HEALTH PROMOTING NURSING HOMES - BARRIERS AND FACILITATORS
INTERNATIONAL FORUM FOR HEALTH PROMOTION RESEARCH TRONDHEIM 2016
HELLE WIJK
ASSOCIATE PROFESSOR, RN
INSTITUTE OF CARING SCIENCE AND HEALTH
SAHLGRENSKA ACADEMY AT GOTHENBURG UNIVERSITY AND SAHLGRENSKA UNIVERSITY HOSPITAL
Target group
Theoretical standpoints
Evidence based design EBD Implementation
Tre Stiftelser Göteborg
An aging society
Year 1900 Year 2014
• 65 years 5%
• 80 years 20%
• 90 years 50%
Aging and dementia
Health and well-being
Tre Stiftelser Göteborg Summer Meranius, M. (2010). ”Era delar är min helhet”. En
studie om att vara äldre och multisjuk. Lineaus University Dissertations 11. Institutionen för hälso- och vårdvetenskap, Linnéuniversitet.
Independence
Well working normal days
Preserving routines and habits
Respecting personality
Health developes within each human being, the caring mission is to create as good circumstancies as possible to promote healing
Florence Nightingale, 1861
By having the environment accommodate to the individual,
rather than the individual accommodate to the environment could improve and support well-being and behavior
Lawton 1980 Competence
Environment Zone for well-being and behaviour
The ecological model of aging B = (f) C,E Lawton & Nahemow 1973
The health care environment is a complex system Physical and psycosocial dimension
- create adverse advents
- Promote health and wellbeing
Healthy Supportive Environments
Control
Orientation
Social support Fascination
Personcentred Environment
Where´s my bed?
Which doors can I open ?
Hallo where are everybody?
The physical environment is increasingly recognized as important in health care
Kane et al. 2007
The physical environment has psychologically supportive attributes, believed to affect well-being
Sloane Devlin and Arnelli 2003; Djikstra et al. 2006
Hence, design could be regarded as a
therapeutic resource to promote well-being and functionality among patients and residents
Lack of evidence about which environmental aspects that are most
crucial for safety and well-being of the
persons being there and for their interaction with
the environment
EVALUATING THE QUALITY OF THE PHYSICAL ENVIRONMENT AND ITS ASSOCIATION WITH ACTIVITIES AND WELL-BEING AMONG OLDER PEOPLE IN RESIDENTIAL CARE FACILITIES
Susanna Nordin Karolinska Institute
161208
Sheffield Care Environment Assessment Matrix (SCEAM)
Location
Outside spaces
Form &
circulation spaces
Day spaces Bathrooms
& toilets
Private rooms
Staff spaces
Safety & health (66) Support for physical disability (55)
Comfort of indoor environment (39) Support for cognitive impairment (26) Awareness of outside world (33)
Normalness & authenticity (32)
Privacy (47)
Personalisation (20) Choice & control (25) Community (20)
Provision for staff (7)
Colour as a code and cue
Wijk H. Colour perception in old age, PhD 2001
Daylight and illumination
- reduce depression and length of stay
Golden et al., 2005, p. 656). Beauchemin and Hays, 1996; 1998; Benedetti et al., 2001
- reduce perceived pain and need of analgetics
Walch et al., 2005
Quality of light and quality of life
Brunnström, G., Sörensen, S., Alsterstad, K., Sjöstrand, J. (2004) Quality of Light and Quality of Life – The effect of lighting adaptation among people with low vision. Ophtalmic and Physiological Optics 24.
Sound
Recognition
Memory support Music
Gräsel et al, 2003, Ragneskog, et al 2001, Day et al. 2000
Smell
Memory support Apetite
Wellbeing Stress
McClosky et al. 2004, Larsson et al. 2000, Cohen-Mansfield, 2000
Symbols
Recognition Meaning
Respect
Sandman & Edvardsson, 2008; Calkins & Brusch, 2002
Nature
Activity View
Decrease stress Increase recovery
Bengtsson, A. 2003, Michell et al. 2003, Ulrich et al. 1984, 2010
Views
Ulrich R. View from a window may influence recovery from surgery. Science 1984;224:420-1
Animals
Stress reduction Recovery
Communication Social interaction
Falk & Wijk 2008, McCabe et al. 2002, Hermanns- Stanley & Miller 2002, Norling 2001
Positive distraction
Rest
Sensory stimulation Well being
Social activity
Zingmark et al. 2002
Care climate
Personcentred Generosity
Flexibility Accesability Tempo
Recognition
Edvardsson et al 2008
Research on the interrelationship between patients and their physical environment is seldom communicated
with designers, architects and facility administrators
ORGANISATIONSNAMN (ÄNDRA SIDHUVUD VIA FLIKEN INFOGA-SIDHUVUD/SIDFOT)
ANNA ANDERSSO
N
Namnskylt
WWW.GUNAREMY R.SE
Prerequisites for a good care for older people
Caring philosophy
Physical environment Caring actions, meetings, relations
Edvardsson 2008, Edvardsson & Wijk 2009
