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First-Line Managers’ Leadership Behavior Profiles and Use of Gardens in Residential Care Facilities: An Interview Study 一线管理者的领导行为特征与养老院花园的使用:访谈研究
IF 2 Q2 Social Sciences Pub Date : 2021-11-11 DOI: 10.1080/26892618.2021.2001707
Eva Dahlkvist, M. Wallhagen, E. Bergsten, J. Larsson, I. Enmarker
Abstract This study explored first-line managers’ leadership behavior profiles regarding their goals for utilizing the garden at residential care facilities for older people. Semi-structured interviews were conducted with a convenience sample of first-line managers (n = 12) in Sweden. Data were analyzed using deductive content analysis theoretically guided by the Three-dimensional Leadership Model. The results showed that the main leadership behavior profiles were related to the dimensions structure, relation and change. The managers emphasized workplace regulations and goals. They allowed staff to make decisions and encouraged them to see problems and opportunities.
摘要本研究探讨了一线管理者在利用老年人住宿护理设施花园方面的领导行为特征。半结构化访谈采用方便抽样的一线经理(n = 12) 在瑞典。在三维领导模型的理论指导下,采用演绎内容分析法对数据进行分析。结果表明,领导行为的主要特征与维度结构、关系和变化有关。经理们强调工作场所的规章制度和目标。他们允许员工做出决定,并鼓励他们看到问题和机会。
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引用次数: 0
Older Adult Residents in Cohousing Communities: Impact and Response to the COVID-19 Pandemic 拥挤社区中的老年居民:对新冠肺炎大流行的影响和应对
IF 2 Q2 Social Sciences Pub Date : 2021-10-16 DOI: 10.1080/26892618.2021.1987371
J. Koller, B. L. Hutchings, Joelle Zabotka
Abstract This cross-sectional study explored the experiences of older adults in cohousing communities in the United States during the COVID-19 pandemic. Cohousing- an intentionally designed collaborative housing community- provides opportunities for social support. Restrictions due to the pandemic may be associated with less opportunities for social and physical connectedness. Most participants did not feel lonely or left out but did feel isolated. Feeling lonely or left out were associated with poor health status, living alone, being single, and having less contact outside of the community. It was unclear if feeling isolated was a result of or was intensified due to the pandemic.
摘要这项横断面研究探讨了新冠肺炎大流行期间美国老年人在共同居住社区的经历。Cohousing是一个有意设计的合作住房社区,为社会支持提供了机会。疫情造成的限制可能与社交和身体联系的机会减少有关。大多数参与者并不感到孤独或被冷落,但确实感到孤立。感到孤独或被冷落与健康状况不佳、独自生活、单身以及与社区外接触较少有关。目前尚不清楚这种孤立感是疫情的结果还是由于疫情而加剧。
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引用次数: 3
The Impact of the Sense of Home on the Quality of Life of Older Adults in Tabriz, Iran 家的感觉对伊朗大不里士老年人生活质量的影响
IF 2 Q2 Social Sciences Pub Date : 2021-10-12 DOI: 10.1080/26892618.2021.1987370
Minou Gharebaglou, Hamed Beyti, Shole Rezaei Zunuz
Abstract With the advent of aging population, the quality of life of older adults has become an ever more imperative focus of research. However, the impact of a sense of home on the quality of life of older adults has not received the full recognition it deserves yet. The present study is based on the following assumptions (1) older adults living in residential care facilities would have a better understanding of how it feels like to live in one’s home precisely because of living away from home; (2) older adults living at home would be affected in terms of quality of life by their subconscious perceptions of sense of home despite lacking an explicit familiarity with the concept. This study aims to identify the concept of a sense of home and evaluate its impact on the quality of life of older adults. To this end, through a qualitative analysis of participant interviews, we extracted the main themes of a sense of home for older adults dwelling in residential care facilities in Tabriz, Iran. Also, to ensure reliability, we tested the extracted themes quantitatively and interviewed a questionnaire in a wider statistical population. Our findings indicate that on the one hand, older adults feel satisfied with the residential aspect of where they live if they are provided with privacy, easily navigable routes, collective spaces, mental health. On the other, they can also achieve physical, social, and mental health and feel satisfied with the care provision dimension of where they live if they are provided with internal and external facilities such as easily walkable paths to avoid collapsing or injury, accessible health care options, chances of social interaction, as well as peace and serenity. The conclusion is that by providing a context for privacy, social interaction, independence, and memorability, a place can leave a positive impact on self-esteem, happiness, life satisfaction, and ultimately quality of life among older adults.
