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J Adv Nurs. 2018 Dec;74(12):2820-2830. doi: 10.1111/jan.13812. Epub 2018 Aug 22.

Exploring resident thriving in relation to the nursing home environment: A cross-sectional study.

Author information

1
Department of Nursing, Umeå University, Umeå, Sweden.
2
Department of Public Health and Clinical Medicine, Epidemiology and Global Health, Umeå University, Umeå, Sweden.
3
Department of Statistics, Umeå School of Business and Economics, Umeå University, Umeå, Sweden.
4
Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden.
5
Lovisenberg Diaconal University College, Oslo, Norway.
6
Department of Neurobiology, Care Sciences and Society, Division of Neurogeriatrics, Karolinska Institutet, Stockholm, Sweden.
7
School of Nursing and Midwifery, La Trobe University, Melbourne, Vic., Australia.

Abstract

AIM:

To explore the extent to which environmental factors are associated with resident thriving.

BACKGROUND:

Thriving is a concept that denotes experiences of well-being in relation to the living environment. Although there is a substantial body of research into quality of life in nursing homes, less is known about what contributes to thriving among residents. Recent research on resident thriving has focused mainly on resident characteristics and activities associated with thriving. Less attention has been given to explore associations with the physical and psychosocial environment of the nursing home. This study explores facility- and unit-level factors associated with resident thriving.

DESIGN:

A cross-sectional national survey.

METHODS:

Data on 4,205 residents, 3,509 staff, and environment of 147 nursing home facilities collected in 2013-2014 were analysed using descriptive statistics, multilevel simple, and multiple linear regression to explore resident thriving in relation to environmental factors.

RESULTS:

Multilevel analysis revealed that residents' thriving varied significantly across nursing home units. Several environmental factors were associated with thriving in univariate analyses. However, a positive psychosocial climate of units, having access to newspapers, living in a special care unit, and living in an unlocked facility showed significant positive associations with resident thriving when controlling for resident characteristics. The psychosocial climate showed the strongest association of the environment variables with resident thriving.

CONCLUSIONS:

Nursing home environments may have an impact on residents' thriving. A positive psychosocial climate of units seems to have an important role in facilitating thriving in nursing home residents.

KEYWORDS:

cross-sectional study; environment; nursing; nursing homes; older people; proxy; psychosocial environment; thriving

PMID:
30043451
DOI:
10.1111/jan.13812
[Indexed for MEDLINE]

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