“…The care environment, according to Kim's typology () has been defined in terms of the physical, concerned with the structures within the institution, the social, concerned with people's interactions and the symbolic, concerned with culture, language, religion/spirituality and society norms. Other studies have considered the care environment in terms of people, processes and equipment (Zimmerman et al, ), and the built environment, including information technology (Cook, Crandall, Singla, & Thomas, ) and architecture (Van Steenwinkel et al, ). The elements within these studies (Cook et al, ; Zimmerman et al, ) facilitate an understanding of the care environment but not how this environment acts on and with the residents.…”