Resident Outcomes in Small‐House Nursing Homes: A Longitudinal Evaluation of the Initial Green House Program

Kane, Rosalie A.; Lum, Tys; Cutler, Lois J.; Degenholtz, Howard B.; Yu, Tzy Chyi

doi:10.1111/j.1532-5415.2007.01169.x

Cited by 295 publications

(290 citation statements)

References 18 publications

(33 reference statements)

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“…Autonomy and privacy were strongly linked (separate flats) and involved a lower degree of supervision in extra-care housing compared to the density of the assisted living, where residents could refrain completely from autonomy if they preferred to. This is in line with Kane and colleagues’ study (2007) in which autonomy and privacy were aspects of quality of life which was found to be higher in the small-house nursing home with private flats. This is a reasonably direct and discernible cause–effect mechanism.…”

Section: Discussionsupporting

confidence: 91%

“…The importance of architectural space for the provision of resident-centred care has been a point of departure in existing research, although without any particular analysis or discussion (Kane et al, 2007; Molony et al, 2011). This study shows how architectural space contributes to the emergence of resident-centred care, and the results show that it appears in different forms in different architectural environments.…”

Section: Discussionmentioning

confidence: 99%

“…The small-house nursing home in Kane and colleagues’ study (2007) was assessed as a better environment to live in than compared facilities. It is unclear to what extent resident-centred care contributed to this.…”

Section: Discussionmentioning

confidence: 99%

“…Few studies have focused upon this topic, although one paper focusing explicitly on the environment studies patient-centred care and hospital architecture (Bromley, 2012). Two studies on residences for the elderly have highlighted architectural qualities as factors that are expected to contribute to resident-centred care (Kane, Lum, Cutler, Degenholtz, & Yu, 2007; Molony, Evans, Sangchoon, Rabig, & Straka, 2011). However, the care model is not described in either study, even if it is referred to as resident-centred care.…”

Section: Introductionmentioning

confidence: 99%

“…Autonomy was strongly linked to at-homeness in all facilities, although not directly associated with residential satisfaction. Kane and colleagues (2007) measured aspects such as residents’ self-reported quality of life, their self-care abilities and functional performance, which in all measurements were better than or the same as in two compared conventional nursing homes. Quality of life included aspects such as privacy, dignity, autonomy and individuality, which are often associated with resident-centred care.…”

Section: Introductionmentioning

confidence: 99%

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Resident-centred care and architecture of two different types of caring residences: a comparative study

Nord

2018

International Journal of Qualitative Studies on Health and Well

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The relationship between architectural space and resident-centred care is poorly understood, even though architectural space is indicated as an important factor in the quality of care. This paper aims to address this gap in existing research by putting resident-centred care in the theoretical context of relationality and emergence in which space is a co-producing component. This qualitative case study includes two housing alternatives, which are compared: one assisted living and one extra-care housing residence, which differ in their legal status and architecturally. Similar fieldwork was carried out in the two residences. Individual interviews with staff and residents, as well as observations—direct and shadowing—were the main data collection methods. The concept of assemblage was used for the analysis of how resident-centred care and architectural space co-evolved. The findings show that resident-centred care appears in similar but also diverse and sometimes contradictory ways in different spaces in the two housing alternatives, suggesting that resident-centred care is situated, volatile and emergent. Although architecture has strong agency, space and care need to be considered together—a caring architecture—in order to understand the nuances and rich conceptual palette of resident-centred care.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Resident-centred care and architecture of two different types of caring residences: a comparative study

Nord

2018

International Journal of Qualitative Studies on Health and Well

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The Physician's Role in Patients' Nursing Home Care

Zweig¹,

Popejoy²,

Parker-Oliver³

et al. 2011

JAMA

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More than 1.5 million adults live in US nursing homes, and approximately 30% of individuals in the United States will die with a nursing home as their last place of residence. Physicians play a pivotal role in the rehabilitation, complex medical care, and end-of-life care of this frail and vulnerable population. The reasons for admission are multifactorial and a comprehensive care plan based on the Minimum Data Set guides the multidisciplinary nursing home team in the care of the patient and provides assessments of the quality of care provided. Using the cases of 2 patients with different experiences, we describe the physician's role in planning for admission, participating as a team member in the ongoing assessment and care in the nursing home, and guiding care at the end of life. The increasing population of older adults has also promoted community-based and residential alternatives to traditional nursing homes. The future of long-term care will include additional challenges and rich innovations in services and options for older adults.

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Effectiveness of staffing models in residential, subacute, extended aged care settings on patient and staff outcomes

Hodgkinson¹,

Haesler

Nay

et al. 2011

Cochrane Database of Systematic Reviews

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Effectiveness of staffing models in residential, subacute, extended aged care settings on patient and staff outcomes (Review) Effectiveness of staffing models in residential, subacute, extended aged care settings on patient and staff outcomes. Hodgkinson A B S T R A C T BackgroundA key concern for managers and nurse administrators of healthcare settings is staffing. Determining and maintaining an appropriate level and mix of staff is especially problematic for those working in the long-term aged-care sector, where resident needs are complex and recruitment and retention of staff is challenging. ObjectivesTo identify which staffing models are associated with the best patient and staff outcomes. Search methodsWe searched the Effective Practice and Organisation of Care (EPOC) Group Trials Register, the Cochrane Central Register of Controlled Trials (CENTRAL) and the Database of Abstracts of Reviews of Effectiveness (DARE) in The Cochrane Library and the databases MEDLINE, EMBASE, Ageline, CINAHL, and Dissertation abstracts. We also handsearched the reference lists and bibliographies of all retrieved articles. Selection criteriaThis review considered interrupted time series studies and studies with concurrent control designs of care staff or residents of residential or subacute or extended aged-care settings that evaluated the effectiveness of staffing models and skill mixes on resident and care staff outcomes. Data collection and analysisTwo review authors critically appraised all studies that were retrieved based on the screening of titles and abstracts according to the EPOC Group's data collection checklist.The same two review authors independently extracted and summarised details of eligible studies using the data abstraction form developed by EPOC. Main resultsWe included two studies (one interrupted time series and one controlled before-and-after study); both evaluated a primary-care model compared with a either a team-nursing model or a usual-care model. The primary-care model was found to provide slightly better results than the comparator for some outcomes such as resident well-being or behaviour. While nursing staff favoured the primarycare model in one study, neither study found significant improvements in staff outcomes using the primary model compared with the comparator. One study evaluated the uptake of the primary-care model within their facilities and found incorporation of this model into their practice was limited. Authors' conclusionsApart from two small studies evaluating primary care, no evidence in the form of concurrently controlled trials could be identified. While these two studies generally favour the use of primary care, the research designs of both ITS and CBA studies are considered prone to bias, specifically selection and blinding of participants and assessors. Therefore, these studies should be regarded with caution and there is little clear evidence for the effective use of any specific model of care in residential aged care to benefit either residents or care staff. Research in thi...

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Resident Outcomes in Small‐House Nursing Homes: A Longitudinal Evaluation of the Initial Green House Program

Abstract: The GH is a promising model to improve quality of life for nursing home residents, with implications for staff development and medical director roles.

Cited by 295 publications

References 18 publications

Resident-centred care and architecture of two different types of caring residences: a comparative study

Resident-centred care and architecture of two different types of caring residences: a comparative study

The Physician's Role in Patients' Nursing Home Care

Effectiveness of staffing models in residential, subacute, extended aged care settings on patient and staff outcomes

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