随着人口老龄化的到来,老年人的生活质量问题越来越成为人们关注的焦点。然而,家的感觉对老年人生活质量的影响还没有得到应有的充分认识。本研究基于以下假设:(1)居住在养老院的老年人会更好地理解住在家里的感觉,正是因为远离家;(2)在家生活的老年人,尽管对家的概念缺乏明确的熟悉,但潜意识的家感知觉会影响他们的生活质量。本研究旨在识别家的概念,并评估其对老年人生活质量的影响。为此,通过对参与者访谈的定性分析,我们提取了居住在伊朗大不里士养老院的老年人的家的感觉的主题。此外,为了确保可靠性,我们对提取的主题进行了定量测试,并在更广泛的统计人群中进行了问卷调查。我们的研究结果表明,一方面,老年人对他们居住的地方感到满意,如果他们被提供隐私,易于导航的路线,集体空间,心理健康。另一方面,他们也可以实现身体、社会和心理健康,并对他们居住的地方的护理提供维度感到满意,如果他们提供内部和外部设施,如易于行走的路径,以避免倒塌或受伤,可获得的医疗保健选择,社会互动的机会,以及和平与宁静。结论是,通过提供隐私、社会互动、独立性和可记忆性的环境,一个地方可以对老年人的自尊、幸福感、生活满意度以及最终的生活质量产生积极影响。
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引用次数: 1
Institutional Traits in an African Residence for Older Adults: An Obstacle to Community Care? 非洲老年人住宅的制度特征:社区护理的障碍?
IF 2 Q2 Social Sciences Pub Date : 2021-10-06 DOI: 10.1080/26892618.2021.1987372
C. Nord
Abstract This ethnographic study explores an old age home in a former township in Walvis Bay, Namibia as an institution to investigate its potential to be interwoven in community care services for older adults. Interviews with older adults from the community revealed highly negative opinions about the residence that equated it to an institution. These opinions are compared with conditions in the OAH and the residents’ views. The old age home was much more heterogenous as regards the composition of residents than what was perceived by older adults who lived in the community, who considered the home an option only for people who were childless or had been abandoned. Older adults who voluntarily lived alone in the home represented a new lifestyle that challenged the traditional family care practice that is the norm in later life. There was however some truth to the interviewees’ perceptions of coercive elements, both in terms of practices and architectural design. The paper argues that it is necessary to reduce the stigma that prevents residential care from being an accepted part of community care and a housing option in the future. The study result shows a number of potentialities that can contribute to this.
摘要:本民族志研究探索了纳米比亚沃尔维斯湾一个前乡镇的养老院,作为一个机构,调查其在老年人社区护理服务中的潜力。对社区老年人的采访显示,他们对该住宅的评价非常负面,认为它是一个机构。这些意见与OAH的情况和居民的意见进行了比较。养老院的居民组成比住在社区里的老年人所认为的要复杂得多,他们认为养老院只是那些没有孩子或被遗弃的人的选择。自愿独自住在家里的老年人代表了一种新的生活方式,挑战了传统的家庭护理实践,这是晚年生活的常态。然而,在实践和建筑设计方面,受访者对强制因素的看法是有一定道理的。本文认为,有必要减少污名,阻止住宿护理成为社区护理和未来住房选择的一部分。研究结果显示了一些可能有助于实现这一目标的可能性。
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引用次数: 0
What Determines the Supply of Housing for the Elderly, and How Is it Related to the Spread of COVID-19? 是什么决定了老年住房的供应,它与COVID-19的传播有何关系?
