LOGIN TO YOUR ACCOUNT

Username
Password
Remember Me
Or use your Academic/Social account:

CREATE AN ACCOUNT

Or use your Academic/Social account:

Congratulations!

You have just completed your registration at OpenAire.

Before you can login to the site, you will need to activate your account. An e-mail will be sent to you with the proper instructions.

Important!

Please note that this site is currently undergoing Beta testing.
Any new content you create is not guaranteed to be present to the final version of the site upon release.

Thank you for your patience,
OpenAire Dev Team.

Close This Message

CREATE AN ACCOUNT

Name:
Username:
Password:
Verify Password:
E-mail:
Verify E-mail:
*All Fields Are Required.
Please Verify You Are Human:
fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Parker, C.; Barnes, S.; McKee, K.; Morgan, K.; Torrington, J.; Tregenza, P. (2004)
Publisher: Cambridge University Press
Languages: English
Types: Article
Subjects:
Older people living in residential and nursing care homes spend a large proportion of their time within the boundaries of the home, and may depend on the environment to compensate for their physical or cognitive frailties. Regulations and guidelines on the design of care buildings have accumulated over time with little knowledge of their impact on the quality of life of building users. The Design in Caring Environments Study (DICE) collected cross-sectional data on building design and quality of life in 38 care homes in and near Sheffield, Yorkshire. Quality of life was assessed using methods which included all residents regardless of their frailty, and staff morale was also assessed. The physical environment was measured on 11 user-related domains using a new tool, the Sheffield Care Environment Assessment Matrix (SCEAM). Significant positive associations were found between several aspects of the built environment and the residents' quality of life. There was evidence that a focus on safety and health requirements could be creating risk-averse environments which act against quality of life, particularly for the least frail residents. Staff morale was associated with attributes of a non-institutional environment for residents rather than with the facilities provided for the staff. The new tool for assessing building design has potential applications in further research and for care providers.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • Barnes, S. 2002. The design of caring environments and the quality of life of older people. Ageing & Society, 22, 775-89.
    • Bowie, P., Mountain, G. and Clayden, D. 1992. Assessing the environmental quality of longstay wards for the confused elderly. International Journal of Geriatric Psychiatry, 7, 95-104.
    • Brawley, E. C. 2001. Environmental design for Alzheimer's disease : a quality of life issue. Aging and Mental Health, 5 (supplement 1), S79-83.
    • Calkins, M. P. 2001. The physical and social environment of the person with Alzheimer's disease. Aging and Mental Health, 5 (supplement 1), S74-8.
    • Department of Health 2001 a. Care Homes for Older People : National Minimum Standards. Stationery Office, London.
    • Department of Health 2001 b. National Service Framework for Older People. The Stationery Office, London, 27.
    • Duffy, M., Bailey, S., Beck, B. and Barker, D. G. 1986. Preferences in nursing home design : a comparison of residents, administrators, and designers. Environment and Behaviour, 18, 246-57.
    • Gilloran, A., Robertson, A., McGlew, T. and McKee, K. 1995. Improving work satisfaction amongst nursing staff and quality of care for elderly patients with dementia : some policy implications. Ageing & Society, 15, 375-91.
    • Goldstein, H. 1995. Multilevel Statistical Models. Arnold, London.
    • Gray-Toft, P. and Anderson, J. G. 1981. The ' Nursing Stress Scale ' : development of an instrument. Journal of Behavioural Assessment, 3, 11-23.
    • Higgs, P. F. D., MacDonald, L. D., MacDonald, J. S. and Ward, M. C. 1998. Home from home : residents' opinions of nursing homes and long-stay wards. Age and Ageing, 27, 199-205.
    • Judd, S., Marshall, M. and Phippen, P. 1998. Design for Dementia. Hawker, London.
