Small-Scale Living Environments' Impact on Positive Behaviors and Quality of Life for Residents with Dementia

Brennan, Sumiyo; Doan, Therese

doi:10.1080/26892618.2022.2030845

Cited by 4 publications

(4 citation statements)

References 68 publications

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“…This approach should include jobs within the facilities for people living with dementia to provide a sense of purpose and reduce social isolation. 3 Deinstitutionalize staff and family Education, guidelines, and policies need to be in place to support deinstitutionalization -with an overarching goal of promoting dignity of risk and a person-centered care approach that can overcome behavioral and safety concerns of staff and families.…”

Section: Support and Training Frameworkmentioning

confidence: 99%

“…The Commission identified multiple serious failures in the Australian aged care system, with the final Report, released in 2021, making 148 recommendations for reform including that the Australian Government support residential aged care providers to redesign the built environment and modify care models to enable them to "provide small-scale congregate living which facilitates the small household model of care" [2]. This has the potential to improve quality of life and health outcomes for people living with dementia who require more personalized care and support [1,[3][4][5]. These small-scale dementia care models often sit within community settings and aim to integrate residents with, rather than segregate them from, the surrounding neighborhood.…”

Section: Introductionmentioning

confidence: 99%

“…Small-scale dementia care homes typically accommodate six to fifteen people, consider residents' personal preferences and privacy, recruit staff willing to get to know residents and engage in typical home activities such as preparing meals together, all attributes that may not be achievable in other environments [1]. Small-scale environments can increase meaningful engagement in everyday activities, access to the outdoors, quality of life, social interaction, staff satisfaction, and resident-rated quality of care while also lowering hospitalization and emergency department presentations [1,[3][4][5][6]. Types of smallscale environments vary, from clustered homes within larger organizations to stand-alone houses in the community.…”

Section: Introductionmentioning

confidence: 99%

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Designing an Alternative, Community Integrated Model of Residential Aged Care for People Living with Dementia: Nominal Group Technique and Thematic Analysis

D’Cunha

Holloway

Gibson

et al. 2023

JAD

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Background: Small-scale models of dementia care are a potential solution to deinstitutionalize residential aged care and have been associated with improved resident outcomes, including quality of life and reduced hospitalizations for people living with dementia. Objective: This study aimed to generate strategies and ideas on how homes for people living with dementia in a village setting within a suburban community, could be designed and function without external boundaries. In particular, how could residents of the village and members of the surrounding community access and engage safely and equitably so that interpersonal connections might be fostered? Methods: Twenty-one participants provided an idea for discussion at three Nominal Group Technique workshops, including people living with dementia, carers or former carers, academics, researchers, and clinicians. Discussion and ranking of ideas were facilitated in each workshop, and qualitative data were analyzed thematically. Results: All three workshops highlighted the importance of a surrounding community invested in the village; education and dementia awareness training for staff, families, services, and the community; and the necessity for adequately and appropriately trained staff. An appropriate mission, vision, and values of the organization providing care were deemed essential to facilitate an inclusive culture that promotes dignity of risk and meaningful activities. Conclusion: These principles can be used to develop an improved model of residential aged care for people living with dementia. In particular, inclusivity, enablement, and dignity of risk are essential principles for residents to live meaningful lives free from stigma in a village without external boundaries.

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Section: Support and Training Frameworkmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Designing an Alternative, Community Integrated Model of Residential Aged Care for People Living with Dementia: Nominal Group Technique and Thematic Analysis

D’Cunha

Holloway

Gibson

et al. 2023

JAD

View full text Add to dashboard Cite

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“…It is well‐accepted that the small‐scale physical environment can support people with dementia through design elements which promote autonomy, orientation, privacy and comfort (de Boer et al, 2018; Dyer et al, 2019; Harrison et al, 2022). Home‐like environments have the potential to encourage participation in everyday activities, promote quality of life, engagement and social interaction and increase staff satisfaction (Brennan & Doan, 2022; de Boer et al, 2018; Zwakhalen et al, 2018). Moreover, people living in traditional residential aged care experience higher agitation, distress and withdrawal compared to small‐scale environments (Lee et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

‘It's like home’ – A small‐scale dementia care home and the use of technology: A qualitative study

D’Cunha

Isbel

Bail

et al. 2023

Journal of Advanced Nursing

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AimTo explore the experiences of residents, families and staff in the establishment of a new small‐scale home model of care for people living with dementia.BackgroundNew and innovative small‐scale models of care have the potential to improve outcomes for older people, especially those with dementia, who experience high rates of cognitive impairment in traditional residential aged care homes in Australia.DesignA qualitative descriptive study.MethodsSemi‐structured interviews with 14 guests, family and staff of a new small‐scale dementia home named ‘Kambera House’ in the Australian Capital Territory were conducted between July 2021 when the home opened and August 2022. Data were analysed using reflexive thematic analysis and reported according to the COREQ guidelines.ResultsTwo guests with mild‐to‐moderate dementia, five family and seven staff members participated in the study. The data revealed high satisfaction with Kambera House, generating five themes. Falls detection technology in the home provided a sense of safety, enabling more time for person‐centred care. Free, everyday technology connected the home with families as part of an overall community of care where staff were empowered to maximize choice and dignity of risk of guests living in the home. This contributed to the sense of community, rather than an institution, where the conditions of work supported the conditions of care, and were embedded in a culture of responsiveness, change and flexibility.ConclusionKambera House represents a successful example of a new small‐scale dementia home. Technology played an important background role in improving overall safety and flexibility as part of a model of care which demonstrated positive experiences for guests and families by being responsive to their individual needs.ImpactsSmall‐scale homes for people with dementia offer an alternative model that may provide more individualized, person‐centred care compared with the traditional institutionalized care.Patient or Public ContributionNo patient or public contribution.

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Three-Nation Comparison of Content Validity of the Environmental Assessment Tool-Higher Care

Brennan

Doan

Sun

et al. 2022

Journal of Aging and Environment

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Small-Scale Living Environments' Impact on Positive Behaviors and Quality of Life for Residents with Dementia

Cited by 4 publications

References 68 publications

Designing an Alternative, Community Integrated Model of Residential Aged Care for People Living with Dementia: Nominal Group Technique and Thematic Analysis

Designing an Alternative, Community Integrated Model of Residential Aged Care for People Living with Dementia: Nominal Group Technique and Thematic Analysis

‘It's like home’ – A small‐scale dementia care home and the use of technology: A qualitative study

Three-Nation Comparison of Content Validity of the Environmental Assessment Tool-Higher Care

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