Enabling at-homeness for residents living in a nursing home: Reflected experience of nursing home staff

Saarnio, Lotta; Boström, Anne‐Marie; Hedman, Ragnhild; Gustavsson, Petter; Öhlén, Joakim

doi:10.1016/j.jaging.2017.10.001

Cited by 11 publications

(16 citation statements)

References 96 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…To reduce casualties and property losses in unexpected situations, an effective evacuation plan should be adopted [7]. Older people entering nursing homes are often seriously ill [8,9], many of them need regular contact with the health care system to stay alive and function [10]. ose standard evacuation procedures are therefore not well suited for these vulnerable populations [11].…”

Section: Introductionmentioning

confidence: 99%

Fire Evacuation Process Using Both Elevators and Staircases for Aging People: Simulation Case Study on Personnel Distribution in High-Rise Nursing Home

Chen

Yap

et al. 2020

Discrete Dynamics in Nature and Society

View full text Add to dashboard Cite

There were increasing concerns on the possibility and suitability of using elevators for high-rise building evacuation because, through the improvement of the elevator system, the self-evacuation ability of age people is promoted as much as possible in the process of an emergency evacuation. The combined evacuation using both elevators and stairs was put into discussion. However, there was no empirical evidence and numerical simulation on emergency evacuation using both elevators and staircases for aging people in high-rise nursing homes. Therefore, using one case study, this paper simulated the emergency evacuation in a high-rise nursing home using variables such as the distribution of the elderly with different physical conditions, the proportion of the elderly in different physical conditions, the number of the elderly, the number of floors, the number of elevators used, and the priority of the elevator floor. By simulating the evacuation process in various scenarios, the general distribution strategy of high-rise nursing home and the optimal use of the elevator-stair combination during the emergency evacuation were developed. Results show that the elevator-stair combination of evacuation is more effective than using elevators or stairs alone. Increasing the number and speed of elevators can reduce evacuation time. Categorizing elderly people on each floor according to their physical conditions could reduce the evacuation time than randomly distributing them.

show abstract

Section: Introductionmentioning

confidence: 99%

Fire Evacuation Process Using Both Elevators and Staircases for Aging People: Simulation Case Study on Personnel Distribution in High-Rise Nursing Home

Chen

Yap

et al. 2020

Discrete Dynamics in Nature and Society

View full text Add to dashboard Cite

show abstract

“…The studies included in the review were published from 2014 to 2020 and conducted in the United Kingdom (n = 1), 39 Canada (n = 2), 26,40 the United States (n = 1), 41 Sweden (n = 2), 32,42 and The Netherlands (n = 1). 24 All the studies were published in English.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Experiences of health care personnel with promoting a sense of home for older adults living in residential care facilities: a qualitative systematic review

