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The association bet...
The association between the physical environment and the well-being of older people in residential care facilities: A multilevel analysis
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- Nordin, Susanna (författare)
- Högskolan Dalarna,Omvårdnad,Karolinska institutet
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- McKee, Kevin, 1961- (författare)
- Högskolan Dalarna,Socialt arbete
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- Wijk, Helle, 1958 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences
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- Elf, Marie, 1962- (författare)
- Högskolan Dalarna,Omvårdnad,Karolinska institutet
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(creator_code:org_t)
- 2017-07-07
- 2017
- Engelska.
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Ingår i: Journal of Advanced Nursing. - : Wiley. - 0309-2402 .- 1365-2648. ; 73:12, s. 2942-2952
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Abstract
Ämnesord
Stäng
- Aims: To investigate the associations between the quality of the physical environment and the psychological and social well-being of older people living in residential care facilities. Background: Many older people in care facilities have cognitive and physical frailties and are at risk of experiencing low levels of well-being. High-quality physical environments can support older people as frailty increases and promote their well-being. Although the importance of the physical environment for residents' well-being is recognized, more research is needed. Design: A cross-sectional survey of 20 care facilities from each of which 10 residents were sampled. As the individual resident data were nested in the facilities, a multilevel analysis was conducted. Methods: Data were collected during 2013 and 2014. The care facilities were purposely sampled to ensure a high level of variation in their physical characteristics. Residents' demographic and health data were collected via medical records and interviews. Residents' well-being and perceived quality of care were assessed via questionnaires and interviews. Environmental quality was assessed with a structured observational instrument. Results: Multilevel analysis indicated that cognitive support in the physical environment was associated with residents' social well-being, after controlling for independence and perceived care quality. However, no significant association was found between the physical environment and residents' psychological well-being. Conclusion: Our study demonstrates the role of the physical environment for enhancing the social well-being of frail older people. Professionals and practitioners involved in the design of care facilities have a responsibility to ensure that such facilities meet high-quality specifications.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
Nyckelord
- long-term care
- multilevel modelling
- nursing
- older people
- physical environment
- residential care
- centered climate questionnaire
- home-like facilities
- quality-of-life
- dementia care
- psychometric evaluation
- alzheimers-disease
- patient
- version
- nursing-homes
- small-scale
- design
- Nursing
- long-term care
- Hälsa och välfärd
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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