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The physical environment, activity and interaction in residential care facilities for older people: a comparative case study

Nordin, Susanna (author)
Högskolan Dalarna,Omvårdnad
McKee, Kevin (author)
Högskolan Dalarna,Socialt arbete
Mårtenskog, Maria, 1974- (author)
Högskolan Dalarna,Energiteknik
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von Koch, Lena (author)
Karolinska Institutet
Wijk, Helle, 1958 (author)
Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences
Elf, Marie (author)
Högskolan Dalarna,Omvårdnad
Wallinder, Maria (author)
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 (creator_code:org_t)
2016-11-16
2017
English.
In: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 31:4, s. 727-738
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • The physical environment is of particular importance for supporting activities and interactions among older people living in residential care facilities (RCFs) who spend most of their time inside the facility. More knowledge is needed regarding the complex relationships between older people and environmental aspects in long-term care. The present study aimed to explore how the physical environment influences resident activities and interactions at two RCFs by using a mixed-method approach. Environmental assessments were conducted via the Swedish version of the Sheffield Care Environment Assessment Matrix (S-SCEAM), and resident activities, interactions and locations were assessed through an adapted version of the Dementia Care Mapping (DCM). The Observed Emotion Rating Scale (OERS) was used to assess residents’ affective states. Field notes and walk-along interviews were also used. Findings indicate that the design of the physical environment influenced the residents’ activities and interactions. Private apartments and dining areas showed high environmental quality at both RCFs, whereas the overall layout had lower quality. Safety was highly supported. Despite high environmental quality in general, several factors restricted resident activities. To optimise care for older people, the design process must clearly focus on accessible environments that provide options for residents to use the facility independently.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)

Keyword

activities
case study
interactions
mixed-method
older people
physical environment
residential care facilities
Hälsa och välfärd
Health and Welfare
Activities
Case study
Interactions
Mixed-method
Older people
Physical environment
Residential care facilities

Publication and Content Type

ref (subject category)
art (subject category)

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