The Influence of the Physical Environment on Residents With Dementia in Long-Term Care Settings: A Review of the Empirical Literature

Chaudhury, Habib; Cooke, Heather A; Cowie, Heather; Razaghi, Leila

doi:10.1093/geront/gnw259

Cited by 147 publications

(170 citation statements)

References 96 publications

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“…Closer proximity in the four other venues seemed to lead to more spontaneous interactions between the staff and the residents. However, while the physical characteristics of a room can affect staff and resident interaction, the organisational and relational care practices of a setting are also critical (Chaudhury, Cooke, Cowie, & Razaghi, 2017;Morgan-Brown & Chard, 2014;Morgan-Brown et al, 2013;Røen, et al, 2017) and further examination of these factors could explain the discrepancy in results. Social interaction, interactive occupation, informal group situations, and especially structured group situations depend on the facilitation of staff.…”

Section: Discussionmentioning

confidence: 99%

Engagement and social interaction in dementia care settings. A call for occupational and social justice

Morgan‐Brown

Brangan

McMahon

et al. 2018

Health Soc Care Community

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As full citizens, people with dementia are entitled to engage in social and occupational activities in residential care settings. Limitation or deprivation of choice and experience of valued occupations has been described elsewhere as occupational injustice. This research frames the unmet needs of people with dementia for occupation and social interaction, as issues of human rights and citizenship. It identifies a gap in current measurement tools of engagement in residential settings and in response, presents the Assessment Tool for Occupational and Social Engagement (ATOSE) as an objective measure of engagement. It examines results from a study of five residential care settings in Ireland using the ATOSE which included 73 residents with dementia and/or enduring mental health diagnoses. Residents spent on average, 38% of their time engaged and 62% of their time not engaged while in their communal sitting rooms. The ATOSE observations supported the rights of residents as citizens to have low levels of engagement addressed. A critical gerontology lens is employed to discuss concepts of citizenship, occupational justice, and social justice in the context of this research project.

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Section: Discussionmentioning

confidence: 99%

Engagement and social interaction in dementia care settings. A call for occupational and social justice

Morgan‐Brown

Brangan

McMahon

et al. 2018

Health Soc Care Community

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“…A recently explored aspect of DFCs is the concept of social citizenship (a sense of belonging in a place) as a human rights issue for people with dementia (Bartlett, ; Charras, Eynard, & Viatour, ; Clarke & Bailey, ). Finally, supportive and responsive environments in long‐term care settings, but not yet in community settings have been shown to positively affect the health, everyday activities, quality of life, and well‐being of people with dementia (Chaudhury, Cooke, Cowie, & Razaghi, ; Landmark, Kirkehei, Gundro Brurberg, & Merete Reinar, ; Woodbridge et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…Finally, supportive and responsive environments in long-term care settings, but not yet in community settings have been shown to positively affect the health, everyday activities, quality of life, and well-being of people with dementia (Chaudhury, Cooke, Cowie, & Razaghi, 2018;Landmark, Kirkehei, Gundro Brurberg, & Merete Reinar, 2009;Woodbridge et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Dementia‐friendly community indicators from the perspectives of people living with dementia and dementia‐family caregivers

Huang

Chiu

et al. 2019

Journal of Advanced Nursing

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Aims To identify dementia‐friendly communities’ indicators and their current conditions in Taiwan from the perspectives of people with dementia and dementia‐family caregivers. Design This qualitative study explored the opinions and experiences of people with dementia and dementia‐family caregivers regarding dementia‐friendly communities. Methods Participants (16 people with dementia and 20 family caregivers) were recruited from neurological clinics, day care centres for people with dementia and support groups for family caregivers in the Taipei community from July ‐ October, 2016. Data were collected in face‐to‐face interviews, which were tape recorded and transcribed verbatim. Transcripts were analysed by Miles and Huberman's (1994) guidelines. Results Similar indicators for dementia‐friendly communities were identified in Taiwan as in other countries, including dementia‐friendly care services, dementia‐friendly hospitals, dementia‐friendly community environment, dementia‐friendly transportation, dementia‐friendly stores and shops, dementia friendly people, integrated dementia‐related information and community contribution‐ and ‐involvement opportunities for people with dementia. However, Taiwanese people with dementia and family caregivers described no emphasis on the potential of people with dementia to contribute to developing dementia‐friendly communities and more top‐down expectations for the government's role. Conclusion These indicators can be a guide for developing and evaluating dementia‐friendly communities in Taiwan. Differences between Taiwan and Western developed countries in indicators for dementia‐friendly communities can be further explored. Community nursing assessment, interventions, and evaluation based on these dementia‐friendly communities indicators can be further developed. Impact This study developed indicators for dementia‐friendly communities in an Asian country. These indicators can be used as a guide for developing and evaluating dementia‐friendly communities.

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“…Alternative models of care have been developed in Australia and internationally to allow individuals to have more independence, living in an environment that looks and feels “home‐like” or “normalised.” These models are often provided as dementia‐specific homes. Previous research has suggested care staff in US home‐like models of care (Green House models) may be able to spend more time in “direct care activities and engaging directly with the resident” …”

Section: Introductionmentioning

confidence: 99%

Alternative staffing structures in a clustered domestic model of residential aged care in Australia

et al. 2019

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Objective: A clustered domestic model of residential aged care has been associated with better consumer-rated quality of care. Our objective was to examine differences in staffing structures between clustered domestic and standard models. Methods: A cross-sectional study involving 541 individuals living in 17 Australian not-for-profit residential aged care homes. Results: Four of the homes offered dementia-specific clustered domestic models of care with higher personal care attendant (PCA) hours-per-resident-per-day (mean [SD] 2.43 [0.29] vs. 1.74 [0.46], P < 0.001), slightly higher direct care hours-perresident-per-day (2.66 [0.35] vs. 2.58 [0.44], P = 0.006), higher staff training costs ($1492 [258] vs. $989 [928], P < 0.001) and lower registered/enrolled nurse hoursper-resident-per-day (0.23 [0.10] vs. 0.85 [0.17], P < 0.001) compared to standard models. Conclusions: An Australian clustered domestic model of care had higher PCA hours, more staff training and more direct care time compared to standard models.Further research to determine optimal staffing structures within alternative models of care is warranted. K E Y W O R D Shealth services for the aged, nursing homes, nursing staffThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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The Influence of the Physical Environment on Residents With Dementia in Long-Term Care Settings: A Review of the Empirical Literature

Cited by 147 publications

References 96 publications

Engagement and social interaction in dementia care settings. A call for occupational and social justice

Engagement and social interaction in dementia care settings. A call for occupational and social justice

Dementia‐friendly community indicators from the perspectives of people living with dementia and dementia‐family caregivers

Alternative staffing structures in a clustered domestic model of residential aged care in Australia

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