IF 2 Q2 Social Sciences Pub Date : 2021-10-03 DOI: 10.1080/26892618.2021.1963386
Maria Kulander, Mats Wilhelmsson
Abstract As in many other countries, the population of Sweden is getting older. This means that the number of older people in society will increase in absolute numbers and relative terms. Consequently, the need for elderly housing will increase, and the cost of these investments will be high. The following study aims to perform a quantitative analysis of the spatial distribution of the number and size of housing units for the elderly in Sweden in 2013–2018. The number of elderly housing units per capita is not evenly distributed, and a large part of the explanation is, of course, that the number of older people is not evenly distributed between municipalities. Nevertheless, we can also state that the municipality’s income level and tax base, as well as the geographical size and degree of urbanization, play a role. If the municipality has a surplus or deficit in the supply of special housing for the elderly, it does not correlate with the distribution of COVID-19 cases.
摘要与许多其他国家一样,瑞典的人口正在变老。这意味着社会中老年人的数量将在绝对数量和相对数量上增加。因此,对老年人住房的需求将增加,这些投资的成本将很高。以下研究旨在对2013-2018年瑞典老年人住房单元数量和规模的空间分布进行定量分析。人均老年人住房的数量分布不均匀,当然,很大一部分原因是老年人的数量在城市之间分布不均匀。尽管如此,我们也可以说,该市的收入水平和税基,以及城市化的地理规模和程度,都发挥了作用。如果市政府在老年人特殊住房供应方面存在盈余或赤字,则与新冠肺炎病例的分布无关。
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引用次数: 1
Challenges Experienced by Subsidized Housing Residents with Dementia or Cognitive Impairment: A Scoping Review 痴呆症或认知障碍的补贴住房居民所面临的挑战:范围界定综述
IF 2 Q2 Social Sciences Pub Date : 2021-08-26 DOI: 10.1080/26892618.2021.1963387
Helen R. Lam, Kelly Fleming, Jeff Lee, Th Li, Nisha Mendonca
Abstract Older adults with dementia or cognitive impairment face unique challenges to living safely and independently in subsidized housing. This scoping review summarizes previous studies to develop an understanding of the challenges faced by older populations with dementia or cognitive impairment. Three medical databases, five social science databases, and two gray literature databases were searched. Six themes emerged: tenants’ demographic profile, physical challenges, mental/social/psychological challenges, behavioral challenges, inadequate services/environment, and barriers posed by policy and practice. We conclude that housing providers and practitioners should collaborate in ensuring tenants with dementia or cognitive impairment in subsidized housing are well supported, and we suggest areas for future research.
摘要患有痴呆症或认知障碍的老年人在补贴住房中安全独立地生活面临着独特的挑战。这篇范围界定综述总结了以前的研究,以了解患有痴呆症或认知障碍的老年人所面临的挑战。检索了3个医学数据库、5个社会科学数据库和2个灰色文献数据库。出现了六个主题:租户的人口特征、身体挑战、心理/社会/心理挑战、行为挑战、服务/环境不足以及政策和实践带来的障碍。我们得出的结论是,住房提供者和从业者应该合作,确保补贴住房中患有痴呆症或认知障碍的租户得到良好的支持,我们建议了未来研究的领域。
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引用次数: 1
Identifying Shelter and Housing Models for Older People Experiencing Homelessness 为无家可归的老年人确定住房和住房模式
IF 2 Q2 Social Sciences Pub Date : 2021-07-26 DOI: 10.1080/26892618.2021.1955806
S. Canham, C. Walsh, T. Sussman, Joe Humphries, Lara Nixon, Victoria F. Burns
Abstract Limited research has identified the types of shelter/housing and supports for the growing population of older people experiencing homelessness (OPEH) and the extent to which existing models align with their needs. To redress this gap, we conducted an environmental scan and three World Café workshops to identify and characterize shelter/housing models for OPEH in Montreal, Calgary, and Vancouver (Canada). Fifty-two models were identified and categorized into six shelter/housing types based on the program length of stay and level of health and social supports provided onsite: (1) Emergency, transitional, or temporary shelter/housing with supports; (2) Independent housing with offsite community-based supports; (3) Supported independent housing with onsite, non-medical supports; (4) Permanent supportive housing with onsite medical support and/or specialized services; (5) Long-term care for individuals with complex health needs and; (6) Palliative care/hospice, offering end-of-life services. Models that met the unique needs of OPEH had coordinated supports, social and recreational programming, assistance with daily tasks, and had a person-centered, harm-reduction approach to care. This typology of shelter/housing models offers a basis from which local and regional governments can audit their existing shelter/housing options and determine where there may be gaps in supporting OPEH.
