The physical environment, activity and interaction in residential care facilities for older people: a comparative case study

Nordin, Susanna; McKee, Kevin; Wallinder, Maria; Koch, Lena von; Wijk, Helle; Elf, Marie

doi:10.1111/scs.12391

Cited by 56 publications

(81 citation statements)

References 55 publications

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“…Although less explicit in the accounts of our participants, uncaring conversations by staff [50] and a feeling of being forced to be co-operative with staff [8] have been indicated as hindering factors for successful transition, and it has been suggested that sensible symbols will help foster the elderly's trust in the care provided [51]. Researchers have indicated that the physical design of the LTC facility in uenced the residents' activities and interactions [52], and the design could be a hindrance or facilitator for smooth transition by way of establishing connections and relationships [53]. The design of the care facility could also enable the elderly to pursue their interests and participate in activities and to have a sense of calm and peace [38,45,52].…”

Section: Discussionmentioning

confidence: 94%

“…Researchers have indicated that the physical design of the LTC facility in uenced the residents' activities and interactions [52], and the design could be a hindrance or facilitator for smooth transition by way of establishing connections and relationships [53]. The design of the care facility could also enable the elderly to pursue their interests and participate in activities and to have a sense of calm and peace [38,45,52]. All our participants lived in shared rooms, but they wished for more personal space and less disturbance from their co-residents.…”

Section: Discussionmentioning

confidence: 99%

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Relocation experiences of the elderly to a long-term care facility in Taiwan: a qualitative study

Rong

2020

Preprint

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BackgroundRelocation to a long-term care (LTC) facility is a major life change for most elderly people. Following relocation, many elderly experience difficulties in adapting to changes in the living environment. Taiwan is increasingly becoming an "aging society” and the numbers of those who relocate from family residences to long-term residential care facilities have increased over years. However, in-depth evidence on the experiences of the elderly of their stay in LTC facilities in Taiwan is relatively sparse. This study aimed to explore the relocation experiences of the elderly to a LTC facility to inform policy and practice to address their needs effectively.MethodsA qualitative study, using semi-structured in-depth interviews, was conducted to explore the experiences of 16 elderly people who have relocated to and lived in a LTC facility in Taiwan for up to a period of 12 months. All interviews were recorded, transcribed, and analyzed using grounded theory approach.ResultsParticipants’ accounts reflected four interrelated key themes: wish to minimize the burden, but stay connected with the family; perceived barriers to adaptation; valuing tailored care; and acceptance and engagement. Each theme included interrelated subthemes that influenced one another and represented the different stages in the relocation journey. Most participants viewed relocation as a way of minimizing the burden of their care from family members, but desired to keep a close connection with family and friends. Participants recounted experiences of psychological resistance while making the decision to relocate. Fear of losing autonomy and the ability to perform self-care was a major reason for resistance to adapt. Provision of tailored care was accorded much value by the participants. The decision to accept the relocation and to adapt themselves to the new environment due to their needs for constant care was explicit in some accounts.ConclusionsRelocation to LTC facility is a dynamic process in the first year of moving into the facility, and involves a range of emotions, feelings and experiences. Adaptation of the elderly into the LTC facility can be maximized if the relocation is well planned with provisions for individually tailored care and family involvement.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Relocation experiences of the elderly to a long-term care facility in Taiwan: a qualitative study

Rong

2020

Preprint

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“…The participants most strongly agreed, in their ratings of their social environment and social restrictiveness, that they had freedom to do what they liked. Thus, their social housing appears to uphold at least one core value of elderly care: the protection of rights to independence and privacy [ 23 ]. Moreover, associated feelings of freedom and privacy are normative elements of the elderly’s wellbeing, and strongly indicative of the absence of strong social pressure and (thus) possibilities to “be oneself” [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Thus, when older people move to senior housing they may need support from close people or staff to get to know their new social environment, and it may be particularly important to organize social physical activities in the new environment for women, as they are more dependent than men on social networks [ 4 , 18 ]. If organisations do not support residents’ physical activity needs and preferences they tend to become inactive [ 23 ]. Support from family and staff as well as having friends who are physically active are both associated with the participation in physical activity [ 4 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Social Environment of Older People during the First Year in Senior Housing and Its Association with Physical Performance

Lotvonen

Kyngäs

Koistinen

et al. 2017

IJERPH

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Increasing numbers of older people relocate into senior housing when their physical performance declines. The change in social environment is known to affect their wellbeing, providing both challenges and opportunities, but more information on the relations between social and physical parameters is required. Thus, we elicited perceptions of the social environment of 81 older people (aged 59–93 years, living in northern Finland) and changes in it 3 and 12 months after relocation to senior housing. We also measured their physical performance, then analysed associations between the social and physical variables. Participants reported that they had freedom to do whatever they liked and generally had enough contact with close people (which have recognized importance for older people’s wellbeing), but changes in their physical condition limited their social activity. Moreover, their usual walking speed, dominant hand’s grip strength and instrumental activities of daily living (IADL) significantly decreased. The pleasantness of the residential community, peer support, constraints on social activity imposed by changes in physical condition, meaningful activity at home and meeting close people all affected these physical performance parameters. Clearly, in addition to assessing physical performance and encouraging regular exercise, the complex interactions among social factors, physical performance and wellbeing should be considered when addressing individuals’ needs.

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“…21 The residential environment itself can affect well-being. 22 However, we know little about autistic people's experiences of transferring to and living in residential care.…”

Section: Residential Care In Older Agementioning

confidence: 99%

Workshop Report: Establishing Priority Research Areas to Improve the Physical Health and Well-Being of Autistic Adults and Older People

Warner

ParrJeremy

CusackJames

2019

Autism in Adulthood

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Many serious medical conditions are more common in autistic adults than the general population. Yet, improving the physical health and well-being of autistic adults has not been a significant research focus to date. In collaboration with Newcastle University (the United Kingdom), Autistica (the United Kingdom's autism research charity) hosted a workshop bringing together autistic people, relatives, clinicians, managers, clinical commissioners, international researchers, and funders to establish priority research areas and catalyze research to improve the physical health and well-being of autistic people. This article provides an overview of the design and methods used at the workshop to maximize collaborative working, and summarizes the 11 priority research concepts that emerged.

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The physical environment, activity and interaction in residential care facilities for older people: a comparative case study

Cited by 56 publications

References 55 publications

Relocation experiences of the elderly to a long-term care facility in Taiwan: a qualitative study

Relocation experiences of the elderly to a long-term care facility in Taiwan: a qualitative study

Social Environment of Older People during the First Year in Senior Housing and Its Association with Physical Performance

Workshop Report: Establishing Priority Research Areas to Improve the Physical Health and Well-Being of Autistic Adults and Older People

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