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Exploring Environmental Variation in Residential Care Facilities for Older People

Susanna Nordin ; Kevin McKee ; Helle Wijk ; Marie Elf (Institutionen för arkitektur)
Health Environments Research & Design Journal (1937-5867). Vol. 10 (2017), 2, p. 49-65.
[Artikel, refereegranskad vetenskaplig]

Objective: The aim of this study was to explore variation in environmental quality in Swedish residential care facilities (RCFs) using the Swedish version of the Sheffield Care Environment Assessment Matrix (S-SCEAM). Background: Well-designed physical environments can positively impact on health and well-being among older persons with frail health living in RCFs and are essential for supporting person-centered care. However, the evidence base for informing the design of RCFs is weak, partly due to a lack of valid and reliable instruments that could provide important information on the environmental quality. Methods: Twenty RCFs were purposively sampled from several regions, varying in their building design, year of construction, size, and geographic location. The RCFs were assessed using S-SCEAM and the data were analyzed to examine variation in environmental quality between and within facilities. Results: There was substantial variation in the quality of the physical environment between and within RCFs, reflected in S-SCEAM scores related to specific facility locations and with regard to domains reflecting residents’ needs. In general, private apartments and dining areas had high S-SCEAM scores, while gardens had lower scores. Scores on the safety domain were high in the majority of RCFs, whereas scores for cognitive support and privacy were relatively low. Conclusions: Despite high building standard requirements, the substantial variations regarding environmental quality between and within RCFs indicate the potential for improvements to support the needs of older persons. We conclude that S-SCEAM is a sensitive and unique instrument representing a valuable contribution to evidence-based design that can support person-centered care.

Nyckelord: assessment; long-term care facility; older people; person-centered care; physical environment

Denna post skapades 2017-01-27. Senast ändrad 2017-06-14.
CPL Pubid: 247758


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Institutionen för vårdvetenskap och hälsa (GU)
Institutionen för arkitektur (2005-2017)


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