摘要有限的研究已经确定了为日益增多的无家可归老年人提供的住所/住房类型和支持,以及现有模式在多大程度上符合他们的需求。为了弥补这一差距,我们在蒙特利尔、卡尔加里和温哥华(加拿大)举办了一次环境扫描和三次世界咖啡馆研讨会,以确定和描述OPEH的住房/住房模式。根据项目停留时间以及现场提供的健康和社会支持水平,确定了52种模式,并将其分为六种避难所/住房类型:(1)紧急、过渡或临时避难所/住房;(2) 独立住房,提供异地社区支持;(3) 有现场非医疗支持的独立住房;(4) 提供现场医疗支持和/或专业服务的永久性支持性住房;(5) 为有复杂健康需求的个人提供长期护理;(6) 姑息治疗/临终关怀,提供临终服务。满足OPEH独特需求的模型具有协调的支持、社会和娱乐规划、日常任务援助,并具有以人为中心、减少伤害的护理方法。这种住房/住房模式的类型提供了一个基础,地方和地区政府可以据此审计其现有的住房/住房选择,并确定在支持OPEH方面可能存在的差距。
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引用次数: 5
Dying in Place: Factors Associated with Hospice Use in Assisted Living and Residential Care Communities in Oregon 就地死亡:俄勒冈州辅助生活和寄宿护理社区临终关怀使用的相关因素
IF 2 Q2 Social Sciences Pub Date : 2021-06-23 DOI: 10.1080/26892618.2021.1942382
T. Bucy, P. Carder, Ozcan Tunalilar
Abstract Hospice use among assisted living residents may support aging in place. A cross-sectional survey was used to characterize variation in the health and personal care needs of Oregon assisted living and residential care (AL/RC) residents who did and did not receive hospice services. All AL communities licensed in Oregon as of fall 2019 were asked to answer questions about three randomly selected residents. A final sample of 998 residents was included in the analysis. Multiple variable logistic regression was used to examine associations between resident- and community-level characteristics and hospice use. While hospice services provide supplemental support for AL residents’ end-of-life process, our findings show that residents often receive continued assistance from AL staff as their condition deteriorates.
