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How the interrelated physical, social and organizational environment impacts daily life of residents with dementia on a Green Care Farm

Green Care Farms (GCF) are innovative long-term care environments and an alternative to regular nursing homes in the Netherlands. Following a culture change movement, GCFs have radically altered the care environment. Research suggests positive effects on residents. However, knowledge is limited rega...

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Autores principales: Rosteius, Katharina, de Boer, Bram, Staudacher, Sandra, Schols, Jos, Verbeek, Hilde
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9467523/
https://www.ncbi.nlm.nih.gov/pubmed/36106159
http://dx.doi.org/10.3389/fpubh.2022.946962
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author Rosteius, Katharina
de Boer, Bram
Staudacher, Sandra
Schols, Jos
Verbeek, Hilde
author_facet Rosteius, Katharina
de Boer, Bram
Staudacher, Sandra
Schols, Jos
Verbeek, Hilde
author_sort Rosteius, Katharina
collection PubMed
description Green Care Farms (GCF) are innovative long-term care environments and an alternative to regular nursing homes in the Netherlands. Following a culture change movement, GCFs have radically altered the care environment. Research suggests positive effects on residents. However, knowledge is limited regarding their physical, social and organizational environment. This article explores the care environment of 24-h GCFs for people with dementia and its impact on residents and their daily life. An ethnographic study using mixed methods was carried out at a GCF in the Netherlands between June and October 2021. Researchers lived on the GCF and completed 28 days of participatory observations in three groups. During the day, informal conversations were held with residents (n = 48), staff and family members. Twenty four semi-structured interviews were conducted with residents, their family members, staff and the managers, complemented by a focus group with staff. The physical environment was additionally assessed with the OAZIS-dementia tool. Data collection methods informed each other. Qualitative data was thematically analyzed, quantitative data descriptively. Four themes were identified as crucial during daily life on the GCF: stimulating the senses, engaging in purposeful activities, sharing responsibilities and creating a community in a new home. Realizing these topics in practice, physical, social and organizational environmental components were highly interrelated. The physical environment encouraged and facilitated meaningful in-/outdoor activities and social encounters. The organizational environment supported the use of the physical environment by aligning processes and transporting the vision. The social environment focused on collaboration and creating a home-like atmosphere by including residents in household- and farm chores. This community-building led to more meaningful activities and social interaction. In conclusion, this study revealed the central influence of the management in paving the way for a new form of care delivery. As leaders shape the three environments, the organization influences the design of the physical environment and the actions taking place within it. By creating a community, the care home benefits residents, their families and staff equally. The conscious interrelation and harmonization of the physical, social and organizational components of a long-term care environment has the potential to improve the daily life of residents.
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spelling pubmed-94675232022-09-13 How the interrelated physical, social and organizational environment impacts daily life of residents with dementia on a Green Care Farm Rosteius, Katharina de Boer, Bram Staudacher, Sandra Schols, Jos Verbeek, Hilde Front Public Health Public Health Green Care Farms (GCF) are innovative long-term care environments and an alternative to regular nursing homes in the Netherlands. Following a culture change movement, GCFs have radically altered the care environment. Research suggests positive effects on residents. However, knowledge is limited regarding their physical, social and organizational environment. This article explores the care environment of 24-h GCFs for people with dementia and its impact on residents and their daily life. An ethnographic study using mixed methods was carried out at a GCF in the Netherlands between June and October 2021. Researchers lived on the GCF and completed 28 days of participatory observations in three groups. During the day, informal conversations were held with residents (n = 48), staff and family members. Twenty four semi-structured interviews were conducted with residents, their family members, staff and the managers, complemented by a focus group with staff. The physical environment was additionally assessed with the OAZIS-dementia tool. Data collection methods informed each other. Qualitative data was thematically analyzed, quantitative data descriptively. Four themes were identified as crucial during daily life on the GCF: stimulating the senses, engaging in purposeful activities, sharing responsibilities and creating a community in a new home. Realizing these topics in practice, physical, social and organizational environmental components were highly interrelated. The physical environment encouraged and facilitated meaningful in-/outdoor activities and social encounters. The organizational environment supported the use of the physical environment by aligning processes and transporting the vision. The social environment focused on collaboration and creating a home-like atmosphere by including residents in household- and farm chores. This community-building led to more meaningful activities and social interaction. In conclusion, this study revealed the central influence of the management in paving the way for a new form of care delivery. As leaders shape the three environments, the organization influences the design of the physical environment and the actions taking place within it. By creating a community, the care home benefits residents, their families and staff equally. The conscious interrelation and harmonization of the physical, social and organizational components of a long-term care environment has the potential to improve the daily life of residents. Frontiers Media S.A. 2022-08-29 /pmc/articles/PMC9467523/ /pubmed/36106159 http://dx.doi.org/10.3389/fpubh.2022.946962 Text en Copyright © 2022 Rosteius, de Boer, Staudacher, Schols and Verbeek. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Rosteius, Katharina
de Boer, Bram
Staudacher, Sandra
Schols, Jos
Verbeek, Hilde
How the interrelated physical, social and organizational environment impacts daily life of residents with dementia on a Green Care Farm
title How the interrelated physical, social and organizational environment impacts daily life of residents with dementia on a Green Care Farm
title_full How the interrelated physical, social and organizational environment impacts daily life of residents with dementia on a Green Care Farm
title_fullStr How the interrelated physical, social and organizational environment impacts daily life of residents with dementia on a Green Care Farm
title_full_unstemmed How the interrelated physical, social and organizational environment impacts daily life of residents with dementia on a Green Care Farm
title_short How the interrelated physical, social and organizational environment impacts daily life of residents with dementia on a Green Care Farm
title_sort how the interrelated physical, social and organizational environment impacts daily life of residents with dementia on a green care farm
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9467523/
https://www.ncbi.nlm.nih.gov/pubmed/36106159
http://dx.doi.org/10.3389/fpubh.2022.946962
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