Environmental Attributes of Person-Centered Care

Kaup, Migette L.; Poey, Judith L.

doi:10.1093/geroni/igx004.2598

Cited by 2 publications

(3 citation statements)

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“…For environmental assessments, this may lie more in the patterns of use within the setting, rather than simply the presence or absence of specific features. 69 Engaging a broader cross‐section of users in assessments could strengthen an evidence‐based approach. A core characteristic of PCC is a sense of deep knowing of the person by care providers.…”

Section: Discussionmentioning

confidence: 99%

“…Another void that needs to be filled is in identifying the markers of evidence for PCC. For environmental assessments, this may lie more in the patterns of use within the setting, rather than simply the presence or absence of specific features 69 . Engaging a broader cross‐section of users in assessments could strengthen an evidence‐based approach.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of environmental assessment tools for settings for individuals living with dementia

Calkins

Kaup

Abushousheh

2022

A&D Transl Res & Clin Interv

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Introduction The overarching goal of research on physical settings for individuals living with dementia is to identify associations between designed features within the built environment and outcomes of interest. Over the past three decades numerous environmental assessment tools have been developed in several countries, responding to a changing set of care industry values that increasingly prioritize a holistic, quality‐of‐life–driven person‐centered care (PCC) model over a biomedical approach to long‐term care (LTC) provision. This article reviews the diversity, constructs, strengths, and limitations of existing environmental assessment tools and identifies gaps for future tool development. Methods A systematic literature search was conducted using four databases (Medline, CINAHL, PsycInfo, and Avery Index) and terms related to health‐care environments and assessment tools. Results A total of 13 environmental assessment tools for people living with dementia within shared residential settings were identified. Evaluation of the environmental assessment tools includes a synthesis of published data for each tool's reliability, validity, ease of use, interpretability, strengths and weaknesses, as well as a comparison of various tool characteristics including date of development, country of origin, applicable care setting(s), number and variety of measures and underlying constructs, format, and descriptive versus evaluative content. Discussion While the shift to person‐centered values encompasses all aspects of care and care settings, the majority of person‐centered definitions exclude the important role of the designed, physical environment. However, this review of environmental assessment tools clearly demonstrates that newer tools are embracing the full array of PCC values. In the United States, this is shown in the shift from tools designed to assess segregated dementia care settings to tools that integrate the needs and preferences both of individuals living with and without dementia. Next‐generation tools need to specifically address the household model of design. Highlights The overarching goal of research on physical settings for individuals living with dementia is to identify associations between designed features within the built environment and outcomes of interest. A systematic literature search identified a total of 13 environmental assessment tools for people living with dementia within shared residential settings; these tools were then described and evaluated based on reliability, validity, ease of use, interpretability, strengths, and weaknesses. This review of environmental assessment tools clearly demonstrates that newer tools are embracing the full array of person‐centered care values.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Evaluation of environmental assessment tools for settings for individuals living with dementia

Calkins

Kaup

Abushousheh

2022

A&D Transl Res & Clin Interv

View full text Add to dashboard Cite

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“…18 In design fields, affordance concept has been utilized in various ways to give care providers an evaluation tool of therapeutic spaces in healthcare settings, 22 to provide designers with crucial information during their design processes, 23 to examine the impact of the patient-centred unit design in intensive care units 24 or to understand how person-centred care behaviours could be enacted in the built environment. 25 Archea 26 and Evans and McCoy 27 also mentioned that many accidents in buildings can be prevented by potential applications of affordance as a designer's tool, as shown in Figure 1. However, there are scarce studies on environmental affordances particularly in a public space for the wellbeing of all of us.…”

Section: Literature Reviewmentioning

confidence: 99%

Affordance-based interior design with occupants' behavioural data

Kim

2020

Indoor and Built Environment

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For affordance-based design, which is especially lacking in the architecture field, this study investigates the relationships between affordances and interior elements in the built environment by understanding intrinsic affordances by users. The ethnographic case study was conducted by unobtrusively observing participant behaviours during given tasks using video recordings, voice recordings and photographs. The 32 affordances were identified in a public space containing 22 observed affordances and 10 issue affordances. The paper defines the hierarchical nature of the interior elements, including area-level, set-level, object-level and detailed attribute-level elements. An awareness of human-based affordances, where humans can create specific affordances using their bodies and belongings, was significant in the current research. The affordance-interior design element map can be used to support the identification of interior elements that are relevant to certain affordances and to distinguish which affordances are demanded by occupants in the built environment. Overall, designers could embed the affordance concept in the early stages of the design process by choosing more critical affordances and interior elements. The affordance-interior design element matrix and the map may be developed as an initial data repository for affordance-based interior design.

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Environmental Attributes of Person-Centered Care

Cited by 2 publications

References 0 publications

Evaluation of environmental assessment tools for settings for individuals living with dementia

Evaluation of environmental assessment tools for settings for individuals living with dementia

Affordance-based interior design with occupants' behavioural data

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