Trajectories of At-Homeness and Health in Usual Care and Small House Nursing Homes

Abstract

This study demonstrates that a "one size fits all" approach may not be best because at-homeness is an individualized construct. Complex relationships emerged between perceived self-care ability, functional performance, and SmH nursing homes. Mixed methods enable deeper understanding of therapeutic environments and inform the development and testing of tailored interventions.

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

“…This is a reasonably direct and discernible cause–effect mechanism. It is surprising, then, that the perceived autonomy the private flats offered to the residents did not appear as a factor influencing residential satisfaction in the small-house nursing homes in Molony and colleagues’ study (2011), although it affected at-homeness. The fact that perceived autonomy in conventional nursing homes in the same study was not linked to residential satisfaction is less surprising if the care needs of the residents are taken into account.…”

“…This somewhat surprising result, which contradicts the results of Kane and colleagues (2007), points to the importance of the co-constitution of care/space. Molony and colleagues’ study (2011) also showed strong resident preferences for the physical environment in the small-house nursing home. In particular, the single rooms were highly appreciated compared with the shared rooms in the conventional nursing home.…”

“…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.…”

“…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.…”

“…The conventional nursing homes offered double or triple resident rooms. Molony and colleagues (2011) examined at-homeness . The small-house nursing homes came out in a better light in most aspects compared to the conventional nursing homes.…”