The Effect of Dining Room Physical Environmental Renovations on Person-Centered Care Practice and Residents’ Dining Experiences in Long-Term Care Facilities

Abstract

This qualitative study evaluated the effect of dining room physical environmental changes on staff practices and residents' mealtime experiences in two units of a long-term care facility in Edmonton, Canada. Focus groups with staff (n = 12) and individual interviews with unit managers (n = 2) were conducted. We also developed and used the Dining Environment Assessment Protocol (DEAP) to conduct a systematic physical environmental evaluation of the dining rooms. Four themes emerged on the key influences of the renovations: (a) supporting independence and autonomy, (b) creating familiarity and enjoyment, (c) providing a place for social experience, and (d) challenges in supporting change. Feedback from the staff and managers provided evidence on the importance of physical environmental features, as well as the integral nature of the role of the physical environment and organizational support to provide person-centered care for residents.

Person-Centered Care From a Relational Ethics Perspective for the Delivery of High Quality and Safe Healthcare: A Scoping Review

“…As per Table 4, almost all PCC features and relational ethics actions were mentioned in articles belonging to group 1 (34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50).…”

From Familiar Faces to Family: Staff and Resident Relationships in Long-Term Care

“…Such relationships and connectedness often flourish through story sharing between residents, family members, and staff, a process shown to enhance interpersonal relationships in care settings and personalize care for residents (Brown Wilson, 2008;Heliker & Nguyen, 2010). Knowing residents' preferences enables LTC staff to build relationships with residents, have fun, and find satisfaction in their jobs (Hung, Chaudhury, & Rust, 2015). Furthermore, understanding residents' needs and emotions and working together in a reciprocal partnership with residents to manage day-to-day life have been reported by care providers to improve care delivery and meet resident needs (McGilton & Boscart, 2007).…”

The effects of nutritional guideline implementation on nursing home staff performance: a controlled trial

“…Other mealtime instruments especially designed for nursing homes are under development, for example, by Keller et al. based on the M3 model .…”

“…However, the instrument that we developed still requires further refinement considering the wide range of Cronbach's alpha values that were obtained. Other mealtime instruments especially designed for nursing homes are under development, for example, by Keller et al based on the M3 model (32,(44)(45)(46)(47).…”