Residential Long-Term Care and the Built Environment: Balancing Quality of Life and Infection Control
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2023Access:
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O'Donoghue J, Xidous D, Grey T, O'Neill D, Residential Long-Term Care and the Built Environment: Balancing Quality of Life and Infection Control, Journal of the American Medical Directors Association, 2023Download Item:
PIIS1525861023004139.pdf (Published (author's copy) - Peer Reviewed) 806.2Kb
Abstract:
Objectives: This article explores expert insights into residential long-term care (RLTC), specifically
regarding the built environment, its impact on infection control (IC) measures and on resident, staff, and
family member quality of life.
Design: The interviews discussed in this report form part of a larger mixed methods research design,
examining the planning, design, and operation of RLTC. Specifically, this report discusses findings from
one aspect of this research, a series of semistructured interviews.
Setting and Participants: Interviews were conducted online through video conferencing platform Zoom.
The project’s steering committee were asked to suggest key organizations involved in IC and RLTC
provision and policy, with 23 representatives (17 organizations) being invited to interview. Where
representatives were unable to participate, they suggested alternate representatives.
Methods: The research team conducted 20 interviews with key representatives or “experts” from
different aspects of RLTC provision, policy, and IC. A thematic analysis was employed to analyze and
generate key themes.
Results: For brevity, the codes that had been mentioned by >5 interviewees, specific to the built envi-
ronment, IC and quality of life were prioritized, resulting in 16 prioritized themes grouped according to
spatial scale.
Conclusions and Implications: This research demonstrates the growing awareness of the built environ-
ment as a critical partner in the RLTC health and social care model, as well as illustrating the need for a
holistic design approach across all key spatial scales to support the health and well-being of older people
in RLTC. Further research is needed on various aspects of RLTC, including the impact of care models and
setting size on IC, quality of life, and cost implications. RLTC policy needs a more integrated approach to
planning and design, specifically around RLTC location. This research suggests that RLTC providers look to
evidence-based, inclusive design guidelines to inform the design and retrofit of RLTC. Additionally, the
operation and management of space should be considered by providers.
Sponsor
Grant Number
Science Foundation Ireland (SFI)
Author's Homepage:
http://people.tcd.ie/doneillhttp://people.tcd.ie/jeodonog
Description:
PUBLISHED
Author: O'Neill, Desmond; O'Donoghue, Jennifer
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Journal ArticleCollections:
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Journal of the American Medical Directors AssociationAvailability:
Full text availableKeywords:
COVID-19 pandemic, Nursing home, Long-term care, Design of the built environment, Quality of life, Infection controlSubject (TCD):
Ageing , AGEING , NURSING-HOME RESIDENTS , Older Adults ? ageing in place, dementia, aging and technolo , inclusive design , universal designDOI:
https://doi.org/10.1016/j.jamda.2023.04.022Licences: