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Elo, Satu; Saarnio, Reetta; Isola, Arja (2012)
Publisher: Co-Action Publishing
Journal: International Journal of Circumpolar Health
Languages: English
Types: Article
Subjects: well-being, home environment, symbolic environment, physical environment, social environment
Objectives. The purpose of this study was to construct a theory on an environment that would support the well-being of home-dwelling elderly people in northern Finland. Study design. The study was carried out according to the phases of theory formulation using both qualitative and quantitative methods. Methods. The data of the first phase consisted of focused interviews (n=39) with home-dwelling elderly people over the age of 65 years. Judgement-based snowball sampling was used. By means of inductive concept synthesis, hypothetical models were constructed of a physical, social and symbolic environment that would support the well-being of the elderly. In order to verify the concepts of the hypothetical model, an instrument was constructed in the second phase of the study and its reliability was evaluated by a panel of experts consisting of nurses (n=15), through expert evaluations (n=3) and by postal questionnaire. The final phase of the study (n=328) also targeted home-dwelling elderly people living in northern Finland. The sampling method used was a stratified random sampling. The data of (n=328) were analysed by principal component analysis (PCA) and confirmatory factor analysis (CFA). Results. The physical environment that supports the well-being of the elderly includes a northern environment, an environment that enables safe activity and a pleasant physical environment. The social environment that supports well-being enables the elderly to receive help, allows them to keep in contact with family members and friends as providers of support to their well-being and offers a pleasant living community. The symbolic environment that supports well-being consists of the ideal attributes of well-being, spirituality, the normative attribute of well-being and a sense of history. Conclusions. Even though the environment is artificially divided into separate areas in the theory, in putting the results into practice, it needs to be taken into account that observing separate areas of the environment does not provide a comprehensive view on the connection between environment and well-being.(Int J Circumpolar Health 2011; 70(1):90-100)Keywords: well-being, home environment, symbolic environment, physical environment, social environment
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    • 1. Giles-Corti B, Donovan RJ.The relative inuflence of in - dividual, social and physical environment determinants of physical activity. Soc Sci Med 2002;54(12):1793- 1812.
    • 2. Levine ME.The four conservation principles of nursing. Nurs Forum 1967;6(1):45-59.
    • 3. King IM. A theory for nursing: systems, concepts, process. New York:Wiley; 1981. 181 p.
    • 4. Kim HS. The nature of theoretical thinking in nursing. New York: Springer Publishing Company; 2000. 340 p.
    • 5. Juvani S, Isola A, Kyngäs H.The northern physical environment and the well-being of the elderly aged over 65 years. Int J Circumpolar Health 2005;64(3):246- 256.
    • 6. Fielo SB, Warren SA. Home adaptation: helping older people age in place. Geriatr Nurs 2001;22(5):239- 247.
    • 7. Ritzel DO, Beasley D, Flynn J, Liefer M. Injuries to elderly women in the home environment: a research review. Int Electron J Health Educ 2001;4:64-66.
    • 8. Ayis S, Gooberman-Hill R, Ebrahim S. Long-standing and limiting long-standing illness in older people: associations with chronic diseases, psychosocial and environmental factors. Age Ageing 2003;32(3):265-272.
    • 9. Rioux L. The well-being of aging people living in their own homes. J Env Psych 2005;25(2):231-243.
    • 10. Elo S.A theory of an environment supporting the wellbeing of home-dwelling elderly. Int J Circumpolar Health 2006;65(5):461-462.
    • 11. Barnett E, Casper M. A definition of “social environ - ment.” Am J Public Health 2001;91(3):465.
    • 12. Anderson LA, Schrimshaw SC, Fullilove MT, Fielding JE. The Community Guide's model for linking the social environment to health. Am J Prev Med 2003;24(3S):12- 20.
    • 13. Chuengsatiansup K. Spirituality and health: an initial proposal to incorporate spiritual health in health impact assessment. Environ Impact Assess Rev 2003;23(1): 3-15.
    • 14. McEwen M. Overview of Theory in Nursing. In: McEwen M,Wills EM, editors.Theoretical basis for nursing. Philadelphia: Lippincott Williams & Wilkins; 2002. p. 111-124.
    • 15. Polit DF, Beck CT. Nursing research: principles and methods. Philadelphia: Lippincott Williams & Wilkins; 2004. 792 p.
    • 16. Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs 2008;62(1):107-115.
    • 17. Peterson SJ, Bredow TS. Middle-range theories: application to nursing research. Philadelphia: Lippincott Williams & Wilkins; 2009. 420 p.
    • 18. Lauri S, Kyngäs H. Hoitotieteen Teorian Kehittäminen (Developing nursing theory). Vantaa: Werner Söderström Osakeyhtiö; 2005. 177 p. [in Finnish]
    • 19. Gilbert N. Research, theory and method: Measuring attitudes. In: Gilbert N, editor. Researching social life. London: Sage Publications Ltd.; 1993. p. 18-31.
    • 20. Pett MA, Lackey NR, Sullivan JJ. Making sense of factor analysis: the use of factor analysis for instrument development in health care research. Thousand Oaks, California: Sage Publications Inc.; 2003. 368 p.
    • 21. Munro BH. Statistical methods for health care research. Philadelphia: Lippincott Williams & Wilkins Company; 2005. 514 p.
    • 22. Bollen KA. Structural equations with latent variables. New York:Wiley; 1989. 447 p.
    • 23. Williams K, Harvey D.Transcendent experience in forest environments. J Env Psych 2001;21(3):249-260.
    • 24. Herzog TR, Chernick KK.Tranquility and danger in urban and natural settings. J Env Psych 2000;20(1):29- 39.
    • 25. Lawton MP. Competence, environmental press, and adaptation of older people. In:Windley P, Erns G, editors. Theory development in environment and aging.Washington: Gerontological Society; 1975. p. 18-83.
    • 26. Ala-Nikkola M. At hospital, at home or institutional care home? Tampere: Acta Universitatis Tamperensis 972; 2003. 114 p.
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