    • Kellaher, L. A. 1986. Determinants of quality of life in residential settings for old people. In Judge, K. and Sinclair, I. (eds), Residential Care for Elderly People. Her Majesty's Stationery Office, London, 127-37.
    • Kitwood, T. and Bredin, K. 1992. A new approach to the evaluation of dementia care. Journal of Advances in Health and Nursing Care, 1, 41-60.
    • Langer, E. J. and Rodin, J. 1976. The effects of choice and enhanced personal responsibility for the aged : a field experiment in an institutional setting. Journal of Personality and Social Psychology, 34, 191-8.
    • Lawton, M. P. 1975. The Philadelphia Geriatric Center Morale Scale : a revision. Journal of Gerontology, 30, 85-9.
    • Lawton, M. P. 1982. Competence, environmental press, and the adaptation of older people. In Lawton, M. P., Windley, P. G. and Byerts, T. O. (eds), Aging and the Environment : Theoretical Approaches. Springer Publishing Company, New York, 33-59.
    • Lawton, M. P. 1994. Quality of life in Alzheimer disease. Alzheimer Disease and Associated Disorders, 8 (supplement 3), 138-50.
    • Lawton, M. P. 2001. The physical environment of the person with Alzheimer's disease. Aging and Mental Health, 5 (supplement 1), S56-64.
    • Lawton, M. P., Weisman, G., Sloane, P., Norris-Baker, C., Calkins, M. and Zimmerman, Z. I. 2000. A ' Professional Environmental Assessment Procedure ' for special care units for elders with dementing illness and its relationship to the ' Therapeutic Environment Screening Schedule '. Alzheimer Disease and Associated Disorders, 14, 28-38.
    • Logsdon, R. G. and Teri, L. 1997. The Pleasant Events Schedule-AD : psychometric properties and relationship to depression and cognition in Alzheimer's disease patients. The Gerontologist, 37, 40-5.
    • McKee, K. J., Houston, D. M. and Barnes, S. 2002. Methods for assessing quality of life and well-being in frail older people. Psychology and Health, 17, 737-51.
    • Moos, R. and Lemke, S. 1980. Assessing the physical and architectural features of sheltered care settings. Journal of Gerontology, 35, 571-83.
    • Moos, R. H. and Lemke, S. 1996. Evaluating Residential Facilities. Sage, London.
    • Morgan, D. G. and Stewart, N. J. 1999. The physical environment of Special Care Units : needs of residents with dementia from the perspective of staff and family caregivers. Qualitative Health Research, 9, 105-18.
    • Netten, A. 1989. The effect of design of residential homes in creating dependency among confused elderly residents. International Journal of Geriatric Psychiatry, 4, 143-53.
    • Netten, A. 1993. A Positive Environment ? Physical and Social Influences on People with Senile Dementia in Residential Care. Ashgate, Aldershot, Hampshire.
    • Pattie, A. H. and Gilleard, C. J. 1979. Manual of the Clifton Assessment Procedures for the Elderly. Hodder and Stoughton, Sevenoaks, Kent.
    • Pearson, A., Hocking, S., Mott, S. and Riggs, A. 1993. Quality of care in nursing homes : from the resident's perspective. Journal of Advanced Nursing, 18, 20-4.
    • Rasbash, J., Browne, W., Goldstein, H., Yang, M., et al. 2000. A User's Guide to MlwiN, second edition. Institute of Education, University of London, London.
    • Sloane, P. D., Mitchell, C. M., Weisman, G., Zimmerman, S., Long Foley, K. M., Lynn, M., Calkins, M., Lawton, M. P., Teresi, J., Grant, L., Lindeman, D. and Montgomery, R. 2002. The Therapeutic Environment Screening Survey for Nursing Homes (TESS-NH) : an observational instrument for assessing the physical environment of institutional settings for persons with dementia. Journal of Gerontology : Social Sciences, 57B, S69-78.
    • Torrington, J. 1996. Care Homes for Older People : A Briefing and Design Guide. Spon, London.
    • Tune, P. and Bowie, P. 2000. The quality of residential and nursing-home care for people with dementia. Age and Ageing, 29, 325-8.
    • Warr, P., Cook, J. and Wall, T. 1979. Scales for the measurement of some work attitudes and aspects of psychological well-being. Journal of Occupational Psychology, 52, 129-48.
    • World Health Organisation Quality of Life Assessment (WHOQOL) Group 1998. The World Health Organisation Quality of Life Assessment : development and general psychometric properties. Social Science and Medicine, 46, 1569-85.
  • No related research data.
  • No similar publications.

Share - Bookmark

Cite this article