care environment, but also the workforce's perceptions of family caregivers, resulting in improved relationships and reduced complaints.…”

“…Studies in North America have shown that when communication between staff and carers is prioritised, there are improved quality of life outcomes for residents 21 . A literature review of culture change models in the United States, the UK, Canada and Australia demonstrated that collaborative relationships between residents, staff and family members are indicators of a successful aged care culture 22 . Involvement of family in the coordination of resident care was found to have positive benefits for both the resident and family dynamics and the relationship with staff and the service 16,23 .…”