Mauro

Notarnicola

Cinque

et al. 2022

JBI Evidence Synthesis

View full text Add to dashboard Cite

Objective: The objective of this review was to evaluate the experiences of health care personnel with promoting a sense of home for older adults living in residential care facilities. Introduction: Moving to a residential care facility represents a critical moment for older adults. It disrupts the continuity of their lives and distances them from significant people and objects. Health care personnel working in residential care facilities can help create a sense of home for residents. There is a lack of qualitative reviews reporting health care personnel’s experiences with promoting a sense of home for older adults living in residential care settings. Inclusion criteria: Qualitative studies exploring the experiences of health care personnel with promoting a sense of home for people aged 65 and older living in residential care facilities, including, but not limited to, nursing homes, residential care homes, retirement homes, assisted-living facilities, and skilled nursing facilities were included in the review. Methods: This review followed a meta-aggregation approach according to JBI methodology for systematic reviews of qualitative evidence. PubMed, CINAHL, Embase, PsycINFO, Scopus, Web of Science, and ILISI databases were searched, as well as Google Scholar, OpenGrey, and ProQuest Dissertations and Theses Global. Studies published in English, Italian, French, Portuguese, or Spanish were considered for inclusion. Study selection, critical appraisal, data extraction, and data synthesis were conducted by 2 independent reviewers using the JBI approach and JBI standardized tools. Finally, the ConQual approach was used to assess the confidence level in the study findings. Results: Seven studies conducted in Canada, the United States, the United Kingdom, Sweden, and the Netherlands between 2014 and 2020 were included. The studies reported the experiences of nurses, nurse aides, and directors of facilities. From the aggregation of 69 findings, 14 categories were generated that were then grouped into 3 synthesized findings describing the experiences of health care personnel as follows: the promotion of residents’ sense of home in residential care facilities is influenced by i) the built environment, including private, single rooms with bathrooms, homelike-domestic spaces, personalization of residents’ rooms, homelike interior and exterior design, and non-hospital-like environment; ii) the national and local policy and regulations, and work organization, as well as leadership of managers and directors; and iii) the facilities’ care culture, including philosophy of care, maintaining autonomy of residents and ties with the community, participation in domestic and recreational activities, and family relationships. Based on the ConQual scores, the confidence level in the synthesized findings was graded as low. Conclusions: According to health care personnel, the physical environment, interpersonal and social aspects, regulations, work organization, and the facilities’ care culture can contribute to creating a sense of home for older adults in residential care facilities. The evidence derived from this review can help health care personnel, facility directors, and policy-makers identify the changes that should be implemented to promote a sense of home in older adults residing in care facilities. Systematic review registration number: PROSPERO CRD42020214383

show abstract

“…Numerous empirical studies have identified factors for creating a sense of home in nursing homes. They looked at the physical and environmental settings [ 10 , 11 , 12 , 13 , 14 , 15 ], social relationships [ 16 , 17 , 18 ] or the quality of care and conduct of everyday routines [ 5 , 14 , 19 ]. As many authors explain, these factors are not mutually exclusive, yet they influence each other [ 11 ].…”

Section: Literature Reviewmentioning

confidence: 99%

“…The majority of studies on a sense of home in nursing homes come from cultures of European origin such as North Europe (e.g., [ 2 , 4 , 5 , 11 , 14 , 17 , 18 , 21 , 22 , 23 , 25 , 26 ]), Australia and New Zealand (e.g., [ 13 , 27 , 28 ]) or North America (e.g., [ 14 , 15 , 16 , 29 , 30 , 31 ]). However, as a sense of home is an experienced phenomenon subject to individual perception and interpretation [ 2 ], one may argue that these studies were grounded in the cultural contexts of the nursing homes and their residents.…”

Section: Literature Reviewmentioning

confidence: 99%

Implementation of a Sense of Home in High-Density Multicultural Singapore Nursing Homes: Challenges and Opportunities

Lee

Nasution

et al. 2022

IJERPH

View full text Add to dashboard Cite

Many studies have introduced principles for creating a sense of home in nursing homes, yet they mostly feature cases from low-density developments in Western countries. This raises a question about how those principles are interpreted and implemented in other cultural contexts, especially in high-density, multicultural environments such as Singapore. This paper examines how a sense of home is implemented in Singapore nursing homes, with a specific focus on the role of the built environment. Participant observations were conducted in five nursing homes in Singapore comprising various architectural design typologies, with the focus on the residents’ everyday interactions with their built environment. The study identified the extent of the presence of a sense of home in Singapore’s nursing homes and the prevalence of an institutional care model. More specifically, the study explicates Singapore nursing home residents’ management of privacy and personalization in shared spaces, illuminates the need for holistic implementation of homelike environments integrated with building designs and care programs and reiterates the pivotal role of social relationships in fostering a sense of home for the residents in the nursing homes.

show abstract

Enabling at-homeness for residents living in a nursing home: Reflected experience of nursing home staff

Cited by 11 publications

References 96 publications

Fire Evacuation Process Using Both Elevators and Staircases for Aging People: Simulation Case Study on Personnel Distribution in High-Rise Nursing Home

Fire Evacuation Process Using Both Elevators and Staircases for Aging People: Simulation Case Study on Personnel Distribution in High-Rise Nursing Home

Experiences of health care personnel with promoting a sense of home for older adults living in residential care facilities: a qualitative systematic review

Implementation of a Sense of Home in High-Density Multicultural Singapore Nursing Homes: Challenges and Opportunities

Contact Info

Product

Resources

About