在辅助生活的居民中使用安宁疗护可能支持就地老化。一项横断面调查被用来描述接受和未接受临终关怀服务的俄勒冈州辅助生活和住宿护理(AL/RC)居民的健康和个人护理需求的变化。截至2019年秋季,所有在俄勒冈州获得许可的人工智能社区都被要求回答关于三名随机选择的居民的问题。998名居民的最终样本被纳入分析。多变量逻辑回归用于检验居民和社区水平特征与安宁疗护使用之间的关系。虽然安宁疗护服务为临终关怀病人的生命终结过程提供补充性支援,但我们的研究结果显示,当病人的病情恶化时,他们通常会得到临终关怀病人工作人员的持续协助。
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引用次数: 2
Biophilic Design Strategies in Long-Term Residential Care Environments for Persons with Dementia 痴呆症患者长期住宿护理环境的亲生物设计策略
IF 2 Q2 Social Sciences Pub Date : 2021-06-08 DOI: 10.1080/26892618.2021.1918815
T. Peters, S. Verderber
Abstract The number of persons living with dementia and related cognitive disorders is predicted to increase dramatically in the coming years. As a consequence, the need is increasing for appropriately designed long-term care (LTC) environments and design guidelines for these settings. This investigation presents the findings of a broad literature review on biophilic design and its application to a set of LTC architectural case studies selected for the degree to which each variously expresses key attributes of a set of ten biophilic patterns particularly rooted in the day to day experience of the aged in these care settings: visual connections with nature, non-visual connection with nature, non-rhythmic sensory stimuli, thermal and airflow variability, presence of water, dynamic and diffused light, complexity and order, prospect, refuge, and mystery. The three methodological aims are to conduct an in-depth literature review, to distill the aforementioned subset of biophilic patterns with respect to how the aged experience their built surroundings, and third, to examine these in light of their various expression in recently built state-of-the art LTC settings for persons with dementia and related cognitive disorders. Residents’ engagement with and proximity to nature and landscape, and transactions with biophilia-inspired artifacts was the principal focus. The case studies are further examined in relation to the planning and design of LTC environments in the context of the COVID-19 pandemic. Future biophilic-inspired directions for evidence-based research and design for persons with dementia and related cognitive disorders are discussed.
据预测,在未来几年,患有痴呆症和相关认知障碍的人数将急剧增加。因此,对适当设计长期护理(LTC)环境和针对这些环境的设计指南的需求正在增加。本调查展示了关于亲生物设计的广泛文献综述的发现,并将其应用于一系列LTC建筑案例研究,这些案例研究的选择程度是,每个案例都不同地表达了一组十种亲生物模式的关键属性,特别是根植于这些护理环境中老年人的日常体验:与自然的视觉联系,与自然的非视觉联系,无节奏的感官刺激,热和气流的变化,水的存在,动态和漫射光,复杂性和秩序,前景,庇护和神秘。三个方法学目标是进行深入的文献综述,提取上述亲生物模式的子集,以了解老年人如何体验他们的建筑环境,第三,根据它们在最近为患有痴呆症和相关认知障碍的人建立的最先进的LTC设置中的各种表达来检查这些模式。居民与自然和景观的接触和接近,以及与生物爱好启发的文物的交易是主要焦点。在COVID-19大流行的背景下,进一步审查了与LTC环境规划和设计相关的案例研究。讨论了痴呆症及相关认知障碍患者的循证研究和设计的未来亲生物启发方向。
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引用次数: 9
Risk Assessment of Retirement Village Public-Private Partnership Homes 养老村公私合作院舍风险评估
IF 2 Q2 Social Sciences Pub Date : 2021-06-02 DOI: 10.1080/26892618.2021.1932010
R. Osei-Kyei, V. Tam, Mingxue Ma
Abstract This study aims to identify and evaluate the potential risks associated with the development of retirement village through public-private partnership (PPP) approach. An international questionnaire survey was conducted with experienced practitioners. The findings show that five risk factors are very significant in the development of retirement village PPPs; these are “inexperience of private partner/developer,” “high operational and maintenance cost,” “inappropriate location of land for project,” “lack of highly skilled operational staff,” and “poor communication among stakeholders”. The results will inform developers and government agencies of the potential risk factors they should consider when engaging in future retirement village PPP arrangements.
摘要本研究旨在通过公私合作(PPP)方法识别和评估与退休村发展相关的潜在风险。对有经验的从业人员进行了一次国际问卷调查。研究结果表明,五个风险因素对退休村购买力平价的发展非常重要;这些问题包括“私人合作伙伴/开发商缺乏经验”、“运营和维护成本高”、“项目用地位置不合适”、“缺乏高技能的运营人员”以及“利益相关者之间沟通不畅”。研究结果将告知开发商和政府机构,他们在参与未来退休村PPP安排时应考虑的潜在风险因素。
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引用次数: 1
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Journal of Aging and Environment
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