"Assessing and comparing physical environments for nursing home residents: Using new tools for greater research specificity"

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dc.contributor.author Cutler, Lois J.
dc.contributor.author Kane, Rosalie A.
dc.contributor.author Degenholtz, Howard B.
dc.contributor.author Miller, Michael J.
dc.contributor.author Grant, Leslie
dc.date.accessioned 2006-08-30T14:31:17Z
dc.date.available 2006-08-30T14:31:17Z
dc.date.issued 2006-02
dc.identifier.citation Gerontologist Volume 46, Issue 1, February 2006, Pages 42-51 en
dc.identifier.issn 0016-9013
dc.identifier.other http://gerontologist.gerontologyjournals.org/cgi/reprint/46/1/42
dc.identifier.uri http://hdl.handle.net/2092/402
dc.description Michael J. Miller is an Assistant Professor of Social and Administrative Sciences in Pharmacy (Pharmacy Practice) in the College of Pharmacy and Health Sciences at Drake University, Des Moines, Iowa. He can be contacted at michael.miller@drake.edu en
dc.description.abstract Purpose: We developed and tested theoretically derived procedures to observe physical environments experienced by nursing home residents at three nested levels: their rooms, the nursing unit, and the overall facility. Illustrating with selected descriptive results, in this article we discuss the development of the approach. Design and Methods: On the basis of published literature, existing instruments, and expert opinion about environmental elements that might affect quality of life, we developed separate observational checklists for the room and bath environment, unit environment, and facility environment. We trained 40 interviewers without specialized design experience to high interrater reliability with the room-level assessment. We used the three checklists to assess 1,988 resident room and bath environments, 131 nursing units, and 40 facilities in five states. From the data elements, we developed quantitative indices to describe the facilities according to environmentally relevant constructs such as function-enhancing features, life-enriching features, resident environmental controls, and personalization. Results: We reliably gathered data on a large number of environmental items at three environmental levels. Environments varied within and across facilities, and we noted many environmental deficits potentially relevant to resident quality of life. Implications: This research permits resident-specific data collection on physical environments and resident-level research using hierarchical analysis to examine the effects of specific environmental constellations. We describe practice and research implications for this approach.Copyright 2006 by The Gerontological Society of America. en
dc.description.sponsorship This study was funded by the Centers for Medicare and Medicaid Services under a master contract to the University of Minnesota. en
dc.format.extent 111366 bytes
dc.format.mimetype application/pdf
dc.language.iso en_US
dc.publisher Gerontological Society of America en
dc.subject Rooms. en
dc.subject Nursing units. en
dc.subject Personalization. en
dc.subject Privacy. en
dc.subject Nursing homes--Evaluation. en
dc.subject Nursing homes--Quality control. en
dc.subject Nursing homes--Environmental conditions. en
dc.subject Nursing home patients. en
dc.title "Assessing and comparing physical environments for nursing home residents: Using new tools for greater research specificity" en
dc.type Article en


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  • Pharmacy Practice [7]
    Publications and research submitted by the faculty members of the Department of Pharmacy Practice.

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